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Cortical and cancellous bone thickness on the anterior region of alveolar bone in Korean: a study of dentate human cadavers

  • Kim, Heung-Joong (Department of Anatomy and Orofacial Development, School of Dentistry, Chosun University) ;
  • Yu, Sun-Kyoung (Department of Anatomy and Orofacial Development, School of Dentistry, Chosun University) ;
  • Lee, Myoung-Hwa (Department of Anatomy and Orofacial Development, School of Dentistry, Chosun University) ;
  • Lee, Hoon-Jae (Department of Dental Prosthetics, School of Dentistry, Chosun University) ;
  • Kim, Hee-Jung (Department of Dental Prosthetics, School of Dentistry, Chosun University) ;
  • Chung, Chae-Heon (Department of Dental Prosthetics, School of Dentistry, Chosun University)
  • Received : 2012.02.28
  • Accepted : 2012.06.28
  • Published : 2012.08.31

Abstract

PURPOSE. The cortical bone thickness on the anterior region is important for achieving implant stability. The purpose of this study was to examine the thickness of the cortical and cancellous bones on the anterior region of the maxilla and mandible. MATERIALS AND METHODS. Twenty-five cadaver heads were used (16 male and 9 female; mean death age, 56.7 years). After the long axis of alveolar process was set up, it was measured in 5 levels starting from 2 mm below the cementoenamel junction (L1) at intervals of 3 mm. All data was analysed statistically by one-way ANOVA at the .05 significance level. RESULTS. The cortical bone thickness according to measurement levels in both the labial and lingual sides increased from L1 to L5, and the lingual side below L3 was significantly thicker than the labial side on the maxilla and mandible. In particular, the labial cortical bone thickness in the maxilla was the thinnest compared to the other regions. The cancellous bone thickness according to measurement levels increased from L1 to L5 on the maxilla, and on the mandible it was the thinnest at the middle level of the root. CONCLUSION. For implant placement on the anterior region, a careful evaluation and full knowledge on the thickness of the cortical and cancellous bone are necessary, therefore, these results may provide an anatomic guideline to clinicians.

Keywords

References

  1. Ku JE, Yang HS, Yun KD. A morphometric analysis of maxillary central incisor on the basis of facial appearance in Korea. J Adv Prosthodont 2012;4:13-7. https://doi.org/10.4047/jap.2012.4.1.13
  2. Bernard JP, Schatz JP, Christou P, Belser U, Kiliaridis S. Long-term vertical changes of the anterior maxillary teeth adjacent to single implants in young and mature adults. A retrospective study. J Clin Periodontol 2004;31:1024-8. https://doi.org/10.1111/j.1600-051X.2004.00574.x
  3. Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19:43-61.
  4. Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T. Influence of cortical bone thickness and implant length on implant stability at the time of surgery-clinical, prospective, biomechanical, and imaging study. Bone 2005;37:776-80. https://doi.org/10.1016/j.bone.2005.06.019
  5. Flanagan D. A comparison of facial and lingual cortical thicknesses in edentulous maxillary and mandibular sites measured on computerized tomograms. J Oral Implantol 2008;34:256-8. https://doi.org/10.1563/0.915.1
  6. Swasty D, Lee JS, Huang JC, Maki K, Gansky SA, Hatcher D, Miller AJ. Anthropometric analysis of the human mandibular cortical bone as assessed by cone-beam computed tomography. J Oral Maxillofac Surg 2009;67:491-500. https://doi.org/10.1016/j.joms.2008.06.089
  7. Deguchi T, Nasu M, Murakami K, Yabuuchi T, Kamioka H, Takano-Yamamoto T. Quantitative evaluation of cortical bone thickness with computed tomographic scanning for orthodontic implants. Am J Orthod Dentofacial Orthop 2006;129:721.
  8. Lim WH, Lee SK, Wikesjo UM, Chun YS. A descriptive tissue evaluation at maxillary interradicular sites: implications for orthodontic mini-implant placement. Clin Anat. 2007;20:760-5. https://doi.org/10.1002/ca.20513
  9. Kim JH, Lee JG, Han DH, Kim HJ. Morphometric analysis of the anterior region of the maxillary bone for immediate implant placement using micro-CT. Clin Anat 2011;24:462-8. https://doi.org/10.1002/ca.21101
  10. Park HD, Min CK, Kwak HH, Youn KH, Choi SH, Kim HJ. Topography of the outer mandibular symphyseal region with reference to the autogenous bone graft. Int J Oral Maxillofac Surg 2004;33:781-5. https://doi.org/10.1016/j.ijom.2004.02.006
  11. Shin JW. Dental anatomy. 3rded. Seoul; DaehanNarae Publishing, Inc.; 2010. p. 61-99.
  12. Katranji A, Misch K, Wang HL. Cortical bone thickness in dentate and edentulous human cadavers. J Periodontol 2007;78:874-8. https://doi.org/10.1902/jop.2007.060342
  13. Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003;30:809-18. https://doi.org/10.1034/j.1600-051X.2003.00366.x
  14. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8. https://doi.org/10.1111/j.1600-051X.2005.00642.x
  15. Cho YB, Moon SJ, Chung CH, Kim HJ. Resorption of labial bone in maxillary anterior implant. J Adv Prosthodont 2011;3:85-9. https://doi.org/10.4047/jap.2011.3.2.85
  16. Covani U, Cornelini R, Barone A. Bucco-lingual bone remodeling around implants placed into immediate extraction sockets: a case series. J Periodontol 2003;74:268-73. https://doi.org/10.1902/jop.2003.74.2.268
  17. Covani U, Cornelini R, Barone A. Vertical crestal bone changes around implants placed into fresh extraction sockets. J Periodontol 2007;78:810-5. https://doi.org/10.1902/jop.2007.060254
  18. Nevins M, Camelo M, De Paoli S, Friedland B, Schenk RK, Parma-Benfenati S, Simion M, Tinti C, Wagenberg B. A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Int J Periodontics Restorative Dent 2006;26:19-29.
  19. Yoo RH, Chuang SK, Erakat MS, Weed M, Dodson TB. Changes in crestal bone levels for immediately loaded implants. Int J Oral Maxillofac Implants 2006;21:253-61.
  20. Covani U, Bortolaia C, Barone A, Sbordone L. Bucco-lingual crestal bone changes after immediate and delayed implant placement. J Periodontol 2004;75:1605-12. https://doi.org/10.1902/jop.2004.75.12.1605
  21. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005;32:645-52. https://doi.org/10.1111/j.1600-051X.2005.00726.x
  22. Araujo MG, Wennstrom JL, Lindhe J. Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clin Oral Implants Res 2006;17:606-14. https://doi.org/10.1111/j.1600-0501.2006.01315.x
  23. Cardaropoli G, Lekholm U, Wennstrom JL. Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study. Clin Oral Implants Res 2006;17:165-71. https://doi.org/10.1111/j.1600-0501.2005.01210.x
  24. Kan JY, Rungcharassaeng K. Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale. Pract Periodontics Aesthet Dent 2000;12:817-24.
  25. Wagenberg BD, Ginsburg TR. Immediate implant placement on removal of the natural tooth: retrospective analysis of 1,081 implants. Compend Contin Educ Dent 2001;22:399-404, 406, 408.
  26. Juodzbalys G, Wang HL. Soft and hard tissue assessment of immediate implant placement: a case series. Clin Oral Implants Res. 2007;18:237-43. https://doi.org/10.1111/j.1600-0501.2006.01312.x
  27. Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive boen loading. Int J Oral Implantol 1990;6:23-31.

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