Evaluation of factors affecting alveolar ridge height and facial bone thickness in Chinese maxillary central incisors by cone beam CT.

Buccal bone wall Cone beam CT Immediate implantation Maxillary central incisor Smoking

Journal

Journal of dental sciences
ISSN: 2213-8862
Titre abrégé: J Dent Sci
Pays: Netherlands
ID NLM: 101293181

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 07 05 2020
revised: 28 05 2020
entrez: 1 1 2021
pubmed: 2 1 2021
medline: 2 1 2021
Statut: ppublish

Résumé

In the immediate implantation of maxillary central incisors, the height of the alveolar bone is lost, and there is often a risk of bone fracture due to the thin buccal bone wall (BBW). The purpose of this study was to assess the effects of smoking, age, and root position in the alveolar bone on the BBW and the distance between the cemento-enamel junction (CEJ) and the facial bone crest (FBC) of Chinese maxillary central incisors. The patients were divided by smoking, gender, age, and root sagittal position in the alveolar bone. BBW thickness was measured at the following sites: the 4 mm apical to the CEJ, the middle of the root, and the apex. The distance from the CEJ to the FBC was also evaluated. Cone beam CT (CBCT) data for the maxillary central incisors of 645 patients (323 males and 322 females) were selected and analyzed. The CEJ-FBC distance in patients who smoked (2.79 ± 0.78 mm) was significantly greater than that of non-smokers (2.54 ± 0.69 mm). The BBW in subtype III (0.74 ± 0.43 mm, 0.81 ± 0.36 mm) was thinner than that in subtypes I and II at 4 mm apical to the CEJ and in the middle of the root, with a statistically significant difference ( In most Chinese people, smoking, gender, age, and the position of the root in alveolar bone are all important factors that must be considered before immediate implantation is undertaken.

Sections du résumé

BACKGROUND/PURPOSE OBJECTIVE
In the immediate implantation of maxillary central incisors, the height of the alveolar bone is lost, and there is often a risk of bone fracture due to the thin buccal bone wall (BBW). The purpose of this study was to assess the effects of smoking, age, and root position in the alveolar bone on the BBW and the distance between the cemento-enamel junction (CEJ) and the facial bone crest (FBC) of Chinese maxillary central incisors.
MATERIALS AND METHODS METHODS
The patients were divided by smoking, gender, age, and root sagittal position in the alveolar bone. BBW thickness was measured at the following sites: the 4 mm apical to the CEJ, the middle of the root, and the apex. The distance from the CEJ to the FBC was also evaluated.
RESULTS RESULTS
Cone beam CT (CBCT) data for the maxillary central incisors of 645 patients (323 males and 322 females) were selected and analyzed. The CEJ-FBC distance in patients who smoked (2.79 ± 0.78 mm) was significantly greater than that of non-smokers (2.54 ± 0.69 mm). The BBW in subtype III (0.74 ± 0.43 mm, 0.81 ± 0.36 mm) was thinner than that in subtypes I and II at 4 mm apical to the CEJ and in the middle of the root, with a statistically significant difference (
CONCLUSION CONCLUSIONS
In most Chinese people, smoking, gender, age, and the position of the root in alveolar bone are all important factors that must be considered before immediate implantation is undertaken.

Identifiants

pubmed: 33384802
doi: 10.1016/j.jds.2020.05.021
pii: S1991-7902(20)30115-X
pmc: PMC7770285
doi:

Types de publication

Journal Article

Langues

eng

Pagination

229-235

Informations de copyright

© 2020 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest relevant to this article.

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Auteurs

Duoling Xu (D)

Department of Periodontology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Chengjie Xie (C)

Department of Periodontology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Huimin Yu (H)

Department of Periodontology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Zhiyong Zhang (Z)

Department of Radiology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Junfa Zheng (J)

Department of Implantology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Shulan Xu (S)

Department of Implantology, Stomatological Hospital, Southern Medical University, Guangzhou, 510280, China.

Classifications MeSH