EdenteV1, Istex, Corpus, bibRecord, 000418

Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?

Identifieur interne : 000418 ( Istex/Corpus ); précédent : 000417; suivant : 000419

Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?

Auteurs : Raúl González-García ; Florencio Monje

Source :

Clinical Oral Implants Research [ 0905-7161 ] ; 2013-07.

RBID : ISTEX:7142F354623B50630689404D2E7A8043A3E31986

English descriptors

Abstract

To analyze the reliability of micro‐computed tomography (micro‐CT) to assess bone density and the microstructure of the maxillary bones at the alveolar process in human clinics by direct comparison with conventional stereologic‐based histomorphometry.

Url:

https://api.istex.fr/document/7142F354623B50630689404D2E7A8043A3E31986/fulltext/pdf

DOI: 10.1111/j.1600-0501.2012.02478.x

Links to Exploration step

ISTEX:7142F354623B50630689404D2E7A8043A3E31986

Le document en format XML

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<sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?</title>
<author xml:id="author-0000" role="corresp"><persName><forename type="first">Raúl</forename>
<surname>González‐García</surname>
</persName>
<affiliation><orgName>Department of Oral and Maxillofacial‐Head and Neck Surgery</orgName>
<orgName>University Hospital Infanta Cristina</orgName>
<address><settlement type="city">Badajoz</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
<affiliation><orgName>CICOM, Centro de Implantología y Cirugía Oral y Maxilofacial</orgName>
<address><settlement type="city">Badajoz</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
<affiliation>Corresponding author: Raúl González‐García Calle Los Yébenes 35, 8C 28047, Madrid, Spain Tel.: +0034 639129396 Fax: +0034 914702259 e‐mail: raulmaxilo@gmail.com</affiliation>
</author>
<author xml:id="author-0001"><persName><forename type="first">Florencio</forename>
<surname>Monje</surname>
</persName>
<affiliation><orgName>Department of Oral and Maxillofacial‐Head and Neck Surgery</orgName>
<orgName>University Hospital Infanta Cristina</orgName>
<address><settlement type="city">Badajoz</settlement>
<country key="ES">Spain</country>
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<affiliation><orgName>CICOM, Centro de Implantología y Cirugía Oral y Maxilofacial</orgName>
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<country key="ES">Spain</country>
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<monogr><title level="j" type="main">Clinical Oral Implants Research</title>
<title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title>
<idno type="pISSN">0905-7161</idno>
<idno type="eISSN">1600-0501</idno>
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<profileDesc><abstract style="main" xml:id="clr2478-abs-0001"><head>Abstract</head>

Objectives
<p>To analyze the reliability of micro‐computed tomography (micro‐<hi rend="fc">CT</hi>
) to assess bone density and the microstructure of the maxillary bones at the alveolar process in human clinics by direct comparison with conventional stereologic‐based histomorphometry.</p>


Materials and methods
<p>Analysis of osseous microstructural variables including bone volumetric density (<hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
) of 39 biopsies from the maxillary alveolar bone was performed by micro‐<hi rend="fc">CT</hi>
. Conventional stereologic‐based histomorphometry of 10 bone biopsies was performed by optic microscopy (<hi rend="fc">OM</hi>
) and low‐vacuum surface electronic microscopy (<hi rend="fc">SEM</hi>
). Percentages of bone between micro‐<hi rend="fc">CT</hi>
 and conventional stereologic‐based histomorphometry were compared.</p>


Results
<p>Significant positive correlations were observed between <hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 and the percentage of bone (%Bone) analyzed by <hi rend="fc">SEM</hi>
 (<hi rend="italic">r</hi>
 = 0.933, <hi rend="italic">P</hi>
 < 0.001), by toluidine blue staining <hi rend="fc">OM</hi>
 (<hi rend="italic">r</hi>
 = 0.950, <hi rend="italic">P</hi>
 < 0.001) and by dark field <hi rend="fc">OM</hi>
 (<hi rend="italic">r</hi>
 = 0.667, <hi rend="italic">P</hi>
 = 0.05). The high positive correlation coefficient between <hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 and trabecular thickness illustrates that a value of <hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 upper than 50% squares with a bone presenting most of their trabecules thicker than 0.2 mm. The high negative correlation between <hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 and trabecular separation shows that values of <hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 upper than 50% squares with a bone presenting most of their trabecules separated less than 0.3 mm each other.</p>


Conclusion
<p><hi rend="fc">BV</hi>
/<hi rend="fc">TV</hi>
 assessed by micro‐<hi rend="fc">CT</hi>
 correlates with the percentage of bone assessed by conventional stereologic‐based histomorphometry. Micro‐<hi rend="fc">CT</hi>
 is a reliable technique to determine the bone density and the microstructure of the maxillary alveolar bone at the site of dental implant insertion.</p>
</abstract>
<textClass><keywords><term xml:id="clr2478-kwd-0001">bone architecture</term>
<term xml:id="clr2478-kwd-0002">bone density</term>
<term xml:id="clr2478-kwd-0003">bone micro‐structure</term>
<term xml:id="clr2478-kwd-0004">dental implants</term>
<term xml:id="clr2478-kwd-0005">histomorphometry</term>
<term xml:id="clr2478-kwd-0006">maxillary bones</term>
<term xml:id="clr2478-kwd-0007">micro‐computed tomography</term>
<term xml:id="clr2478-kwd-0008">optic microscopy</term>
<term xml:id="clr2478-kwd-0009">stereology</term>
<term xml:id="clr2478-kwd-0010">surface electronic microscopy</term>
<term xml:id="clr2478-kwd-0011">trabecular bone</term>
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<keywords rend="articleCategory"><term>Original Research</term>
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<titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title>
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<correspondenceTo><lineatedText><line><b>Corresponding author</b>
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<line><i>Raúl González‐García</i>
 Calle Los Yébenes 35, 8C</line>
<line>28047, Madrid, Spain</line>
<line>Tel.: +0034 639129396</line>
<line>Fax: +0034 914702259</line>
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<selfCitationGroup><citation type="self" xml:id="clr2478-cit-0019">González-García R, Monje F. Is micro-computed tomography reliable to determine the microstructure of the maxillary alveolar bone? <i>Clin. Oral Impl. Res.</i>
 <b>24</b>
, 2013, 730–737</citation>
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<contentMeta><titleGroup><title type="main">Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?</title>
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<creators><creator affiliationRef="#clr2478-aff-0001 #clr2478-aff-0002" corresponding="yes" creatorRole="author" xml:id="clr2478-cr-0001"><personName><givenNames>Raúl</givenNames>
 <familyName>González‐García</familyName>
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<creator affiliationRef="#clr2478-aff-0001 #clr2478-aff-0002" creatorRole="author" xml:id="clr2478-cr-0002"><personName><givenNames>Florencio</givenNames>
 <familyName>Monje</familyName>
</personName>
</creator>
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<affiliationGroup><affiliation countryCode="ES" type="organization" xml:id="clr2478-aff-0001"><orgDiv>Department of Oral and Maxillofacial‐Head and Neck Surgery</orgDiv>
 <orgName>University Hospital Infanta Cristina</orgName>
 <address><city>Badajoz</city>
 <country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="clr2478-aff-0002"><orgName>CICOM, Centro de Implantología y Cirugía Oral y Maxilofacial</orgName>
 <address><city>Badajoz</city>
 <country>Spain</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author"><keyword xml:id="clr2478-kwd-0001">bone architecture</keyword>
<keyword xml:id="clr2478-kwd-0002">bone density</keyword>
<keyword xml:id="clr2478-kwd-0003">bone micro‐structure</keyword>
<keyword xml:id="clr2478-kwd-0004">dental implants</keyword>
<keyword xml:id="clr2478-kwd-0005">histomorphometry</keyword>
<keyword xml:id="clr2478-kwd-0006">maxillary bones</keyword>
<keyword xml:id="clr2478-kwd-0007">micro‐computed tomography</keyword>
<keyword xml:id="clr2478-kwd-0008">optic microscopy</keyword>
<keyword xml:id="clr2478-kwd-0009">stereology</keyword>
<keyword xml:id="clr2478-kwd-0010">surface electronic microscopy</keyword>
<keyword xml:id="clr2478-kwd-0011">trabecular bone</keyword>
</keywordGroup>
<fundingInfo><fundingAgency>Fundación Caja de Badajoz</fundingAgency>
</fundingInfo>
<fundingInfo><fundingAgency>FEDICOM (Fundación para el Estudio de la Implantología y la Cirugía Oral y Maxilofacial)</fundingAgency>
</fundingInfo>
<fundingInfo><fundingAgency>FUNDESALUD (Fundación para la Formación y la Investigación de los Profesionales de la Salud de Extremadura): Proyect PRIS</fundingAgency>
<fundingNumber>05093</fundingNumber>
</fundingInfo>
<abstractGroup><abstract type="main" xml:id="clr2478-abs-0001"><title type="main">Abstract</title>
<section xml:id="clr2478-sec-0001"><title type="main">Objectives</title>
<p>To analyze the reliability of micro‐computed tomography (micro‐<fc>CT</fc>
) to assess bone density and the microstructure of the maxillary bones at the alveolar process in human clinics by direct comparison with conventional stereologic‐based histomorphometry.</p>
</section>
<section xml:id="clr2478-sec-0002"><title type="main">Materials and methods</title>
<p>Analysis of osseous microstructural variables including bone volumetric density (<fc>BV</fc>
/<fc>TV</fc>
) of 39 biopsies from the maxillary alveolar bone was performed by micro‐<fc>CT</fc>
. Conventional stereologic‐based histomorphometry of 10 bone biopsies was performed by optic microscopy (<fc>OM</fc>
) and low‐vacuum surface electronic microscopy (<fc>SEM</fc>
). Percentages of bone between micro‐<fc>CT</fc>
 and conventional stereologic‐based histomorphometry were compared.</p>
</section>
<section xml:id="clr2478-sec-0003"><title type="main">Results</title>
<p>Significant positive correlations were observed between <fc>BV</fc>
/<fc>TV</fc>
 and the percentage of bone (%Bone) analyzed by <fc>SEM</fc>
 (<i>r</i>
 = 0.933, <i>P</i>
 < 0.001), by toluidine blue staining <fc>OM</fc>
 (<i>r</i>
 = 0.950, <i>P</i>
 < 0.001) and by dark field <fc>OM</fc>
 (<i>r</i>
 = 0.667, <i>P</i>
 = 0.05). The high positive correlation coefficient between <fc>BV</fc>
/<fc>TV</fc>
 and trabecular thickness illustrates that a value of <fc>BV</fc>
/<fc>TV</fc>
 upper than 50% squares with a bone presenting most of their trabecules thicker than 0.2 mm. The high negative correlation between <fc>BV</fc>
/<fc>TV</fc>
 and trabecular separation shows that values of <fc>BV</fc>
/<fc>TV</fc>
 upper than 50% squares with a bone presenting most of their trabecules separated less than 0.3 mm each other.</p>
</section>
<section xml:id="clr2478-sec-0004"><title type="main">Conclusion</title>
<p><fc>BV</fc>
/<fc>TV</fc>
 assessed by micro‐<fc>CT</fc>
 correlates with the percentage of bone assessed by conventional stereologic‐based histomorphometry. Micro‐<fc>CT</fc>
 is a reliable technique to determine the bone density and the microstructure of the maxillary alveolar bone at the site of dental implant insertion.</p>
</section>
</abstract>
</abstractGroup>
</contentMeta>
<noteGroup xml:id="clr2478-ntgp-0001"><note numbered="no" xml:id="clr2478-note-0001">This study is part of the doctoral thesis by Dr Raúl González‐García, MD, PhD, presented at the Universidad Autónoma de Madrid (Spain), School of Medicine, Department of Surgery, entitled: “Predictibilidad de la densidad ósea radiológica (DOR) en la determinación de las propiedades micro‐estructurales de los huesos maxilares en el sitio de colocación de implantes dentales: Análisis mediante tomografía computerizada (TC) de haz cónico y micro‐TC.” Year: 2011. PID: 41026. <url href="http://hdl.handle.net/10486/7130">http://hdl.handle.net/10486/7130</url>
. The main author wants to thank all the Board members.</note>
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<affiliation>Department of Oral and Maxillofacial‐Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz, Spain</affiliation>
<affiliation>CICOM, Centro de Implantología y Cirugía Oral y Maxilofacial, Badajoz, Spain</affiliation>
<affiliation>: Calle Los Yébenes 35, 8C28047, Madrid, SpainTel.: +0034 639129396Fax: +0034 914702259e‐mail:</affiliation>
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<abstract>To analyze the reliability of micro‐computed tomography (micro‐CT) to assess bone density and the microstructure of the maxillary bones at the alveolar process in human clinics by direct comparison with conventional stereologic‐based histomorphometry.</abstract>
<abstract>Analysis of osseous microstructural variables including bone volumetric density (BV/TV) of 39 biopsies from the maxillary alveolar bone was performed by micro‐CT. Conventional stereologic‐based histomorphometry of 10 bone biopsies was performed by optic microscopy (OM) and low‐vacuum surface electronic microscopy (SEM). Percentages of bone between micro‐CT and conventional stereologic‐based histomorphometry were compared.</abstract>
<abstract>Significant positive correlations were observed between BV/TV and the percentage of bone (%Bone) analyzed by SEM (r = 0.933, P < 0.001), by toluidine blue staining OM (r = 0.950, P < 0.001) and by dark field OM (r = 0.667, P = 0.05). The high positive correlation coefficient between BV/TV and trabecular thickness illustrates that a value of BV/TV upper than 50% squares with a bone presenting most of their trabecules thicker than 0.2 mm. The high negative correlation between BV/TV and trabecular separation shows that values of BV/TV upper than 50% squares with a bone presenting most of their trabecules separated less than 0.3 mm each other.</abstract>
<abstract>BV/TV assessed by micro‐CT correlates with the percentage of bone assessed by conventional stereologic‐based histomorphometry. Micro‐CT is a reliable technique to determine the bone density and the microstructure of the maxillary alveolar bone at the site of dental implant insertion.</abstract>
<note type="funding">Fundación Caja de Badajoz</note>
<note type="funding">FEDICOM (Fundación para el Estudio de la Implantología y la Cirugía Oral y Maxilofacial)</note>
<note type="funding">FUNDESALUD (Fundación para la Formación y la Investigación de los Profesionales de la Salud de Extremadura): Proyect PRIS - No. 05093; </note>
<subject><genre>keywords</genre>
<topic>bone architecture</topic>
<topic>bone density</topic>
<topic>bone micro‐structure</topic>
<topic>dental implants</topic>
<topic>histomorphometry</topic>
<topic>maxillary bones</topic>
<topic>micro‐computed tomography</topic>
<topic>optic microscopy</topic>
<topic>stereology</topic>
<topic>surface electronic microscopy</topic>
<topic>trabecular bone</topic>
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Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?

Is micro‐computed tomography reliable to determine the microstructure of the maxillary alveolar bone?

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