Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning
Identifieur interne : 001293 ( Istex/Corpus ); précédent : 001292; suivant : 001294Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning
Auteurs : Joannis Katsoulis ; Norbert Enkling ; Takuro Takeichi ; Istvan A. Urban ; Regina Mericske-Stern ; Marianna AvrampouSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2012-05.
English descriptors
- KwdEn :
- Absolute thickness, Alveolar ridge, Anterior maxilla, Assistant professor, Atrophic jawbone, Augmentation, Basal, Basal level, Basal levels, Bone height, Bone width, Buccal, Buccal mucosa, Canine, Central incisor, Clin, Clin implant dent relat, Clinical examination, Clinical implant dentistry, Clinical implications, Combination syndrome, Complete ridge, Complete ridge thickness, Cone beam, Crestal, Crestal level, Crestal levels, Dent, Dental medicine, Dentistry, Denture, Different regions, Digital bone assessment, Edentulous, Edentulous maxilla, Edentulous maxillary ridge, Facial bone wall, Implant, Implant dentistry, Implant placement, Implant planning, Incisor, Jawbone, Lateral, Lateral incisor, Masticatory mucosa, Maxilla, Maxillary, Maxillofac, Molar, Mucosa, Mucosal, Oral maxillofac implants, Osseous proportion, Palatal, Posterior maxilla, Preimplant diagnosis, Premolar, Present results, Present study, Prosthet dent, Radiographic, Radiographic data, Relative bone width, Resorption, Ridge width, Second premolar, Sinus, Software, Standard deviation, Surgical, Systematic review, Tomography, Zahnlosen oberkiefers.
- Teeft :
- Absolute thickness, Alveolar ridge, Anterior maxilla, Assistant professor, Atrophic jawbone, Augmentation, Basal, Basal level, Basal levels, Bone height, Bone width, Buccal, Buccal mucosa, Canine, Central incisor, Clin, Clin implant dent relat, Clinical examination, Clinical implant dentistry, Clinical implications, Combination syndrome, Complete ridge, Complete ridge thickness, Cone beam, Crestal, Crestal level, Crestal levels, Dent, Dental medicine, Dentistry, Denture, Different regions, Digital bone assessment, Edentulous, Edentulous maxilla, Edentulous maxillary ridge, Facial bone wall, Implant, Implant dentistry, Implant placement, Implant planning, Incisor, Jawbone, Lateral, Lateral incisor, Masticatory mucosa, Maxilla, Maxillary, Maxillofac, Molar, Mucosa, Mucosal, Oral maxillofac implants, Osseous proportion, Palatal, Posterior maxilla, Preimplant diagnosis, Premolar, Present results, Present study, Prosthet dent, Radiographic, Radiographic data, Relative bone width, Resorption, Ridge width, Second premolar, Sinus, Software, Standard deviation, Surgical, Systematic review, Tomography, Zahnlosen oberkiefers.
Abstract
Background: Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.
Url:
DOI: 10.1111/j.1708-8208.2012.00441.x
Links to Exploration step
ISTEX:26A674B83FEAA8DD753525E36306CB075009C62BLe document en format XML
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Clinical Implications of Digital Assessment in Presurgical Implant Planning</title><author><name sortKey="Katsoulis, Joannis" sort="Katsoulis, Joannis" uniqKey="Katsoulis J" first="Joannis" last="Katsoulis">Joannis Katsoulis</name><affiliation><mods:affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: joannis.katsoulis@zmk.unibe.ch</mods:affiliation></affiliation></author><author><name sortKey="Enkling, Norbert" sort="Enkling, Norbert" uniqKey="Enkling N" first="Norbert" last="Enkling">Norbert Enkling</name><affiliation><mods:affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</mods:affiliation></affiliation></author><author><name sortKey="Takeichi, Takuro" sort="Takeichi, Takuro" uniqKey="Takeichi T" first="Takuro" last="Takeichi">Takuro Takeichi</name><affiliation><mods:affiliation>assistant professor, Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, Japan;</mods:affiliation></affiliation></author><author><name sortKey="Urban, Istvan A" sort="Urban, Istvan A" uniqKey="Urban I" first="Istvan A." last="Urban">Istvan A. 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type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="sub">Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="page" from="e213">e213</biblScope><biblScope unit="page" to="e223">e223</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-05">2012-05</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absolute thickness</term><term>Alveolar ridge</term><term>Anterior maxilla</term><term>Assistant professor</term><term>Atrophic jawbone</term><term>Augmentation</term><term>Basal</term><term>Basal level</term><term>Basal levels</term><term>Bone height</term><term>Bone width</term><term>Buccal</term><term>Buccal mucosa</term><term>Canine</term><term>Central incisor</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical examination</term><term>Clinical implant dentistry</term><term>Clinical implications</term><term>Combination syndrome</term><term>Complete ridge</term><term>Complete ridge thickness</term><term>Cone beam</term><term>Crestal</term><term>Crestal level</term><term>Crestal levels</term><term>Dent</term><term>Dental medicine</term><term>Dentistry</term><term>Denture</term><term>Different regions</term><term>Digital bone assessment</term><term>Edentulous</term><term>Edentulous maxilla</term><term>Edentulous maxillary ridge</term><term>Facial bone wall</term><term>Implant</term><term>Implant dentistry</term><term>Implant placement</term><term>Implant planning</term><term>Incisor</term><term>Jawbone</term><term>Lateral</term><term>Lateral incisor</term><term>Masticatory mucosa</term><term>Maxilla</term><term>Maxillary</term><term>Maxillofac</term><term>Molar</term><term>Mucosa</term><term>Mucosal</term><term>Oral maxillofac implants</term><term>Osseous proportion</term><term>Palatal</term><term>Posterior maxilla</term><term>Preimplant diagnosis</term><term>Premolar</term><term>Present results</term><term>Present study</term><term>Prosthet dent</term><term>Radiographic</term><term>Radiographic data</term><term>Relative bone width</term><term>Resorption</term><term>Ridge width</term><term>Second premolar</term><term>Sinus</term><term>Software</term><term>Standard deviation</term><term>Surgical</term><term>Systematic review</term><term>Tomography</term><term>Zahnlosen oberkiefers</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Absolute thickness</term><term>Alveolar ridge</term><term>Anterior maxilla</term><term>Assistant professor</term><term>Atrophic jawbone</term><term>Augmentation</term><term>Basal</term><term>Basal level</term><term>Basal levels</term><term>Bone height</term><term>Bone width</term><term>Buccal</term><term>Buccal mucosa</term><term>Canine</term><term>Central incisor</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical examination</term><term>Clinical implant dentistry</term><term>Clinical implications</term><term>Combination syndrome</term><term>Complete ridge</term><term>Complete ridge thickness</term><term>Cone beam</term><term>Crestal</term><term>Crestal level</term><term>Crestal levels</term><term>Dent</term><term>Dental medicine</term><term>Dentistry</term><term>Denture</term><term>Different regions</term><term>Digital bone assessment</term><term>Edentulous</term><term>Edentulous maxilla</term><term>Edentulous maxillary ridge</term><term>Facial bone wall</term><term>Implant</term><term>Implant dentistry</term><term>Implant placement</term><term>Implant planning</term><term>Incisor</term><term>Jawbone</term><term>Lateral</term><term>Lateral incisor</term><term>Masticatory mucosa</term><term>Maxilla</term><term>Maxillary</term><term>Maxillofac</term><term>Molar</term><term>Mucosa</term><term>Mucosal</term><term>Oral maxillofac implants</term><term>Osseous proportion</term><term>Palatal</term><term>Posterior maxilla</term><term>Preimplant diagnosis</term><term>Premolar</term><term>Present results</term><term>Present study</term><term>Prosthet dent</term><term>Radiographic</term><term>Radiographic data</term><term>Relative bone width</term><term>Resorption</term><term>Ridge width</term><term>Second premolar</term><term>Sinus</term><term>Software</term><term>Standard deviation</term><term>Surgical</term><term>Systematic review</term><term>Tomography</term><term>Zahnlosen oberkiefers</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background: Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>crestal</json:string><json:string>maxillary</json:string><json:string>maxilla</json:string><json:string>incisor</json:string><json:string>premolar</json:string><json:string>basal</json:string><json:string>denture</json:string><json:string>clin</json:string><json:string>edentulous maxilla</json:string><json:string>edentulous</json:string><json:string>relative bone width</json:string><json:string>bone width</json:string><json:string>palatal</json:string><json:string>tomography</json:string><json:string>buccal</json:string><json:string>present study</json:string><json:string>radiographic</json:string><json:string>resorption</json:string><json:string>maxillofac</json:string><json:string>lateral incisor</json:string><json:string>oral maxillofac 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level</json:string><json:string>assistant professor</json:string><json:string>present results</json:string><json:string>systematic review</json:string><json:string>zahnlosen oberkiefers</json:string><json:string>mucosa</json:string></teeft></keywords><author><json:item><name>Joannis Katsoulis Dr. med dent., MAS</name><affiliations><json:string>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</json:string><json:string>E-mail: joannis.katsoulis@zmk.unibe.ch</json:string></affiliations></json:item><json:item><name>Norbert Enkling PD Dr. med. dent.</name><affiliations><json:string>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</json:string></affiliations></json:item><json:item><name>Takuro Takeichi DDS, PhD</name><affiliations><json:string>assistant professor, Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, Japan;</json:string></affiliations></json:item><json:item><name>Istvan A. Urban DMD, MD</name><affiliations><json:string>assistant professor, Graduate Implant Dentistry, Loma Linda University, Loma Linda, California and private practice in Periodontics and Implant Dentistry, Budapest, Hungary;</json:string></affiliations></json:item><json:item><name>Regina Mericske‐Stern Prof. Dr. med. dent.</name><affiliations><json:string>director and chair, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland</json:string></affiliations></json:item><json:item><name>Marianna Avrampou DDS, MSc</name><affiliations><json:string>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>alveolar ridge</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atrophic jaw</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>bone width</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>computed tomography</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous maxilla</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>implant planning</value></json:item></subject><articleId><json:string>CID441</json:string></articleId><arkIstex>ark:/67375/WNG-H6X7H15X-H</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.</abstract><qualityIndicators><score>7.052</score><pdfWordCount>4908</pdfWordCount><pdfCharCount>32681</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>11</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>12</abstractWordCount><abstractCharCount>109</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Relative Bone Width of the Edentulous Maxillary Ridge. 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Clinical Implications of Digital Assessment in Presurgical Implant Planning</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2012 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2012-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning</title><title level="a" type="short">Clinical Implications of Digital Bone Assessment</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Joannis</forename><surname>Katsoulis</surname><roleName type="degree">Dr. med dent., MAS</roleName></persName><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;<address><country key="CH"></country></address></affiliation><affiliation>Dr. J. Katsoulis, Department of Prosthodontics, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland; e‐mail: joannis.katsoulis@zmk.unibe.ch</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Norbert</forename><surname>Enkling</surname><roleName type="degree">PD Dr. med. dent.</roleName></persName><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Takuro</forename><surname>Takeichi</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>assistant professor, Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, Japan;<address><country key="JP"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Istvan A.</forename><surname>Urban</surname><roleName type="degree">DMD, MD</roleName></persName><affiliation>assistant professor, Graduate Implant Dentistry, Loma Linda University, Loma Linda, California and private practice in Periodontics and Implant Dentistry, Budapest, Hungary;<address><country key="US"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Regina</forename><surname>Mericske‐Stern</surname><roleName type="degree">Prof. Dr. med. dent.</roleName></persName><affiliation>director and chair, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Marianna</forename><surname>Avrampou</surname><roleName type="degree">DDS, MSc</roleName></persName><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;<address><country key="CH"></country></address></affiliation></author><idno type="istex">26A674B83FEAA8DD753525E36306CB075009C62B</idno><idno type="ark">ark:/67375/WNG-H6X7H15X-H</idno><idno type="DOI">10.1111/j.1708-8208.2012.00441.x</idno><idno type="unit">CID441</idno><idno type="toTypesetVersion">file:CID.CID441.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="sub">Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2012.14.issue-s1</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="page" from="e213">e213</biblScope><biblScope unit="page" to="e223">e223</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.</p><p><hi rend="bold">Purpose:</hi> To analyze bone width in relation to the complete ridge thickness comparing the anterior with the posterior edentulous maxilla.</p><p><hi rend="bold">Materials and Methods:</hi> Data of 52 patients (mean age 62 ± 9 years) who were edentulous for at least 1 year and who received implant treatment were analyzed. Computed tomography (CT) scans were obtained and virtually analyzed in perpendicular sections of 12 maxillary positions (central and lateral incisors, canines, premolars, and first molars) using an implant planning software. Absolute thickness of complete jaw, bone, and mucosa were digitally measured at crestal and basal ridge levels allowing for relative bone width (B‐rel) calculation.</p><p><hi rend="bold">Results:</hi> Mean B‐rel at crestal levels was lower than at basal levels (38.6% vs 51.5%, <hi rend="italic">p</hi> < .001). Bone width increased significantly (<hi rend="italic">p</hi> < .001) in the posterior maxilla at both levels, whereas the thickness of palatal and buccal mucosa was considerably stable. Mean basal B‐rel ranged from 49% (6.2 ± 2.0 mm) at incisors to 59% (9.0 ± 2.3 mm) at first molars (<hi rend="italic">p</hi> < .001). Mean proportion of regions showing B‐rel < 50% were 43% at basal and 80% at crestal levels.</p><p><hi rend="bold">Conclusions:</hi> The osseous volume of a large edentulous ridge might be clinically overestimated in preimplant diagnosis, as the relative bone width was generally lower than 50%. Clinicians can use the present results of the virtual bone and mucosa measurements to have a better first estimation of the osseous proportion depending on the maxillary area. However, up to date implant therapy for the edentulous maxilla requires CT‐based prosthetically driven implant planning and preferably combination with guided implant placement by transferring planning information to a surgical template.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">alveolar ridge</term><term xml:id="k2">atrophic jaw</term><term xml:id="k3">bone width</term><term xml:id="k4">computed tomography</term><term xml:id="k5">edentulous maxilla</term><term xml:id="k6">implant planning</term></keywords><keywords rend="tocHeading1"><term>Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/26A674B83FEAA8DD753525E36306CB075009C62B/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="05001"><doi origin="wiley">10.1111/cid.2012.14.issue-s1</doi><titleGroup><title type="specialIssueTitle">Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</title></titleGroup><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2012-05">May 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="25" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2012.00441.x</doi><idGroup><id type="unit" value="CID441"></id></idGroup><countGroup><count type="pageTotal" number="11"></count></countGroup><titleGroup><title type="tocHeading1">Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</title></titleGroup><copyright>© 2012 Wiley Periodicals, Inc.</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-08-21"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-02-29"></event><event type="publishedOnlineFinalForm" date="2012-05-10"></event><event type="firstOnline" date="2012-02-29"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">e213</numbering><numbering type="pageLast">e223</numbering></numberingGroup><correspondenceTo>Dr. J. Katsoulis, Department of Prosthodontics, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland; e‐mail: <email>joannis.katsoulis@zmk.unibe.ch</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID441.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="7"></count><count type="tableTotal" number="5"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="49"></count><count type="wordTotal" number="4002"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2012</title><title type="short">Clinical Implications of Digital Bone Assessment</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Joannis</givenNames><familyName>Katsoulis</familyName><degrees>Dr. med dent., MAS</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Norbert</givenNames><familyName>Enkling</familyName><degrees>PD Dr. med. dent.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Takuro</givenNames><familyName>Takeichi</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>Istvan A.</givenNames><familyName>Urban</familyName><degrees>DMD, MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a4"><personName><givenNames>Regina</givenNames><familyName>Mericske‐Stern</familyName><degrees>Prof. Dr. med. dent.</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>Marianna</givenNames><familyName>Avrampou</familyName><degrees>DDS, MSc</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CH"><unparsedAffiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="JP"><unparsedAffiliation>assistant professor, Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, Japan;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>assistant professor, Graduate Implant Dentistry, Loma Linda University, Loma Linda, California and private practice in Periodontics and Implant Dentistry, Budapest, Hungary;</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="CH"><unparsedAffiliation>director and chair, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">alveolar ridge</keyword><keyword xml:id="k2">atrophic jaw</keyword><keyword xml:id="k3">bone width</keyword><keyword xml:id="k4">computed tomography</keyword><keyword xml:id="k5">edentulous maxilla</keyword><keyword xml:id="k6">implant planning</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.</p><p><b>Purpose:</b> To analyze bone width in relation to the complete ridge thickness comparing the anterior with the posterior edentulous maxilla.</p><p><b>Materials and Methods:</b> Data of 52 patients (mean age 62 ± 9 years) who were edentulous for at least 1 year and who received implant treatment were analyzed. Computed tomography (CT) scans were obtained and virtually analyzed in perpendicular sections of 12 maxillary positions (central and lateral incisors, canines, premolars, and first molars) using an implant planning software. Absolute thickness of complete jaw, bone, and mucosa were digitally measured at crestal and basal ridge levels allowing for relative bone width (B‐rel) calculation.</p><p><b>Results:</b> Mean B‐rel at crestal levels was lower than at basal levels (38.6% vs 51.5%, <i>p</i> < .001). Bone width increased significantly (<i>p</i> < .001) in the posterior maxilla at both levels, whereas the thickness of palatal and buccal mucosa was considerably stable. Mean basal B‐rel ranged from 49% (6.2 ± 2.0 mm) at incisors to 59% (9.0 ± 2.3 mm) at first molars (<i>p</i> < .001). Mean proportion of regions showing B‐rel < 50% were 43% at basal and 80% at crestal levels.</p><p><b>Conclusions:</b> The osseous volume of a large edentulous ridge might be clinically overestimated in preimplant diagnosis, as the relative bone width was generally lower than 50%. Clinicians can use the present results of the virtual bone and mucosa measurements to have a better first estimation of the osseous proportion depending on the maxillary area. However, up to date implant therapy for the edentulous maxilla requires CT‐based prosthetically driven implant planning and preferably combination with guided implant placement by transferring planning information to a surgical template.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Clinical Implications of Digital Bone Assessment</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Relative Bone Width of the Edentulous Maxillary Ridge. Clinical Implications of Digital Assessment in Presurgical Implant Planning</title></titleInfo><name type="personal"><namePart type="given">Joannis</namePart><namePart type="family">Katsoulis</namePart><namePart type="termsOfAddress">Dr. med dent., MAS</namePart><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</affiliation><affiliation>E-mail: joannis.katsoulis@zmk.unibe.ch</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Norbert</namePart><namePart type="family">Enkling</namePart><namePart type="termsOfAddress">PD Dr. med. dent.</namePart><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Takuro</namePart><namePart type="family">Takeichi</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>assistant professor, Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, Japan;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Istvan A.</namePart><namePart type="family">Urban</namePart><namePart type="termsOfAddress">DMD, MD</namePart><affiliation>assistant professor, Graduate Implant Dentistry, Loma Linda University, Loma Linda, California and private practice in Periodontics and Implant Dentistry, Budapest, Hungary;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Regina</namePart><namePart type="family">Mericske‐Stern</namePart><namePart type="termsOfAddress">Prof. Dr. med. dent.</namePart><affiliation>director and chair, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marianna</namePart><namePart type="family">Avrampou</namePart><namePart type="termsOfAddress">DDS, MSc</namePart><affiliation>Assistant professor, Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-05</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">7</extent><extent unit="tables">5</extent><extent unit="formulas">0</extent><extent unit="references">49</extent><extent unit="linksCrossRef">0</extent><extent unit="words">4002</extent></physicalDescription><abstract>Background: Healthy, well‐structured mucosa may clinically disguise atrophic jawbone in preimplant diagnosis.</abstract><abstract>Purpose: To analyze bone width in relation to the complete ridge thickness comparing the anterior with the posterior edentulous maxilla.</abstract><abstract>Materials and Methods: Data of 52 patients (mean age 62 ± 9 years) who were edentulous for at least 1 year and who received implant treatment were analyzed. Computed tomography (CT) scans were obtained and virtually analyzed in perpendicular sections of 12 maxillary positions (central and lateral incisors, canines, premolars, and first molars) using an implant planning software. Absolute thickness of complete jaw, bone, and mucosa were digitally measured at crestal and basal ridge levels allowing for relative bone width (B‐rel) calculation.</abstract><abstract>Results: Mean B‐rel at crestal levels was lower than at basal levels (38.6% vs 51.5%, p < .001). Bone width increased significantly (p < .001) in the posterior maxilla at both levels, whereas the thickness of palatal and buccal mucosa was considerably stable. Mean basal B‐rel ranged from 49% (6.2 ± 2.0 mm) at incisors to 59% (9.0 ± 2.3 mm) at first molars (p < .001). Mean proportion of regions showing B‐rel < 50% were 43% at basal and 80% at crestal levels.</abstract><abstract>Conclusions: The osseous volume of a large edentulous ridge might be clinically overestimated in preimplant diagnosis, as the relative bone width was generally lower than 50%. Clinicians can use the present results of the virtual bone and mucosa measurements to have a better first estimation of the osseous proportion depending on the maxillary area. However, up to date implant therapy for the edentulous maxilla requires CT‐based prosthetically driven implant planning and preferably combination with guided implant placement by transferring planning information to a surgical template.</abstract><subject lang="en"><genre>keywords</genre><topic>alveolar ridge</topic><topic>atrophic jaw</topic><topic>bone width</topic><topic>computed tomography</topic><topic>edentulous maxilla</topic><topic>implant planning</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2012</date><detail type="title"><title>Clinical Implant Dentistry and Related Research Prosthodontic Supplement 2012: Contemporary Insight Into Implant Prosthodontics</title></detail><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>s1</number></detail><extent unit="pages"><start>e213</start><end>e223</end><total>11</total></extent></part></relatedItem><identifier type="istex">26A674B83FEAA8DD753525E36306CB075009C62B</identifier><identifier type="ark">ark:/67375/WNG-H6X7H15X-H</identifier><identifier type="DOI">10.1111/j.1708-8208.2012.00441.x</identifier><identifier type="ArticleID">CID441</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/26A674B83FEAA8DD753525E36306CB075009C62B/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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