The use of CBCT to asses buccal bone thickness overlying mandibular anterior teeth

2021 ◽  
pp. 32-35
Author(s):  
N. V. Bovanova

Objectives: the aim of this study was to determine the relationship between gingival width with respect to the underlying bone thickness in mandibular anterior sextant.Material and metods: 40 CBCT were included. Buccal bone thickness was measured at 3, 4.5, 6, 8 mm apical to the cement–enamel junction (CEJ). In addition, the apicoincisal gingival width was measured.Results: at 3 mm from the cement-enamel junction, the buccal bone plate was in 69.4% of cases, the average thickness of buccal bone plate for all teeth was less than 1.0 mm, at the level of 4.5 and 6 mm in 30,6% of cases “Absence” of the external cortical plate, the thickness of which gradually increased in the apical direction (8 mm). When the efficiency is less than 2 mm, the effect of the absence of the external cortical plate according to CBCT data was more often observed.Conclusion: in this study revealed the relationship between the gingival width and the anatomical features of the buccal bone plate.

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Linhong Wang ◽  
Yan Ruan ◽  
Jianping Chen ◽  
Yunxiao Luo ◽  
Fan Yang

AbstractThis study aimed to noninvasively assess the relationship between the labial gingival thickness (GT) and the underlying bone thickness (BT) of maxillary anterior teeth by two digital techniques. A total of 30 periodontally healthy participants with 172 maxillary anterior teeth were enrolled. GT and BT were measured at 2, 4 and 6 mm apical to the cemento-enamel junction (CEJ) by two digital techniques: M1—cone-beam computed tomography (CBCT) and M2—digital intraoral scanning (DIS) combined with CBCT. The Pearson's correlation coefficient was calculated to determine the correlation between GT and BT. A significant negative correlation was identified between GT and BT at 2 mm apical to the CEJ for central incisors (CI), lateral incisors (LI), and canines (CA) both by M1 and M2, while a weak negative correlation at 4 mm apical to the CEJ was observed by M1 for CA. No significant correlation was found at other sites by both M1 and M2. The labial BT was < 1 mm in most cases (85% of CI; 97% of LI; and 90% of CA). Within the limitation of this study, it was concluded that GT and BT seemed to be negatively correlated at 2 mm apical to the CEJ. Therefore, caution is warranted when implant restoration at the esthetic area of the anterior teeth.


2021 ◽  
Author(s):  
Linhong Wang ◽  
Jianping Chen ◽  
Yan Ruan ◽  
Yunxiao Luo ◽  
Fan Yang

Abstract The aim of this study is to noninvasively assess the relationship between the labial gingival thickness (GT) and the underlying bone thickness (BT) of the maxillary anterior teeth by two digital techniques. GT and BT were measured at 2、4 and 6 mm apical to the cemento-enamel junction (CEJ) by two digital techniques: M1- cone-beam computed tomography (CBCT) and M2- digital intraoral scanning (DIS) combined with CBCT (30 healthy participants, 172 maxillary anterior teeth). Pearson's correlation coefficient was calculated to assess the correlation between GT and BT. A significant negative correlation was identified between GT and BT at 2、4 mm apical to the CEJ for central incisors (CI), lateral incisors (LI), and canines (CA) both by M1 and M2, but not at 4 mm apical to the CEJ for CA (M2) or at 6 mm apical to the CEJ for all (M1, M2). The labial BT was demonstrated < 1 mm in most cases (85% of the CI; 97% of the LI; and 90% of the CA). Within the limitation of this study, it is concluded that the GT and BT seems to be negatively correlated in most cases, which should be cautious clinically.


2021 ◽  
Vol 03 ◽  
Author(s):  
Hilda Fitria Lubis ◽  
Aditya Rachmawati ◽  
Stephani Tanius

Introduction: Correction of skeletal Class II malocclusion generally requires extraction of the premolars, followed by the retraction of the anterior teeth to reduce overjet. Morphometric evaluation of alveolar bone can be used to study the limitation of tooth movement to avoid adverse effects. The purpose of this study is to measure the changes in the bone thickness of the maxillary incisors in skeletal Class II malocclusion patients after retraction and determine the relationship between changes in bone thickness and the amount of retractions using lateral cephalometric radiographs. Materials and methods: The design of this study was to determine the cross-sectional changes in bone thickness in linear directions after retraction and the relationship between changes in bone thickness and the amount of retraction. Bone thickness in the linear directions was measured using digital cephalometric radiographs. Results: The measurement results from tracing 43 lateral cephalometric before and after anterior retraction treatment showed that there was a difference in alveolar bone thickness at the 9mm level from the CEJ in a linear direction on the anterior retraction of skeletal Class II malocclusion maxillary incisors (p <0.05), however, there was no difference in alveolar bone thickness at levels 3 and 6 mm from CEJ in the linear direction, and the angular direction (p> 0.05). Changes in alveolar bone thickness did not correlate with the amount of incisor retraction (p> 0.05). Conclusion: The results showed that the change in labial alveolar bone thickness was not significantly correlated to the amount of retraction.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yi-Wen Cathy Tsai ◽  
Ren-Yeong Huang ◽  
Chia-Dan Cheng ◽  
Wan-Chien Cheng ◽  
David L. Cochran ◽  
...  

Abstract Background This study investigated the prevalence of labial bone perforation (LBP) related to the associated anatomic factors in anterior mandibular region using a virtual immediate implant placement procedure. Methods Series qualified CBCT images of 149 participants (894 teeth) were selected to analyze the assigned anatomical parameters, including concavity depth, concavity angle, torque, and deep bone thickness. Four classes of crestal and radicular dentoalveolar bone phenotypes (CRDAPs) of mandibular anterior teeth were categorized according to the thickness of dentoalveolar bone at both crestal and radicular zones. Data were adjusted for categorical (gender and CRDAP) and continuous (age, cavity angle, cavity depth, and deep bone thickness) variables using a multivariable logistic regression analysis with generalized estimating equation method. Results The overall probability of LBP after virtual implant placement was 21.6%. There is statistically significant higher prevalence of LBP at canine (28.5%) and CRDAP class II (29.2%) regions (p < 0.001). After adjusting confounding variables, CRDAP class II and class IV regions are more likely to have LBP when compared with CRDAP class I (control) regions (p < 0.01). The risk of LBP at canine site is 6.31 times more likely than at the central incisor (control) (p < 0.01). Conclusions Using a virtual immediate implant placement technique, the prevalence of LBP is significantly higher at the mandibular canine site and thin radicular dentoalveolar phenotype in the anterior mandibular region.


2018 ◽  
Vol 12 (1) ◽  
pp. 586-595 ◽  
Author(s):  
Abbas Shokri ◽  
Mohammad Reza Jamalpour ◽  
Amir Eskandarloo ◽  
Mostafa Godiny ◽  
Payam Amini ◽  
...  

Introduction: Cortical bone is an important anatomical structure and its thickness needs to be determined prior to many dental procedures to ensure treatment success. Imaging modalities are necessarily used in dentistry for treatment planning and dental procedures. Three-dimensional image reconstruction not only provides visual information but also enables accurate measurement of anatomical structures; thus, it is necessarily required for maxillofacial examination and in case of skeletal problems in this region. Aims: This study aimed to assess the ability of three Cone Beam Computed Tomography (CBCT) systems including Cranex 3D, NewTom 3G and 3D Promax for Three-Dimensional (3D) image reconstruction of the cortical plate with variable thicknesses. Methods: Depending on the cortical bone thickness, samples were evaluated in three groups of ≤ 0. 5 mm, 0.6 -1 mm and 1.1-1.5 mm cortical bone thickness. The CBCT scans were obtained from each sample using three systems, their respective FOVs, and 3D scans were reconstructed using their software programs. Two observers viewed the images twice with a two-week interval. The ability of each system in the 3D reconstruction of different thicknesses of cortical bone was determined based on its visualization on the scans. The data were analyzed using SPSS and Kappa test. Results: The three systems showed the greatest difference in the 3D reconstruction of cortical bone with < 0.5 mm thickness. Cranex 3D with 4×6 cm2 FOV had the highest and 3D Promax with 8×8 cm2 FOV had the lowest efficacy for 3D reconstruction of cortical bone. Cranex 3D with 4×6 cm2 and 6×8 cm2 FOVs and NewTom 3G with 5×5 cm2 and 8×5 cm2 FOVs showed significantly higher efficacy for 3D reconstruction of cortical bone with 0.6-1mm thickness while 3D Promax followed by NewTom 3G with 8×8 cm2 FOV had the lowest efficacy for this purpose. Conclusion: Most CBCT systems have high efficacy for 3D image reconstruction of cortical bone with thicknesses over 1 mm while they have poor efficacy for image reconstruction of cortical bone with less than 0.5 mm thickness. Thus, for accurate visualization of anatomical structures on CBCT scans, systems with smaller FOVs and consequently smaller voxel size are preferred.


1962 ◽  
Vol 10 (1) ◽  
pp. 25 ◽  
Author(s):  
RK Bamber

The anatomy of the barks of 61 species of the tribe Leptospermoideae of the family Myrtaceae, principally from Australia, has been studied. The following anatomical features in particular have been described: type and arrangement of sclerenchyma, type and distribution of crystals, silica, oil glands, sieve tube type, fibre dimensions, periderm, and rhytidome. A key for the identification of the species and/or groups of species described has been derived from the bark anatomy. The bark anatomy would appear to be superior to the wood anatomy for the separation of the species of the tribe. The relationship between the bark anatomy and the taxonomy of the tribe is discussed. Support for the separation of Choricarpia subargentea and C. leptopetala from both Syncarpia and Tristania is given. Tristania neriifolia appears to be distinctly different from other Tristania spp. and re-examination of the species is suggested. Samples of Metrosideros sp. from Indonesia have been found to have the characteristics of Xanthostemon and re-examination of the genus of this species is also suggested. Oil glands have been found to be restricted to the genera Eucalyptus, Syncarpia, and Xanthostemon. Resorption of crystals has been found in the outer phloem of a number of species. Casparian thickening of the cell walls of the suberized phellem in Callistemon and Melaleuca has been confirmed.


2019 ◽  
Vol 41 (8) ◽  
pp. 935-942
Author(s):  
Rachana Shrestha ◽  
Xin Liu ◽  
Shoucheng Chen ◽  
Zhipeng Li ◽  
Zetao Chen ◽  
...  

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