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Changes in the bucco‐lingual thickness of the mandibular alveolar process and skeletal bone mineral density in dentate women: a 5‐yr prospective study

Identifieur interne : 007552 ( Main/Exploration ); précédent : 007551; suivant : 007553

Changes in the bucco‐lingual thickness of the mandibular alveolar process and skeletal bone mineral density in dentate women: a 5‐yr prospective study

Auteurs : Grethe Jonasson [Suède] ; Stavros Kiliaridis [Suisse]

Source :

RBID : ISTEX:5275F8349943458906D2B5D2CA6425007807F198

English descriptors

Abstract

After tooth extraction there is a great interindividual variation in the remodelling pattern of the alveolar process in edentulous areas, with some individuals losing little bone and others undergoing extensive resorption. However, little is known about possible longitudinal changes in the dentate region of the alveolar process of adults and if these are related to alterations in the skeletal bone mineral density (BMD). In a prospective study, on two occasions, 5‐yr apart, the BMD of 117 women was determined in the distal forearm by using dual‐energy X‐ray absorptiometry, and the bucco‐lingual thickness of the mandibular alveolar process was measured on dental casts by using a dial calliper. A decrease in the mean alveolar thickness, exceeding a cut‐off value of 0.1 mm, was found in 60% of the women and an increase was found in 3% of the individuals. This decrease was 0.22 ± 0.20 mm in the posterior region and 0.16 ± 0.19 mm in the anterior region. The changes in alveolar thickness in the posterior region were significantly correlated to the BMD changes both on the mid‐crestal level site and on the cervical level site. We conclude that the bucco‐lingual thickness decreases with age in the dentate alveolar process, possibly owing to periosteal resorption related to skeletal bone loss.

Url:
DOI: 10.1111/j.1600-0722.2005.00207.x


Affiliations:


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<term>Anterior regions</term>
<term>Anterior teeth</term>
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<term>Bone loss</term>
<term>Bone mass</term>
<term>Bone mineral content</term>
<term>Bone mineral density</term>
<term>Bone size</term>
<term>Bone thickness</term>
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<term>Calibration procedure</term>
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<term>Second cast</term>
<term>Second recording</term>
<term>Skeletal bone loss</term>
<term>Skeletal bone mineral density</term>
<term>Standard deviation</term>
<term>Tooth dimension</term>
<term>Tooth eruption</term>
<term>Tooth extraction</term>
<term>Total alveolar thickness</term>
<term>Trabecular bone</term>
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<term>Alveolar crest</term>
<term>Alveolar process</term>
<term>Alveolar thickness</term>
<term>Alveolar thickness decrease</term>
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<term>Anterior alveolar thickness</term>
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<term>Anterior regions</term>
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<term>Bone loss</term>
<term>Bone mass</term>
<term>Bone mineral content</term>
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<term>Edentulous mandible</term>
<term>Extensive resorption</term>
<term>Functional factors</term>
<term>Great interindividual variation</term>
<term>Human mandibular bone</term>
<term>Incisor region</term>
<term>Independent variables</term>
<term>Initial recording</term>
<term>Initial thickness</term>
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<term>Perimenopausal group</term>
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<front>
<div type="abstract" xml:lang="en">After tooth extraction there is a great interindividual variation in the remodelling pattern of the alveolar process in edentulous areas, with some individuals losing little bone and others undergoing extensive resorption. However, little is known about possible longitudinal changes in the dentate region of the alveolar process of adults and if these are related to alterations in the skeletal bone mineral density (BMD). In a prospective study, on two occasions, 5‐yr apart, the BMD of 117 women was determined in the distal forearm by using dual‐energy X‐ray absorptiometry, and the bucco‐lingual thickness of the mandibular alveolar process was measured on dental casts by using a dial calliper. A decrease in the mean alveolar thickness, exceeding a cut‐off value of 0.1 mm, was found in 60% of the women and an increase was found in 3% of the individuals. This decrease was 0.22 ± 0.20 mm in the posterior region and 0.16 ± 0.19 mm in the anterior region. The changes in alveolar thickness in the posterior region were significantly correlated to the BMD changes both on the mid‐crestal level site and on the cervical level site. We conclude that the bucco‐lingual thickness decreases with age in the dentate alveolar process, possibly owing to periosteal resorption related to skeletal bone loss.</div>
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