Relationship between trabecular bone architecture and early dental implant failure in the posterior region of the mandible.
cone-beam CT
dental implant
implant survival
mandible
trabecular bone
Journal
Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
25
05
2019
revised:
17
09
2019
accepted:
19
10
2019
pubmed:
28
10
2019
medline:
8
2
2020
entrez:
27
10
2019
Statut:
ppublish
Résumé
To investigate the relationship between preoperative trabecular bone structure and implant outcome based on bone morphometric bone parameters from CBCT scans. Twenty consecutive cases with early implant failure in the posterior region of the mandible were matched with 20 control patients with a successful implant osseointegration selected. All patients had taken a preoperative CBCT image according to a standardized acquisition protocol. On these CBCT scans, the trabecular bone of each implantation site was selected and segmented, after which 3D morphometric bone parameters were calculated and used in a cluster analysis to objectively differentiate trabecular bone patterns. Fisher's exact test was used to determine whether there is a significant association between trabecular pattern and implant outcome. A sparse, intermediate, and dense trabecular bone pattern was distinguished by cluster analysis. The relationship between the trabecular bone pattern and early implant failure was significant (z = 9.6; p < .05). Early implant failure was more likely to occur in the sparse bone types, while implant survival was associated with intermediate bone types. Prior to implant placement, attention should be given to extreme deviations in trabecular structure at the planned implant sites. Very sparse or very dense bone should be carefully evaluated at the potential implant site, while intermediate bone types seem favorable for implant survival.
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Langues
eng
Pagination
153-161Subventions
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
ID : BEX 9419/13-6
Organisme : Fonds Wetenschappelijk Onderzoek
ID : 11.ZU.117N
Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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