ASSESSMENT OF BONE DENSITY ON MAXILLA AFTER IMPLANTATION WITH CONE BEAM COMPUTED TOMOGRAPHY

Cone Beam Computed Tomography를 이용한 상악 임플란트 식립 전후의 골밀도 변화에 관한 연구

  • Choi, Jeong-Hun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Lee, Ju-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Chung, In-Kyo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 최정훈 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이주민 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.04.29
  • Accepted : 2010.05.27
  • Published : 2010.05.31

Abstract

Purpose: This study examined the significance of increased bone density according to time after implantation on maxilla using demographic data with CBCT and compared the bone density between before vs. after implantation using the Hounsfield index. Materials and Methods: Twenty-five implant site on maxilla were selected. Cone-beam computerized tomography (CBCT) scans were used for the analysis. The implant sites were evaluated digitally using the Hounsfield scale with EzImplant TM and the results were compared over time. Statistical data over time was carried out to determine the correlation between the recorded Hounsfield unit (HU) over time and gender difference using repeated ANOVA. Results: The bone density of implantation site over time showed an increase in the HU mean values. Immediately after implantation, bone density was significantly increased than bone density before implantation. Until 6 month follow-up, bone density showed stable increasement. There is no significant difference on gender. Conclusions: Using CBCT, bone density increased over time after implantation on maxilla. Bone density measurements using CBCT might provide an objective assessment of the bone quality as well as the correlation between bone density and stability of implant.

Keywords

References

  1. Branemark PI, Zarb GA, Albrektsson T : Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago, Quintessence, 1985, p.39.
  2. Albrektsson T, Branemark PI, Hansson HA et al : Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52 : 155, 1981. https://doi.org/10.3109/17453678108991776
  3. Misch CE : Bone density : A key determinant for treatment planning. In : Misch CE editor. Contemporary Implant Dentistry, 3rd ed. St Louis, Mosby, 2008, p.130.
  4. Adell R, Lekholm U, Rockler B et al : A 15 years study of osseointegrated implants in the treatment of edentulous jaw. Int J Oral MaxillofacSurg 10 : 387, 1981. https://doi.org/10.1016/S0300-9785(81)80077-4
  5. Cox JF, Zarb GA : The longitudinal efficacy of osseointegrated dental implants. A 3-year report. Int J Oral Maxillofac Implants 2 : 91, 1987.
  6. Jaffin R, Bermann C : The excessive loss of Branemark fixtures in type IV bone : a 5-year analysis. J Periodontol 62 : 2, 1991. https://doi.org/10.1902/jop.1991.62.1.2
  7. Lekholm U. Zarb GA : Patient selection and preparation. In : Branemark PI, Zarb GA, Albrektsson T editor. Osseointegration in clinical dentistry. 3rd ed. Chicago, Quintessence, 1985, p.199.
  8. Matsue I, Zimmermann ER, Collings CK et al : Microdensitometric analysis of human autogenous implant II Two dimensional density and pattern analysis of interproximal alveolar bone. J Periodont 42 : 435, 1971. https://doi.org/10.1902/jop.1971.42.7.435
  9. Katoh T, Shimada K, Chiba M et al : The basic study on bone mineral assessment with dual energy radiographic densitometry method. Oral Radiolol 18 : 278, 1978.
  10. Ishigaki T, Sakuma S, Horikawa Y et al : One-shot dualenergy subtraction imaging. Radiology 161 : 271, 1986. https://doi.org/10.1148/radiology.161.1.3532182
  11. Park WK, Kim JD : A Comparative Study of Quantitative Assessment of Bone Mineral Density of Mandible. Korean J Oral Maxillofac Radiol 29 : 161, 1999.
  12. Misch CE, Kircos LT : Diagnostic imaging and techniques. In : Misch CE editor. Contemporary implant dentistry, 3rd ed. St Louis, Mosby, 2008, p.38.
  13. Norton RM, Gamble C : Bone classification : an objective scale of bone density using the computerized tomography scan. Clin Oral Impl Res 12 : 79, 2001. https://doi.org/10.1034/j.1600-0501.2001.012001079.x
  14. Homolka P, Beer A, Birkfellner W et al : Bone mineral density measurement with dental quantitative CT prior to dental implant placement in cadaver mandibles : pilot study. Radiology 224 : 247, 2002 https://doi.org/10.1148/radiol.2241010948
  15. Fanuscu MI, Chang TL : Three-dimensional morphometric analysis of human cadaver bone : microstructural data from maxilla and mandible. Clin Oral Impl Res 15 : 213, 2004. https://doi.org/10.1111/j.1600-0501.2004.00969.x
  16. Shahlaie M, Gantes B, Schulz E et al : Bone density assessments of dental implant sites : 1. Quantitative computed tomography. Int J Oral Maxillofac Implants 18 : 224, 2003.
  17. Beer A, Gahleitner A, Holm A et al : Correlation of insertion torques with bone mineral density from dental quantitative CT in the mandible. Clin Oral Impl Res 14 : 616, 2003. https://doi.org/10.1034/j.1600-0501.2003.00932.x
  18. Shapurian T, Damoulis PD, Reiser GM et al : Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 21 : 290, 2006.
  19. Turkyilmaz I, T¨ooz¨uum TF, Tumer C : Bone density assessments of oral implant sites using computerized tomography. J Oral Rehabil 34 : 267, 2007. https://doi.org/10.1111/j.1365-2842.2006.01689.x
  20. Goo JG, Kim HS, Kim JD : Quantitative assessment of periimplant bone density (HU) on CBCT image. Korean J Oral Maxilloac Radio 38 : 1, 2008.
  21. Park CJ, Kim YS, Kim CW et al : A study on the change of implant stability using resonance frequency analysis. J Kor Acad Prostho Soc 4 : 271, 2003.
  22. Song YD, Jun SH, Gwon JJ : Correlation between bone quality evaluated by cone-beam computerized tomography and implant primary stability. Int J Oral Maxillofac Implants 24 : 59, 2009.
  23. Wyatt CC, Pharoah MJ : Imaging techniques and image interpretation for dental implant treatment. Int J Prosthodont 11 : 442, 1998.
  24. Ha JW, Kim SG, Kim HH et al : Histomorphometric analysis of an immediate non-functional loaded implant in dogs. J Kor Oral Maxillofac Surg 34 : 90, 2008.
  25. Kim JH, Kim MH, Lee WG et al : Evaluation of Bone Uptake on Tc-99m-MDP in Immediate and Delayed Dental Implants. J Vent Clin 20 : 207, 2003.
  26. Duckmanton NA, Austin BW, Lechner SK et al : Imaging for predictable maxillary implants. Int J Prosthodont 7 : 77, 1994.
  27. Ko SM, Park SJ, Kim IS et al : Observation of the change of the dental implant stability and bone density evaluation methods. J Korean Acad Periodontol 39 : 185, 2009. https://doi.org/10.5051/jkape.2009.39.2.185
  28. Glauser R, Sennerby L, Meredith N et al : Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading. Successful vs. failing implants. Clin Oral Implants Res 15 : 428, 2004. https://doi.org/10.1111/j.1600-0501.2004.01036.x
  29. Farman AG : ALARA still applies [editorial]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100 : 395, 2005. https://doi.org/10.1016/j.tripleo.2005.05.055
  30. Lee JN, Han WJ, Kim EK : Absorbed and effective dose from developed cone bean computed tomography in Korea. Korean J Oral Maxillofac Radiol 37 : 932, 2007.