Skip to main content
Top
Published in: Clinical Oral Investigations 5/2010

01-10-2010 | Original Article

Alveolar bone changes under overhanging restorations

Authors: Füsun Yasar, Esra Yesilova, Faruk Akgünlü

Published in: Clinical Oral Investigations | Issue 5/2010

Login to get access

Abstract

The aim of this study was to investigate changes in the trabecular architecture of the alveolar bone beneath overhanging restorations with bitewing radiographs in patients having no radiographically visible vertical bone loss. Twenty-eight digital bitewing radiographs with overhanging restorations and 28 digital bitewing radiographs without any restorations belonging to the contralateral side of the same patient were included in the study. Regions of interests (ROI) were created in the alveolar bone along the interproximal regions. These ROIs were segmented to binary images with ImageJ, and, within these binary images, the number of radiographically visible trabecular bone islands per unit area was counted; in addition, the Feret diameter and fractal dimension (FD) were measured. It was found that the mean number of objects per unit area was statistically different in alveolar bone with overhanging restorations from control sites (p < 0.0001). However, the FeD (p = 0.179) and FD (p = 0.963) did not show statistically significant differences between alveolar bone with and without overhanging restorations.
Literature
1.
go back to reference Newman MG, Takei HH, Klokkevold PR, Carranza FA (2007) Carranza’s clinical periodontology. The role of dental calculus and other predisposing factors, 10th edn. Saunders/Elsevier, St. Louis, pp 170–192 Middle East and African Edition Newman MG, Takei HH, Klokkevold PR, Carranza FA (2007) Carranza’s clinical periodontology. The role of dental calculus and other predisposing factors, 10th edn. Saunders/Elsevier, St. Louis, pp 170–192 Middle East and African Edition
2.
go back to reference Gilmore N, Sheiham AJ (1971) Overhanging dental restorations and periodontal disease. Periodontol 42:8–12 Gilmore N, Sheiham AJ (1971) Overhanging dental restorations and periodontal disease. Periodontol 42:8–12
3.
go back to reference Jeffcoat MK, Howell TH (1980) Alveolar bone destruction due to overhanging amalgam in periodontal disease. J Periodontol 51:599–602PubMed Jeffcoat MK, Howell TH (1980) Alveolar bone destruction due to overhanging amalgam in periodontal disease. J Periodontol 51:599–602PubMed
4.
go back to reference Parsell DE, Streckfus CF, Stewart BM, Buchanan WT (1998) The effect of amalgam overhangs on alveolar bone height as a function of patient age and overhang width. Oper Dent 23:94–99PubMed Parsell DE, Streckfus CF, Stewart BM, Buchanan WT (1998) The effect of amalgam overhangs on alveolar bone height as a function of patient age and overhang width. Oper Dent 23:94–99PubMed
5.
go back to reference Pack ARC, Coxhead LJ, McDonald BW (1990) The prevalence of overhanging margins in posterior amalgam restorations and periodontal consequences. J Clin Periodontol 17:145–152CrossRefPubMed Pack ARC, Coxhead LJ, McDonald BW (1990) The prevalence of overhanging margins in posterior amalgam restorations and periodontal consequences. J Clin Periodontol 17:145–152CrossRefPubMed
6.
go back to reference Thomas BOA (1949) The relationship of operative procedures to the health of the periodontal tissues. JADA 39:522–532PubMed Thomas BOA (1949) The relationship of operative procedures to the health of the periodontal tissues. JADA 39:522–532PubMed
7.
go back to reference Pillai K, Hollist NO (1999) Randomized selection of bitewing radiographs: analysis and clinical thereof. Odonto-stomatol Trop 22:11–14 Pillai K, Hollist NO (1999) Randomized selection of bitewing radiographs: analysis and clinical thereof. Odonto-stomatol Trop 22:11–14
8.
go back to reference Pack AR (1989) The amalgam overhang dilemma: a review of causes and effects, prevention, and removal. N Z Dent J 85:55–58PubMed Pack AR (1989) The amalgam overhang dilemma: a review of causes and effects, prevention, and removal. N Z Dent J 85:55–58PubMed
9.
go back to reference Matthews DC, Tabesh M (2004) Detection of localized tooth-related factors that predispose to periodontal infections. Periodontol 2000 34:136–150CrossRefPubMed Matthews DC, Tabesh M (2004) Detection of localized tooth-related factors that predispose to periodontal infections. Periodontol 2000 34:136–150CrossRefPubMed
10.
go back to reference Jansson L, Ehnevid H, Lindskog S, Blomlöf L (1994) Proximal restorations and periodontal status. J Clin Periodontol 21:577–582CrossRefPubMed Jansson L, Ehnevid H, Lindskog S, Blomlöf L (1994) Proximal restorations and periodontal status. J Clin Periodontol 21:577–582CrossRefPubMed
11.
go back to reference Roman-Torres CV, Cortelli SC, de Araujo MW, Aquino DR, Cortelli JR (2006) A short-term clinical and microbial evaluation of periodontal therapy associated with amalgam overhang removal. J Periodontol 77:1591–1597CrossRefPubMed Roman-Torres CV, Cortelli SC, de Araujo MW, Aquino DR, Cortelli JR (2006) A short-term clinical and microbial evaluation of periodontal therapy associated with amalgam overhang removal. J Periodontol 77:1591–1597CrossRefPubMed
12.
go back to reference Sikri VK, Sikri P (1993) Overhanging interproximal silver amalgam restorations. Prevalence and side-effects. Indian J Dent Res 4:13–16PubMed Sikri VK, Sikri P (1993) Overhanging interproximal silver amalgam restorations. Prevalence and side-effects. Indian J Dent Res 4:13–16PubMed
13.
go back to reference Vaarkamp J, ten Bosch JJ, Verdonschot EH, Bronkhoorst EM (2000) The real performance of bitewing radiography and fiber-optic transillumination in approximal caries diagnosis. J Dent Res 79:1747–1751CrossRefPubMed Vaarkamp J, ten Bosch JJ, Verdonschot EH, Bronkhoorst EM (2000) The real performance of bitewing radiography and fiber-optic transillumination in approximal caries diagnosis. J Dent Res 79:1747–1751CrossRefPubMed
14.
go back to reference Newman MG, Takei HH, Klokkevold PR, Carranza FA (2007) Carranza’s clinical periodontology. Radiographic aids in the diagnosis of periodontal disease, 10th edn. Saunders/Elsevier, St. Louis, pp 561–578 Middle East and African Edition Newman MG, Takei HH, Klokkevold PR, Carranza FA (2007) Carranza’s clinical periodontology. Radiographic aids in the diagnosis of periodontal disease, 10th edn. Saunders/Elsevier, St. Louis, pp 561–578 Middle East and African Edition
15.
go back to reference White SC, Rudolph DJ (1999) Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:628–635CrossRefPubMed White SC, Rudolph DJ (1999) Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:628–635CrossRefPubMed
16.
go back to reference Geraets WG, Van der Stelt PF, Netelenbos CJ, Elders PJ (1990) A new method for automatic recognition of the radiographic trabecular pattern. J Bone Miner Res 5:227–233CrossRefPubMed Geraets WG, Van der Stelt PF, Netelenbos CJ, Elders PJ (1990) A new method for automatic recognition of the radiographic trabecular pattern. J Bone Miner Res 5:227–233CrossRefPubMed
17.
go back to reference Caligiuri P, Giger ML, Favus MJ, He J (1993) Computerized radiographic analysis of osteoporosis: preliminary evaluation. Radiology 186:471–474PubMed Caligiuri P, Giger ML, Favus MJ, He J (1993) Computerized radiographic analysis of osteoporosis: preliminary evaluation. Radiology 186:471–474PubMed
18.
go back to reference Brunsvold MA, Lane JJ (1990) The prevalence of overhanging dental restorations and their relationship to periodontal disease. J Clin Periodontol 17:67–72CrossRefPubMed Brunsvold MA, Lane JJ (1990) The prevalence of overhanging dental restorations and their relationship to periodontal disease. J Clin Periodontol 17:67–72CrossRefPubMed
19.
go back to reference Leon AR (1977) The periodontium and restorative procedures. A critical review. J Oral Rehabil 4:105–117CrossRefPubMed Leon AR (1977) The periodontium and restorative procedures. A critical review. J Oral Rehabil 4:105–117CrossRefPubMed
20.
go back to reference Whaites E (2003) Essentials of dental radiography and radiology. The periodontal tissues and periodontal disease, 3rd edn. Churchill Livingstone, China, pp 241–253 Whaites E (2003) Essentials of dental radiography and radiology. The periodontal tissues and periodontal disease, 3rd edn. Churchill Livingstone, China, pp 241–253
21.
go back to reference White SC, Pharoah MJ (2004) Oral radiology principles and interpretation. Periodontal diseases, 5th edn. Mosby, St. Louis, pp 314–329 White SC, Pharoah MJ (2004) Oral radiology principles and interpretation. Periodontal diseases, 5th edn. Mosby, St. Louis, pp 314–329
22.
go back to reference Merchant AT, Pitiphat W, Parker J, Joshipura K, Kellerman M, Douglass CW (2004) Can nonstandardized bitewing radiographs be used to assess the presence of alveolar bone loss in epidemiologic studies? Community Dent Oral Epidemiol 32:271–276CrossRefPubMed Merchant AT, Pitiphat W, Parker J, Joshipura K, Kellerman M, Douglass CW (2004) Can nonstandardized bitewing radiographs be used to assess the presence of alveolar bone loss in epidemiologic studies? Community Dent Oral Epidemiol 32:271–276CrossRefPubMed
23.
go back to reference Mol A (1999) Digital quantitative radiography: tools and toys. Dentomaxillofacial Radiol 28:328–329CrossRef Mol A (1999) Digital quantitative radiography: tools and toys. Dentomaxillofacial Radiol 28:328–329CrossRef
24.
go back to reference Jolley L, Majumdar S, Kapila S (2006) Technical factors in fractal analysis of periapical radiographs. Dentomaxillofac Radiol 35:393–397CrossRefPubMed Jolley L, Majumdar S, Kapila S (2006) Technical factors in fractal analysis of periapical radiographs. Dentomaxillofac Radiol 35:393–397CrossRefPubMed
25.
go back to reference Bland JM, Altman DG (1997) Cronbach’s alpha. Br Med J 314:572 Bland JM, Altman DG (1997) Cronbach’s alpha. Br Med J 314:572
26.
go back to reference Jennane R, Harba R, Lemineur G, Bretteil S, Estrade A, Benhamou CL (2007) Estimation of the 3D self-similarity parameter of trabecular bone from its 2D projection. Med Image Anal 11:91–98CrossRefPubMed Jennane R, Harba R, Lemineur G, Bretteil S, Estrade A, Benhamou CL (2007) Estimation of the 3D self-similarity parameter of trabecular bone from its 2D projection. Med Image Anal 11:91–98CrossRefPubMed
27.
go back to reference Luo G, Kinney JH, Kaufman JJ, Haupt D, Chiabrera A, Siffert RS (1999) Relationship between plain radiographic patterns and three dimensional trabecular architecture in the human calcaneus. Osteoporos Int 9:339–345CrossRefPubMed Luo G, Kinney JH, Kaufman JJ, Haupt D, Chiabrera A, Siffert RS (1999) Relationship between plain radiographic patterns and three dimensional trabecular architecture in the human calcaneus. Osteoporos Int 9:339–345CrossRefPubMed
28.
go back to reference Pothuaud L, Benhamou CL, Porion P, Lespessailles E, Harba R, Levitz P (2000) Fractal dimension of trabecular bone projection texture is related to three dimensional microarchitecture. J Bone Miner Res 15:691–699CrossRefPubMed Pothuaud L, Benhamou CL, Porion P, Lespessailles E, Harba R, Levitz P (2000) Fractal dimension of trabecular bone projection texture is related to three dimensional microarchitecture. J Bone Miner Res 15:691–699CrossRefPubMed
29.
go back to reference Chappard D, Guggenbuhl P, Legrand E, Baslé MF, Audran M (2005) Texture analysis of X-ray radiographs is correlated with bone histomorphometry. J Bone Miner Metab 23:24–29CrossRefPubMed Chappard D, Guggenbuhl P, Legrand E, Baslé MF, Audran M (2005) Texture analysis of X-ray radiographs is correlated with bone histomorphometry. J Bone Miner Metab 23:24–29CrossRefPubMed
30.
go back to reference Russ JC (1994) The image processing handbook. Image measurements, 2nd edn. CRC, Florida, pp 481–546 Russ JC (1994) The image processing handbook. Image measurements, 2nd edn. CRC, Florida, pp 481–546
31.
go back to reference Francus P (2005) Image analysis, sediments and paleoenvironments Image measurements. Springer, Heidelberg, pp 59–86CrossRef Francus P (2005) Image analysis, sediments and paleoenvironments Image measurements. Springer, Heidelberg, pp 59–86CrossRef
32.
go back to reference Kindratenko V (1997) Development and application of image analysis techniques for identification and classification of microscopic particles. Shape analysis part 2. Ph.D. Thesis, University of Antwerp, Belgium, pp 32–37 Kindratenko V (1997) Development and application of image analysis techniques for identification and classification of microscopic particles. Shape analysis part 2. Ph.D. Thesis, University of Antwerp, Belgium, pp 32–37
33.
go back to reference Briguet A, Courdier-Fruh I, Foster M, Meier T, Magyar JP (2004) Histological parameters for the quantitative assessment of muscular dystrophy in the mdx-mouse. Neuromuscul Disord 14:675–682CrossRefPubMed Briguet A, Courdier-Fruh I, Foster M, Meier T, Magyar JP (2004) Histological parameters for the quantitative assessment of muscular dystrophy in the mdx-mouse. Neuromuscul Disord 14:675–682CrossRefPubMed
34.
go back to reference Qin L, Zhang G, Sheng H, Yeung KW, Yeung HY, Chan CW, Cheung WH, Griffith J, Chiu KH, Leung KS (2006) Multiple bioimaging modalities in evaluation of an experimental osteonecrosis induced by a combination of lipopolysaccharide and methylprednisolone. Bone 39:863–871CrossRefPubMed Qin L, Zhang G, Sheng H, Yeung KW, Yeung HY, Chan CW, Cheung WH, Griffith J, Chiu KH, Leung KS (2006) Multiple bioimaging modalities in evaluation of an experimental osteonecrosis induced by a combination of lipopolysaccharide and methylprednisolone. Bone 39:863–871CrossRefPubMed
35.
go back to reference Yaşar F, Akgünlü F (2006) The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol 35:1–9CrossRefPubMed Yaşar F, Akgünlü F (2006) The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol 35:1–9CrossRefPubMed
36.
go back to reference Ruttimann UE, Webber RL, Hazelrig JB (1992) Fractal dimension from radiographs of peridental alveolar bone: a possible diagnostic indicator of osteoporosis. Oral Surg Oral Med Oral Pathol 74:98–110CrossRefPubMed Ruttimann UE, Webber RL, Hazelrig JB (1992) Fractal dimension from radiographs of peridental alveolar bone: a possible diagnostic indicator of osteoporosis. Oral Surg Oral Med Oral Pathol 74:98–110CrossRefPubMed
37.
go back to reference Law AN, Bollen AM, Chen SK (1996) Detecting osteoporosis using dental radiographs: a comparison of four methods. JADA 127:1734–1742PubMed Law AN, Bollen AM, Chen SK (1996) Detecting osteoporosis using dental radiographs: a comparison of four methods. JADA 127:1734–1742PubMed
38.
go back to reference Updike SX, Nowzari H (2008) Fractal analysis of dental radiographs to detect periodontitis-induced trabecular changes. J Periodontal Res 43:658–664CrossRefPubMed Updike SX, Nowzari H (2008) Fractal analysis of dental radiographs to detect periodontitis-induced trabecular changes. J Periodontal Res 43:658–664CrossRefPubMed
39.
go back to reference Demirbaş AK, Ergün S, Güneri P, Aktener BO, Boyacioğlu H (2008) Mandibular bone changes in sickle cell anemia: fractal analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:e41–e48CrossRefPubMed Demirbaş AK, Ergün S, Güneri P, Aktener BO, Boyacioğlu H (2008) Mandibular bone changes in sickle cell anemia: fractal analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:e41–e48CrossRefPubMed
40.
go back to reference White SC, Cohen JM, Mourshed FA (2000) Digital analysis of trabecular pattern in jaws of patients with sickle cell anemia. Dentomaxillofac Radiol 29:119–124CrossRefPubMed White SC, Cohen JM, Mourshed FA (2000) Digital analysis of trabecular pattern in jaws of patients with sickle cell anemia. Dentomaxillofac Radiol 29:119–124CrossRefPubMed
41.
go back to reference Geraets WGM, Verheij JGC, van der Stelt PF, Horner K, Lindh C, Nicopoulou-Karayianni K, Jacobs R, Devlin H (2007) Osteoporosis and the general dental practitioner: reliability of some digital dental radiological measures. Community Dent Oral Epidemiol 35:465–471CrossRefPubMed Geraets WGM, Verheij JGC, van der Stelt PF, Horner K, Lindh C, Nicopoulou-Karayianni K, Jacobs R, Devlin H (2007) Osteoporosis and the general dental practitioner: reliability of some digital dental radiological measures. Community Dent Oral Epidemiol 35:465–471CrossRefPubMed
42.
go back to reference Highfield JE, Powell RN (1978) Effects of removal of posterior overhanging metallic margins of restorations upon the periodontal tissues. J Clin Periodontol 5:169–181CrossRefPubMed Highfield JE, Powell RN (1978) Effects of removal of posterior overhanging metallic margins of restorations upon the periodontal tissues. J Clin Periodontol 5:169–181CrossRefPubMed
43.
go back to reference Lang NP, Kiel RA, Anderhalden K (1983) Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. J Clin Periodontol 10(6):563–578CrossRefPubMed Lang NP, Kiel RA, Anderhalden K (1983) Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. J Clin Periodontol 10(6):563–578CrossRefPubMed
44.
go back to reference White SC, Pharoah MJ (2000) Normal radiographic anatomy. Oral radiology principles and interpretation, 4th edn. Mosby, St. Louis, p 175 White SC, Pharoah MJ (2000) Normal radiographic anatomy. Oral radiology principles and interpretation, 4th edn. Mosby, St. Louis, p 175
45.
go back to reference Veenland JF, Grashuis JL, Weinans H, Ding M, Vrooman HA (2002) Suitability of texture features to assess changes in trabecular bone architecture. Pattern Recogn Lett 23:395–403CrossRef Veenland JF, Grashuis JL, Weinans H, Ding M, Vrooman HA (2002) Suitability of texture features to assess changes in trabecular bone architecture. Pattern Recogn Lett 23:395–403CrossRef
46.
go back to reference Matteson SR, Deahl ST, Alder ME, Nummikoski PV (1996) Advanced imaging methods. Crit Rev Oral Biol Med 7(4):346–395CrossRefPubMed Matteson SR, Deahl ST, Alder ME, Nummikoski PV (1996) Advanced imaging methods. Crit Rev Oral Biol Med 7(4):346–395CrossRefPubMed
47.
go back to reference Mullee MA (1995) How to do it 2: how to choose and use a calculator. BMJ, London, pp 58–62 Mullee MA (1995) How to do it 2: how to choose and use a calculator. BMJ, London, pp 58–62
48.
go back to reference White SC, Pharoah MJ (2004) Oral radiology principles and interpretation. Normal radiographic anatomy, 5th edn. Mosby, St. Louis, p 170 White SC, Pharoah MJ (2004) Oral radiology principles and interpretation. Normal radiographic anatomy, 5th edn. Mosby, St. Louis, p 170
Metadata
Title
Alveolar bone changes under overhanging restorations
Authors
Füsun Yasar
Esra Yesilova
Faruk Akgünlü
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 5/2010
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-009-0334-9

Other articles of this Issue 5/2010

Clinical Oral Investigations 5/2010 Go to the issue