Time course of bone metabolism at the residual ridge beneath dentures observed using 18F-fluoride positron emission computerized-tomography/computed tomography (PET/CT)
Identifieur interne : 002F21 ( Main/Exploration ); précédent : 002F20; suivant : 002F22Time course of bone metabolism at the residual ridge beneath dentures observed using 18F-fluoride positron emission computerized-tomography/computed tomography (PET/CT)
Auteurs : Hanako Suenaga [Japon] ; Masayoshi Yokoyama [Japon] ; Keiichiro Yamaguchi [Japon] ; Keiichi Sasaki [Japon]Source :
- Annals of Nuclear Medicine [ 0914-7187 ] ; 2012.
Abstract
Excessive pressure due to wearing mal-adapting dentures is well known to cause residual bone resorption beneath the denture. X-rays have been commonly utilized to evaluate the changes in the bone beneath the denture. However, X-ray images merely detect bone density and relatively large changes in the bone shape and structure, whereas nuclear medicine imaging can detect functional changes, which occur prior to structural changes. This article aimed to describe the time course of the bone metabolism at the residual ridge beneath the denture following denture use by 18F-fluoride positron emission computerized-tomography (PET)/computed tomography (CT) scanning.
Three subjects, who had a free-end edentulous mandible, were treated with a denture replacing the edentulous region of the dental arch. The metabolic changes in the residual bone beneath the denture were assessed by 18F-fluoride PET/CT imaging. 18F-fluoride PET/CT scanning was performed at baseline, and 4–6 and 13 weeks after denture use. A volume of interest (VOI) was placed on their mandibles at the edentulous region beneath the denture on the PET/CT image. CT value and mean standardized uptake value (SUV) of the VOI were calculated. The difference in the time variation between the CT value and SUV was analyzed.
The adaptation of the denture base to the residual ridge was successful, and there was no trouble such as pain at the residual ridge beneath the denture. The SUVs of each VOI significantly increased at 4–6 weeks after denture use and then decreased at 13 weeks in all three subjects (
This study indicates that in the present first-time removable partial denture (RPD) users, wearing of a well-adapted RPD initially increased bone metabolism beneath the denture and then decreased it at around 13 weeks after RPD use without any bone structural changes detectable by clinical X-rays. These metabolic changes are a mechanobiological reaction to the pressure induced by RPD use.
Url:
DOI: 10.1007/s12149-012-0648-6
PubMed: 22903818
PubMed Central: 3524501
Affiliations:
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Yokoyama</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Yamaguchi, Keiichiro" sort="Yamaguchi, Keiichiro" uniqKey="Yamaguchi K" first="Keiichiro" last="Yamaguchi">Keiichiro Yamaguchi</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Radiology, Sendai Kousei Hospital, 4-5 Hirose-machi, Aoba-ku, Sendai, 980-0873 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Radiology, Sendai Kousei Hospital, 4-5 Hirose-machi, Aoba-ku, 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<sup>18</sup>F-fluoride positron emission computerized-tomography/computed tomography (PET/CT)</title><author><name sortKey="Suenaga, Hanako" sort="Suenaga, Hanako" uniqKey="Suenaga H" first="Hanako" last="Suenaga">Hanako Suenaga</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Yokoyama, Masayoshi" sort="Yokoyama, Masayoshi" uniqKey="Yokoyama M" first="Masayoshi" last="Yokoyama">Masayoshi Yokoyama</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Yamaguchi, Keiichiro" sort="Yamaguchi, Keiichiro" uniqKey="Yamaguchi K" first="Keiichiro" last="Yamaguchi">Keiichiro Yamaguchi</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Radiology, Sendai Kousei Hospital, 4-5 Hirose-machi, Aoba-ku, Sendai, 980-0873 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Radiology, Sendai Kousei Hospital, 4-5 Hirose-machi, Aoba-ku, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Sasaki, Keiichi" sort="Sasaki, Keiichi" uniqKey="Sasaki K" first="Keiichi" last="Sasaki">Keiichi Sasaki</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Nuclear Medicine</title><idno type="ISSN">0914-7187</idno><idno type="eISSN">1864-6433</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Excessive pressure due to wearing mal-adapting dentures is well known to cause residual bone resorption beneath the denture. X-rays have been commonly utilized to evaluate the changes in the bone beneath the denture. However, X-ray images merely detect bone density and relatively large changes in the bone shape and structure, whereas nuclear medicine imaging can detect functional changes, which occur prior to structural changes. This article aimed to describe the time course of the bone metabolism at the residual ridge beneath the denture following denture use by <sup>18</sup>F-fluoride positron emission computerized-tomography (PET)/computed tomography (CT) scanning.</p></sec><sec><title>Methods</title><p>Three subjects, who had a free-end edentulous mandible, were treated with a denture replacing the edentulous region of the dental arch. The metabolic changes in the residual bone beneath the denture were assessed by <sup>18</sup>F-fluoride PET/CT imaging. <sup>18</sup>F-fluoride PET/CT scanning was performed at baseline, and 4–6 and 13 weeks after denture use. A volume of interest (VOI) was placed on their mandibles at the edentulous region beneath the denture on the PET/CT image. CT value and mean standardized uptake value (SUV) of the VOI were calculated. The difference in the time variation between the CT value and SUV was analyzed.</p></sec><sec><title>Results</title><p>The adaptation of the denture base to the residual ridge was successful, and there was no trouble such as pain at the residual ridge beneath the denture. The SUVs of each VOI significantly increased at 4–6 weeks after denture use and then decreased at 13 weeks in all three subjects (<italic>P</italic> < 0.05; two-way ANOVA, Dunnett test). On the other hand, the CT images showed no obvious changes in the bone shape or structure beneath the dentures, and the CT values of each VOI remained static after denture use in all three subjects.</p></sec><sec><title>Conclusions</title><p>This study indicates that in the present first-time removable partial denture (RPD) users, wearing of a well-adapted RPD initially increased bone metabolism beneath the denture and then decreased it at around 13 weeks after RPD use without any bone structural changes detectable by clinical X-rays. These metabolic changes are a mechanobiological reaction to the pressure induced by RPD use.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wolff, J" uniqKey="Wolff J">J Wolff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yen, Rf" uniqKey="Yen R">RF Yen</name></author><author><name sortKey="Chen, Cy" uniqKey="Chen C">CY Chen</name></author><author><name sortKey="Cheng, Mf" uniqKey="Cheng M">MF Cheng</name></author><author><name sortKey="Wu, Yw" uniqKey="Wu Y">YW Wu</name></author><author><name sortKey="Shiau, Yc" uniqKey="Shiau Y">YC Shiau</name></author><author><name sortKey="Wu, K" uniqKey="Wu K">K Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kruger, S" uniqKey="Kruger S">S Krüger</name></author><author><name 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uniqKey="Sasaki H">H Sasaki</name></author><author><name sortKey="Koyama, S" uniqKey="Koyama S">S Koyama</name></author><author><name sortKey="Yokoyama, M" uniqKey="Yokoyama M">M Yokoyama</name></author><author><name sortKey="Yamaguchi, K" uniqKey="Yamaguchi K">K Yamaguchi</name></author><author><name sortKey="Itoh, M" uniqKey="Itoh M">M Itoh</name></author><author><name sortKey="Sasaki, K" uniqKey="Sasaki K">K Sasaki</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Suenaga, Hanako" sort="Suenaga, Hanako" uniqKey="Suenaga H" first="Hanako" last="Suenaga">Hanako Suenaga</name></noRegion><name sortKey="Sasaki, Keiichi" sort="Sasaki, Keiichi" uniqKey="Sasaki K" first="Keiichi" last="Sasaki">Keiichi Sasaki</name><name sortKey="Yamaguchi, Keiichiro" sort="Yamaguchi, Keiichiro" uniqKey="Yamaguchi K" first="Keiichiro" last="Yamaguchi">Keiichiro Yamaguchi</name><name sortKey="Yokoyama, Masayoshi" sort="Yokoyama, Masayoshi" uniqKey="Yokoyama M" first="Masayoshi" last="Yokoyama">Masayoshi Yokoyama</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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