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Evaluation of alveolar bone density by intraoral periapical radiography

구강 내 치근단 방사선 영상을 이용한 치조골 골밀도 측정의 유용성 평가

  • Park, Eun-Jin (Department of Dentistry, School of Medicine, Ewha Womans University) ;
  • Kim, David-Hyungjin (Division of Biological Science, University of California) ;
  • Kim, Eun-Suk (Jukjeon Dental Hospital, College of Dentistry, Dankook University)
  • 박은진 (이화여자대학교 의학전문대학원 치과학교실) ;
  • ;
  • 김은석 (단국대학교 치과대학 죽전치과병원)
  • Received : 2014.06.20
  • Accepted : 2014.07.07
  • Published : 2014.07.31

Abstract

Purpose: A method detecting change of jaw or alveolar bone density may be helpful in periodontal care, implant dentistry and evaluation of bone density of whole body. Materials and methods: In this study, bone density of intraoral periapical radiography using phantom-integrated XCP is compared with that of quantitative computed tomography (QCT). Results: Bone density of intraoral periapical radiography and the one measured by QCT showed high correlation (correlation coefficient = 0.92, P<.001) in alveolar bone, and relatively high correlation (0.73, P<.001) in cancellous bone. Conclusion: This study revealed possibility of scoring of bone density by intraoral periapical radiography.

목적: 상, 하악골 혹은 치조골의 골밀도에 대한 지표를 나타낼 수 있는 방법의 개발은 치주질환의 관리, 치과 임플란트 치료 및 전신 골다공증의 진단 등에 유용하게 사용될 수 있다. 대상 및 방법: 팬텀을 포함하는 평행법 촬영기구(XCP)를 이용해 골밀도를 측정하고 이를 정량적 전산화 단층촬영 영상의 값과 비교하여 구강 내 치근단 방사선 영상을 이용한 골밀도 측정의 유용성을 평가하였다. 결과: 실험 결과 치조골의 골밀도에서 두 방법은 0.92 (P<.001)로 높은 상관관계를 보였고, 해면골에 국한된 골밀도는 0.73 (P<.001)으로 비교적 높은 유의한 상관관계를 보였다. 결론: 구강 내 치근단 방사선 영상을 통한 치조골 골밀도 측정의 가능성을 제시하였다.

Keywords

References

  1. Denissen H, Verhey H, de Blieck J, Corten F, Klein C, van Lingen A. Dual X-ray absorptiometry for alveolar bone: precision of peri-implant mineral measurements ex vivo. J Periodontal Res 1996;31:265-70. https://doi.org/10.1111/j.1600-0765.1996.tb00492.x
  2. Ellwood R, Horner K, Alexander S, Davies R. A digital subtraction radiography investigation of upper first molar proximal bone density changes in adolescents. J Periodontal Res 1998;33:172-7.
  3. Bassi F, Procchio M, Fava C, Schierano G, Preti G. Bone density in human dentate and edentulous mandibles using computed tomography. Clin Oral Implants Res 1999;10:356-61. https://doi.org/10.1034/j.1600-0501.1999.100503.x
  4. Grampp S, Jergas M, Lang P, Steiner E, Fuerst T, Gluer CC, Mathur A, Genant HK. Quantitative CT assessment of the lumbar spine and radius in patients with osteoporosis. AJR Am J Roentgenol 1996;167:133-40 https://doi.org/10.2214/ajr.167.1.8659357
  5. Kuhl ED, Nummikoski PV. Radiographic absorptiometry method in measurement of localized alveolar bone density changes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:375-81. https://doi.org/10.1016/S1079-2104(00)70105-3
  6. Allen KM, Hausmann E. Analytical methodology in quantitative digital subtraction radiography: analyses of the aluminum reference wedge. J Periodontol 1996;67:1317-21. https://doi.org/10.1902/jop.1996.67.12.1317
  7. Bragger U, Burgin W, Fourmousis I, Schmid G, Schild U, Lang NP. Computer-assisted densitometric image analysis of digital subtraction images: in vivo error of the method and effect of thresholding. J Periodontol 1998;69:967-74. https://doi.org/10.1902/jop.1998.69.9.967
  8. Ulm C, Kneissel M, Schedle A, Solar P, Matejka M, Schneider B, Donath K. Characteristic features of trabecular bone in edentulous maxillae. Clin Oral Implants Res 1999;10:459-67. https://doi.org/10.1034/j.1600-0501.1999.100604.x
  9. Southard TE, Wunderle DM, Southard KA, Jakobsen JR. Geometric and densitometric standardization of intraoral radiography through use of a modified XCP system. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:253-7. https://doi.org/10.1016/S1079-2104(99)70281-7
  10. Southard KA, Southard TE, Schlechte JA, Meis PA. The relationship between the density of the alveolar processes and that of postcranial bone. J Dent Res 2000;79:964-9. https://doi.org/10.1177/00220345000790041201