Anatomical characteristics and dimensions of edentulous sites in the posterior maxillae of patients referred for implant therapy.
Identifieur interne : 011664 ( Main/Exploration ); précédent : 011663; suivant : 011665Anatomical characteristics and dimensions of edentulous sites in the posterior maxillae of patients referred for implant therapy.
Auteurs : Leandro Soeiro De Souza Nunes [Suisse] ; Michael M. Bornstein ; Pedram Sendi ; Daniel BuserSource :
- The International journal of periodontics & restorative dentistry [ 1945-3388 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Arcade dentaire (imagerie diagnostique), Céphalométrie (), Femelle, Humains, Imagerie tridimensionnelle (), Implants dentaires, Jeune adulte, Maxillaire (imagerie diagnostique), Molaire, Muqueuse nasale (imagerie diagnostique), Mâchoire partiellement édentée (imagerie diagnostique), Mâle, Méthode en simple aveugle, Orientation vers un spécialiste, Planification des soins du patient, Processus alvéolaire (imagerie diagnostique), Prémolaire, Sinus maxillaire (imagerie diagnostique), Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique (), Traitement d'image par ordinateur (), Transplantation osseuse, Études de suivi.
- MESH :
- imagerie diagnostique : Arcade dentaire, Maxillaire, Muqueuse nasale, Mâchoire partiellement édentée, Processus alvéolaire, Sinus maxillaire.
- Adulte, Adulte d'âge moyen, Céphalométrie, Femelle, Humains, Imagerie tridimensionnelle, Implants dentaires, Jeune adulte, Molaire, Mâle, Méthode en simple aveugle, Orientation vers un spécialiste, Planification des soins du patient, Prémolaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique, Traitement d'image par ordinateur, Transplantation osseuse, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Process (diagnostic imaging), Bicuspid, Bone Transplantation, Cephalometry (methods), Cone-Beam Computed Tomography (methods), Dental Arch (diagnostic imaging), Dental Implants, Female, Follow-Up Studies, Humans, Image Processing, Computer-Assisted (methods), Imaging, Three-Dimensional (methods), Jaw, Edentulous, Partially (diagnostic imaging), Male, Maxilla (diagnostic imaging), Maxillary Sinus (diagnostic imaging), Middle Aged, Molar, Nasal Mucosa (diagnostic imaging), Patient Care Planning, Referral and Consultation, Single-Blind Method, Young Adult.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Process, Dental Arch, Jaw, Edentulous, Partially, Maxilla, Maxillary Sinus, Nasal Mucosa.
- methods : Cephalometry, Cone-Beam Computed Tomography, Image Processing, Computer-Assisted, Imaging, Three-Dimensional.
- Adult, Aged, Aged, 80 and over, Bicuspid, Bone Transplantation, Female, Follow-Up Studies, Humans, Male, Middle Aged, Molar, Patient Care Planning, Referral and Consultation, Single-Blind Method, Young Adult.
Abstract
The purpose of this study was to analyze the width and height of edentulous sites in the posterior maxilla using cone beam computed tomography (CBCT) images from patients referred for implant therapy. A total of 122 CBCT scans were included in the analysis, resulting in a sample size of 252 edentulous sites. The orofacial crest width was measured in coronal slices, perpendicular to the alveolar ridge. The bone height was analyzed in the respective sagittal slices. Additionally, the following secondary outcome parameters were evaluated: the morphology of the sinus floor, the presence of septa in the maxillary sinus, and the thickness of the sinus membrane. The mean crest width for all analyzed sites was 8.28 mm, and the mean bone height was 7.22 mm. The percentage of patients with a crest width of less than 6 mm was 27% in premolar sites and 7.8% in molar sites. The bone height decreased from premolar to molar areas, with a high percentage of first and second molar sites exhibiting a bone height of less than 5 mm (54.12% and 44.64%, respectively). Regarding the morphology of the sinus floor, 53% of the edentulous sites exhibited a flat configuration. A septum was present in 67 edentulous sites (26.59%). Analysis of the sinus membrane revealed 88 sites (34.9%) with increased mucosal thickness (> 2 mm). For the crest width, the location of the edentulous site and the morphology of the sinus floor were both statistically significant variables. For the crest width and mean bone height, the location of the edentulous site and the morphology of the sinus floor were both statistically significant variables. The study confirmed that a high percentage of edentulous sites in the posterior maxilla do require sinus floor elevation to allow the placement of dental implants. Therefore, a detailed three-dimensional radiograph using CBCT is indicated in most patients for proper treatment planning.
PubMed: 23593627
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Bicuspid</term>
<term>Bone Transplantation</term>
<term>Cephalometry (methods)</term>
<term>Cone-Beam Computed Tomography (methods)</term>
<term>Dental Arch (diagnostic imaging)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Nasal Mucosa (diagnostic imaging)</term>
<term>Patient Care Planning</term>
<term>Referral and Consultation</term>
<term>Single-Blind Method</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Arcade dentaire (imagerie diagnostique)</term>
<term>Céphalométrie ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Molaire</term>
<term>Muqueuse nasale (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Orientation vers un spécialiste</term>
<term>Planification des soins du patient</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Prémolaire</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Traitement d'image par ordinateur ()</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Process</term>
<term>Dental Arch</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
<term>Nasal Mucosa</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Arcade dentaire</term>
<term>Maxillaire</term>
<term>Muqueuse nasale</term>
<term>Mâchoire partiellement édentée</term>
<term>Processus alvéolaire</term>
<term>Sinus maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cephalometry</term>
<term>Cone-Beam Computed Tomography</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bicuspid</term>
<term>Bone Transplantation</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Patient Care Planning</term>
<term>Referral and Consultation</term>
<term>Single-Blind Method</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Céphalométrie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Molaire</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Orientation vers un spécialiste</term>
<term>Planification des soins du patient</term>
<term>Prémolaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Traitement d'image par ordinateur</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to analyze the width and height of edentulous sites in the posterior maxilla using cone beam computed tomography (CBCT) images from patients referred for implant therapy. A total of 122 CBCT scans were included in the analysis, resulting in a sample size of 252 edentulous sites. The orofacial crest width was measured in coronal slices, perpendicular to the alveolar ridge. The bone height was analyzed in the respective sagittal slices. Additionally, the following secondary outcome parameters were evaluated: the morphology of the sinus floor, the presence of septa in the maxillary sinus, and the thickness of the sinus membrane. The mean crest width for all analyzed sites was 8.28 mm, and the mean bone height was 7.22 mm. The percentage of patients with a crest width of less than 6 mm was 27% in premolar sites and 7.8% in molar sites. The bone height decreased from premolar to molar areas, with a high percentage of first and second molar sites exhibiting a bone height of less than 5 mm (54.12% and 44.64%, respectively). Regarding the morphology of the sinus floor, 53% of the edentulous sites exhibited a flat configuration. A septum was present in 67 edentulous sites (26.59%). Analysis of the sinus membrane revealed 88 sites (34.9%) with increased mucosal thickness (> 2 mm). For the crest width, the location of the edentulous site and the morphology of the sinus floor were both statistically significant variables. For the crest width and mean bone height, the location of the edentulous site and the morphology of the sinus floor were both statistically significant variables. The study confirmed that a high percentage of edentulous sites in the posterior maxilla do require sinus floor elevation to allow the placement of dental implants. Therefore, a detailed three-dimensional radiograph using CBCT is indicated in most patients for proper treatment planning.</div>
</front>
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<tree><noCountry><name sortKey="Bornstein, Michael M" sort="Bornstein, Michael M" uniqKey="Bornstein M" first="Michael M" last="Bornstein">Michael M. Bornstein</name>
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<name sortKey="Sendi, Pedram" sort="Sendi, Pedram" uniqKey="Sendi P" first="Pedram" last="Sendi">Pedram Sendi</name>
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<country name="Suisse"><region name="Canton de Berne"><name sortKey="Nunes, Leandro Soeiro De Souza" sort="Nunes, Leandro Soeiro De Souza" uniqKey="Nunes L" first="Leandro Soeiro De Souza" last="Nunes">Leandro Soeiro De Souza Nunes</name>
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