DOI QR코드

DOI QR Code

Assessment of trabecular bone changes around endosseous implants using image analysis techniques: A preliminary study

  • Zuki, Mervet El (Department of Oral Medicine and Radiology, Benghazi University College of Dentistry) ;
  • Omami, Galal (Oral Diagnosis and Polyclinics, Faculty of Dentistry, The University of Hong Kong) ;
  • Horner, Keith (Department of Oral Radiology, University Dental Hospital of Manchester)
  • 투고 : 2013.11.09
  • 심사 : 2014.02.22
  • 발행 : 2014.06.30

초록

Purpose: The objective of this study was to assess the trabecular bone changes that occurred around functional endosseous dental implants by means of radiographic image analysis techniques. Materials and Methods: Immediate preoperative and postoperative periapical radiographs of de-identified implant patients at the University Dental Hospital of Manchester were retrieved, screened for specific inclusion criteria, digitized, and quantified for structural elements of the trabecular bone around the endosseous implants, by using image analysis techniques. Data were analyzed using SPSS version 11.5. P values of less than 0.05 were considered statistically significant. Results: A total of 12 implants from 11 patients were selected for the study, and 26 regions of interest were obtained. There was a significant increase in the bone area in terms of the mean distance between nodes (p=0.006) and a significant decrease in the marrow area in terms of the bone area (p=0.006) and the length of marrow spaces (p=0.032). Conclusion: It appeared that the bone around the implant underwent remodeling that resulted in a net increase in bone after implant placement.

키워드

참고문헌

  1. Bragger U. Radiographic parameters for the evaluation of peri-implant tissues. Periodontol 2000 1994; 4: 87-97. https://doi.org/10.1111/j.1600-0757.1994.tb00009.x
  2. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants 2005; 20: 569-77.
  3. Miles DA, Razzano MR. The future of digital imaging in dentistry. Dent Clin North Am 2000; 44: 427-38.
  4. White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 628-35. https://doi.org/10.1016/S1079-2104(99)70097-1
  5. White SC. Oral radiographic predictors of osteoporosis. Dentomaxillofac Radiol 2002; 31: 84-92. https://doi.org/10.1038/sj.dmfr.4600674
  6. Aaron JE, Shore PA. Histomorphometry. In: Langton CM, Njeh CF. The physical measurement of bone. 2nd ed. Bristol, Philadelphia: Institute of Physics Pub.; 2004. p. 185-224.
  7. Chappard D, Guggenbuhl P, Legrand E, Basle MF, Audran M. Texture analysis of X-ray radiographs is correlated with bone histomorphometry. J Bone Miner Metab 2005; 23: 24-9. https://doi.org/10.1007/s00774-004-0536-9
  8. Ludlow JB, Gates W, Nason R Jr. Radiographic evaluation of implant-obscured bone. Comparison of digitally subtracted tomographic and periapical techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80: 351-7. https://doi.org/10.1016/S1079-2104(05)80394-4
  9. Jonasson G, Bankvall G, Kiliaridis S. Estimation of skeletal bone mineral density by means of the trabecular pattern of the alveolar bone, its interdental thickness, and the bone mass of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 346-52. https://doi.org/10.1067/moe.2001.116494
  10. Grondahl K, Sunden S, Grondahl HG. Inter- and intraobserver variability in radiographic bone level assessment at Branemark fixtures. Clin Oral Implants Res 1998; 9: 243-50. https://doi.org/10.1034/j.1600-0501.1998.090405.x
  11. Benn DK. A review of the reliability of radiographic measurements in estimating alveolar bone changes. J Clin Periodontol 1990; 17: 14-21. https://doi.org/10.1111/j.1600-051X.1990.tb01041.x
  12. Leonhardt A, Grondahl K, Bergstrom C, Lekholm U. Longterm follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Implants Res 2002; 13: 127-32. https://doi.org/10.1034/j.1600-0501.2002.130202.x
  13. Borg E, Grondahl K, Persson LG, Grondahl HG. Marginal bone level around implants assessed in digital and film radiographs: in vivo study in the dog. Clin Implant Dent Relat Res 2000; 2: 10-7. https://doi.org/10.1111/j.1708-8208.2000.tb00102.x
  14. Wennstrom JL, Ekestubbe A, Grondahl K, Karlsson S, Lindhe J. Implant-supported single-tooth restorations: a 5-year prospective study. J Clin Periodontol 2005; 32: 567-74. https://doi.org/10.1111/j.1600-051X.2005.00715.x
  15. Frost HM. Wolff's Law and bone's structural adaptations to mechanical usage: an overview for clinicians. Angle Orthod 1994; 64: 175-88.

피인용 문헌

  1. Radiographic changes of trabecular bone density after loading of implant‐supported complete dentures: A 3‐year prospective study vol.21, pp.5, 2014, https://doi.org/10.1111/cid.12829