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Bone classification: an objective scale of bone density using the computerized tomography scan.

Identifieur interne : 003518 ( PubMed/Corpus ); précédent : 003517; suivant : 003519

Bone classification: an objective scale of bone density using the computerized tomography scan.

Auteurs : M R Norton ; C. Gamble

Source :

RBID : pubmed:11168274

English descriptors

Abstract

Dental implants are subject to masticatory loads of varying magnitude. Implant performance is closely related to load transmission at the bone-to-implant interface where bone quality will be highly variable. The type and architecture of bone is known to influence its load bearing capacity and it has been demonstrated that poorer quality bone is associated with higher failure rates. To date, bone classifications have only provided rough subjective methods for pre-operative assessment, which can prove unreliable. The results of an extensive analysis of computerized tomography scans using Simplant software (Columbia Scientific Inc., Columbia, MD, USA) demonstrate that an objective scale of bone density based on the Houndsfield scale, can be established and that there is a strong correlation between bone density value and subjective quality score (P = 0.002) as well as between the bone density score and the region of the mouth (P < 0.001).

PubMed: 11168274

Links to Exploration step

pubmed:11168274

Le document en format XML

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<name sortKey="Norton, M R" sort="Norton, M R" uniqKey="Norton M" first="M R" last="Norton">M R Norton</name>
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<nlm:affiliation>Department of Oral & Maxillofacial Surgery, Charing Cross Hospital, London W6 8RF, UK. nortonimplants@compuserve.com</nlm:affiliation>
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<name sortKey="Gamble, C" sort="Gamble, C" uniqKey="Gamble C" first="C" last="Gamble">C. Gamble</name>
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<term>Alveolar Process (diagnostic imaging)</term>
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<term>Bite Force</term>
<term>Bone Density (physiology)</term>
<term>Dental Implants</term>
<term>Dental Restoration Failure</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (physiopathology)</term>
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<term>Mandible (diagnostic imaging)</term>
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<term>Maxilla (diagnostic imaging)</term>
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<term>Software</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Tomography, X-Ray Computed</term>
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<term>Bone Density</term>
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<div type="abstract" xml:lang="en">Dental implants are subject to masticatory loads of varying magnitude. Implant performance is closely related to load transmission at the bone-to-implant interface where bone quality will be highly variable. The type and architecture of bone is known to influence its load bearing capacity and it has been demonstrated that poorer quality bone is associated with higher failure rates. To date, bone classifications have only provided rough subjective methods for pre-operative assessment, which can prove unreliable. The results of an extensive analysis of computerized tomography scans using Simplant software (Columbia Scientific Inc., Columbia, MD, USA) demonstrate that an objective scale of bone density based on the Houndsfield scale, can be established and that there is a strong correlation between bone density value and subjective quality score (P = 0.002) as well as between the bone density score and the region of the mouth (P < 0.001).</div>
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