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The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT.

Identifieur interne : 000B92 ( PubMed/Curation ); précédent : 000B91; suivant : 000B93

The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT.

Auteurs : Raúl González-García [Espagne] ; Florencio Monje

Source :

RBID : pubmed:22250839

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Abstract

The aim of this study was to objectively assess the reliability of the cone-beam computed tomography (CBCT) as a tool to pre-operatively determine radiographic bone density (RBD) by the density values provided by the system, analyzing its relationship with histomorphometric bone density expressed as bone volumetric fraction (BV/TV) assessed by micro-CT of bone biopsies at the site of insertion of dental implants in the maxillary bones.

DOI: 10.1111/j.1600-0501.2011.02390.x
PubMed: 22250839

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pubmed:22250839

Le document en format XML

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<title xml:lang="en">The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT.</title>
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<name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name>
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<nlm:affiliation>Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz, Spain. raulmaxilo@gmail.com</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz</wicri:regionArea>
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<name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name>
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<title xml:lang="en">The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT.</title>
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<name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name>
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<title level="j">Clinical oral implants research</title>
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<term>Aged</term>
<term>Algorithms</term>
<term>Anisotropy</term>
<term>Biopsy (methods)</term>
<term>Bone Density (physiology)</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography (statistics & numerical data)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Fractals</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (statistics & numerical data)</term>
<term>Imaging, Three-Dimensional (statistics & numerical data)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (pathology)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>X-Ray Microtomography (statistics & numerical data)</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Anisotropie</term>
<term>Biopsie ()</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Conception assistée par ordinateur</term>
<term>Densité osseuse (physiologie)</term>
<term>Femelle</term>
<term>Fractales</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Microtomographie aux rayons X ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Reproductibilité des résultats</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Traitement d'image par ordinateur ()</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
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<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Biopsy</term>
<term>Surgery, Computer-Assisted</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Densité osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Bone Density</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Cone-Beam Computed Tomography</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>X-Ray Microtomography</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Algorithms</term>
<term>Anisotropy</term>
<term>Computer-Aided Design</term>
<term>Female</term>
<term>Fractals</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Anisotropie</term>
<term>Biopsie</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Femelle</term>
<term>Fractales</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Jeune adulte</term>
<term>Microtomographie aux rayons X</term>
<term>Mâle</term>
<term>Reproductibilité des résultats</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Traitement d'image par ordinateur</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to objectively assess the reliability of the cone-beam computed tomography (CBCT) as a tool to pre-operatively determine radiographic bone density (RBD) by the density values provided by the system, analyzing its relationship with histomorphometric bone density expressed as bone volumetric fraction (BV/TV) assessed by micro-CT of bone biopsies at the site of insertion of dental implants in the maxillary bones.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>07</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1600-0501</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>24</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2013</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT.</ArticleTitle>
<Pagination>
<MedlinePgn>871-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1600-0501.2011.02390.x</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of this study was to objectively assess the reliability of the cone-beam computed tomography (CBCT) as a tool to pre-operatively determine radiographic bone density (RBD) by the density values provided by the system, analyzing its relationship with histomorphometric bone density expressed as bone volumetric fraction (BV/TV) assessed by micro-CT of bone biopsies at the site of insertion of dental implants in the maxillary bones.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Thirty-nine bone biopsies of the maxillary bones at the sites of 39 dental implants from 31 edentulous healthy patients were analyzed. The NobelGuide™ software was used for implant planning, which also allowed fabrication of individual stereolithographic surgical guides. The analysis of CBCT images allowed pre-operative determination of mean density values of implant recipient sites along the major axis of the planned implants (axial RBD). Stereolithographic surgical guides were used to guide implant insertion and also to extract cylindrical bone biopsies from the core of the exact implant site. Further analysis of several osseous micro-structural variables including BV/TV was performed by micro-CT of the extracted bone biopsies.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean axial RBD was 478 ± 212 (range: 144-953). A statistically significant difference (P = 0.02) was observed among density values of the cortical bone of the upper maxilla and mandible. A high positive Pearson's correlation coefficient (r = 0.858, P < 0.001) was observed between RBD and BV/TV, with the regression equations: (1) Axial RBD = -19.974 + 10.238·BV/TV; (2) BV/TV = 14.258 + 0.72·Axial RBD. RBD was also positively correlated with the trabecular thickness (Tb.Th) and trabecular number (Tb.N), but negatively correlated with trabecular separation (Tb.Sp), structural model index, and inverse connectivity (Tb.Pf). Density values upper than 450 were associated with BV/TV upper than 50%, mean Tb.Th upper than 0.2 mm, mean Tb.Sp lower than 0.3 mm, and mean Tb.N upper than 2.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">RBD assessed by CBCT has a strong positive correlation with BV/TV assessed by micro-CT at the site of dental implants in the maxillary bones. Pre-operative estimation of density values by CBCT is a reliable tool to objectively determine bone density.</AbstractText>
<CopyrightInformation>© 2012 John Wiley & Sons A/S.</CopyrightInformation>
</Abstract>
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<LastName>González-García</LastName>
<ForeName>Raúl</ForeName>
<Initials>R</Initials>
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<Affiliation>Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz, Spain. raulmaxilo@gmail.com</Affiliation>
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<LastName>Monje</LastName>
<ForeName>Florencio</ForeName>
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<Language>eng</Language>
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<Country>Denmark</Country>
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<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">CBCT</Keyword>
<Keyword MajorTopicYN="N">bone volumetric fraction</Keyword>
<Keyword MajorTopicYN="N">cone-beam CT</Keyword>
<Keyword MajorTopicYN="N">density values</Keyword>
<Keyword MajorTopicYN="N">dental implants</Keyword>
<Keyword MajorTopicYN="N">histomorphometry</Keyword>
<Keyword MajorTopicYN="N">micro-CT</Keyword>
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