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Residual ridge dimensions at edentulous maxillary first molar sites and periodontal bone loss among two ethnic cohorts seeking tooth replacement

Identifieur interne : 001305 ( Istex/Corpus ); précédent : 001304; suivant : 001306

Residual ridge dimensions at edentulous maxillary first molar sites and periodontal bone loss among two ethnic cohorts seeking tooth replacement

Auteurs : Aneesha Acharya ; Jia Hao ; Nikos Mattheos ; Anson Chau ; Prashant Shirke ; Niklaus P. Lang

Source :

RBID : ISTEX:26E468E9A66E340411BC2AE3C5AE22CEB9E36855

Abstract

To study residual ridge dimensions at edentulous first molar sites in relation to periodontal bone loss among cohorts of partially edentulous Asian Indian and Hong Kong Chinese subjects seeking tooth replacement.

Url:
DOI: 10.1111/clr.12292

Links to Exploration step

ISTEX:26E468E9A66E340411BC2AE3C5AE22CEB9E36855

Le document en format XML

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<affiliation>Corresponding author: Aneesha Acharya Department of Implant Dentistry, Oral Rehabilitation Faculty of Dentistry Prince Philip Dental Hospital 34 Hospital Road, Sai Yin Pun, Hong Kong Tel.: 852‐51307181 Fax: 852‐2858 6114 e‐mail: aneesha.a2@gmail.com</affiliation>
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Objectives
<p>To study residual ridge dimensions at edentulous first molar sites in relation to periodontal bone loss among cohorts of partially edentulous Asian Indian and Hong Kong Chinese subjects seeking tooth replacement.</p>
Materials and methods
<p>A total of 628 edentulous maxillary first molar sites were analyzed on Cone Beam Computed Tomography scans of 225 Asian Indian (I) and 232 Hong Kong Chinese (C) partially edentulous adults seeking tooth replacement. Age, ethnicity, gender, total tooth loss, the presence or absence of adjacent teeth, categories of periodontal status defined according to radiographic alveolar bone loss (P0: periodontal health, P1: incipient to moderate disease, P2: severe periodontal disease) and sinus membrane abnormalities were noted. Alveolar ridge height (
<hi rend="fc">RH</hi>
), widths at 1 and 3 mm from crest (
<hi rend="fc">RW</hi>
1;
<hi rend="fc">RW</hi>
3), and relative position of the bone crest (
<hi rend="fc">RR</hi>
) were measured.</p>
Results
<p>Prevalence of P2 status was most frequent in both cohorts(C: 50.4% I: 49.2%). P2 had lowest ridge heights; 13.1% C P2 and 14%I P2 had
<hi rend="fc">RH</hi>
 < 2 mm. Sites with both
<hi rend="fc">RH</hi>
 <8 mm and
<hi rend="fc">RW</hi>
1 < 6 mm occurred at 59%C P2 and 68%I P2. Sinus membrane abnormalities were most frequent in P2. Periodontal status and sinus membrane abnormality increased the odds of
<hi rend="fc">RH</hi>
 <5 mm and
<hi rend="fc">RH</hi>
 <8 mm more than 2‐fold; additionally, gender and ethnicity significantly impacted
<hi rend="fc">RH</hi>
 <8 mm. Gender and adjacent tooth status significantly affected
<hi rend="fc">RW</hi>
1.</p>
Conclusion
<p>Incident advanced periodontal disease was common among Asian Indian and Hong Kong Chinese subjects seeking tooth replacement and associated with lower available bone heights. Ethnicity, gender, sinus membrane thickening affected available bone height in the subsinus region, while the presence of adjacent teeth‐ and age‐affected residual ridge width.</p>
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<i>Aneesha Acharya</i>
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<line>Department of Implant Dentistry, Oral Rehabilitation</line>
<line>Faculty of Dentistry Prince Philip Dental Hospital</line>
<line>34 Hospital Road, Sai Yin Pun, Hong Kong</line>
<line>Tel.: 852‐51307181</line>
<line>Fax: 852‐2858 6114</line>
<line>e‐mail:
<email>aneesha.a2@gmail.com</email>
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<p>To study residual ridge dimensions at edentulous first molar sites in relation to periodontal bone loss among cohorts of partially edentulous Asian Indian and Hong Kong Chinese subjects seeking tooth replacement.</p>
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<title type="main">Materials and methods</title>
<p>A total of 628 edentulous maxillary first molar sites were analyzed on Cone Beam Computed Tomography scans of 225 Asian Indian (I) and 232 Hong Kong Chinese (C) partially edentulous adults seeking tooth replacement. Age, ethnicity, gender, total tooth loss, the presence or absence of adjacent teeth, categories of periodontal status defined according to radiographic alveolar bone loss (P0: periodontal health, P1: incipient to moderate disease, P2: severe periodontal disease) and sinus membrane abnormalities were noted. Alveolar ridge height (
<fc>RH</fc>
), widths at 1 and 3 mm from crest (
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<fc>RW</fc>
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<p>Prevalence of P2 status was most frequent in both cohorts(C: 50.4% I: 49.2%). P2 had lowest ridge heights; 13.1% C P2 and 14%I P2 had
<fc>RH</fc>
 < 2 mm. Sites with both
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<p>Incident advanced periodontal disease was common among Asian Indian and Hong Kong Chinese subjects seeking tooth replacement and associated with lower available bone heights. Ethnicity, gender, sinus membrane thickening affected available bone height in the subsinus region, while the presence of adjacent teeth‐ and age‐affected residual ridge width.</p>
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<abstract>To study residual ridge dimensions at edentulous first molar sites in relation to periodontal bone loss among cohorts of partially edentulous Asian Indian and Hong Kong Chinese subjects seeking tooth replacement.</abstract>
<abstract>A total of 628 edentulous maxillary first molar sites were analyzed on Cone Beam Computed Tomography scans of 225 Asian Indian (I) and 232 Hong Kong Chinese (C) partially edentulous adults seeking tooth replacement. Age, ethnicity, gender, total tooth loss, the presence or absence of adjacent teeth, categories of periodontal status defined according to radiographic alveolar bone loss (P0: periodontal health, P1: incipient to moderate disease, P2: severe periodontal disease) and sinus membrane abnormalities were noted. Alveolar ridge height (RH), widths at 1 and 3 mm from crest (RW1; RW3), and relative position of the bone crest (RR) were measured.</abstract>
<abstract>Prevalence of P2 status was most frequent in both cohorts(C: 50.4% I: 49.2%). P2 had lowest ridge heights; 13.1% C P2 and 14%I P2 had RH < 2 mm. Sites with both RH <8 mm and RW1 < 6 mm occurred at 59%C P2 and 68%I P2. Sinus membrane abnormalities were most frequent in P2. Periodontal status and sinus membrane abnormality increased the odds of RH <5 mm and RH <8 mm more than 2‐fold; additionally, gender and ethnicity significantly impacted RH <8 mm. Gender and adjacent tooth status significantly affected RW1.</abstract>
<abstract>Incident advanced periodontal disease was common among Asian Indian and Hong Kong Chinese subjects seeking tooth replacement and associated with lower available bone heights. Ethnicity, gender, sinus membrane thickening affected available bone height in the subsinus region, while the presence of adjacent teeth‐ and age‐affected residual ridge width.</abstract>
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