Top

Published in:

01-08-2019 | Original Article

Correlation of anterior overbite with root position and buccal bone thickness of maxillary anterior teeth: a CBCT study

Authors: Rachana Shrestha, Xin Liu, Shoucheng Chen, Zhipeng Li, Zetao Chen, Edmond H. N. Pow, Zhuofan Chen, Baoxin Huang

Published in: Surgical and Radiologic Anatomy | Issue 8/2019

Abstract

Purpose

To investigate the correlation of anterior overbite with the sagittal root position (SRP) and buccal bone thickness (BBT) of the maxillary anterior teeth.

Methods

Cone-beam computed tomography (CBCT) data of southern Chinese patients who underwent CBCT examinations between November 2016 and December 2016 were collected. The anterior overbite was the predictor variable while the SRP and the BBT at 4 mm apical to the cementoenamel junction (CEJ-4) and midpoint of the root of the maxillary anterior teeth were set as the primary and secondary outcome variables, respectively. All measurements were done by two calibrated examiners. Correlations between variables were analyzed by the Spearman’s correlation coefficient. The significance level was set at P < 0.05.

Results

CBCT data of 146 patients (65 men and 81 women) with a mean age of 44.2 ± 13.4 years were analyzed, and of the 876 maxillary anterior teeth evaluated, 9.8% were presented with deep overbites. Most of roots of the anterior teeth (94.9%) were positioned against the buccal cortical plate, of which, in 63.8% of them the apex was not covered by bone along the long axis of the tooth. The mean BBT at CEJ-4 was 0.89 mm at the central incisor, 0.85 mm at the lateral incisor and 0.84 mm at the canine. The overbite was positively correlated with SRP Class I subtypes and the BBT at CEJ-4 (P < 0.05).

Conclusion

Deep overbite was more frequently accompanied by bone fenestration in the anterior maxillary areas.

Ari-Demirkaya A, Biren S, Ozkan H, Kucukkeles N (2004) Comparison of deep bite and open bite cases: normative data for condylar positions, paths and radiographic appearances. J Oral Rehabil 31:213–224. https://doi.org/10.1046/j.0305-182X.2003.01236.x CrossRefPubMed

Benic GI, Mokti M, Chen CJ, Weber HP, Hammerle CH, Gallucci GO (2012) Dimensions of buccal bone and mucosa at immediately placed implants after 7 years: a clinical and cone beam computed tomography study. Clin Oral Implants Res 23:560–566. https://doi.org/10.1111/j.1600-0501.2011.02253.x CrossRefPubMed

Benic GI, Wolleb K, Sancho-Puchades M, Hammerle CH (2012) Systematic review of parameters and methods for the professional assessment of aesthetics in dental implant research. J Clin Periodontol 39(Suppl 12):160–192. https://doi.org/10.1111/j.1600-051X.2011.01840.x CrossRefPubMed

Berberi AN, Noujeim ZN, Kanj WH, Mearawi RJ, Salameh ZA (2014) Immediate placement and loading of maxillary single-tooth implants: a 3-year prospective study of marginal bone level. J Contemp Dent Pract 15:202–208. https://doi.org/10.5005/jp-journals-10024-1515 CrossRefPubMed

Braut V, Bornstein MM, Belser U, Buser D (2011) Thickness of the anterior maxillary facial bone wall-a retrospective radiographic study using cone beam computed tomography. Int J Periodontics Restor Dent 31:125–131. https://doi.org/10.11607/prd.00.0966 CrossRef

Buser D, Chappuis V, Kuchler U, Bornstein MM, Wittneben JG, Buser R, Cavusoglu Y, Belser UC (2013) Long-term stability of early implant placement with contour augmentation. J Dent Res 92:176S–182S. https://doi.org/10.1177/0022034513504949 CrossRefPubMedCentralPubMed

Buser D, Martin W, Belser UC (2004) Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 19(Suppl):43–61PubMed

Chappuis V, Engel O, Reyes M, Shahim K, Nolte LP, Buser D (2013) Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res 92:195S–201S. https://doi.org/10.1177/0022034513506713 CrossRefPubMedCentralPubMed

Chung SH, Park YS, Chung SH, Shon WJ (2014) Determination of implant position for immediate implant placement in maxillary central incisors using palatal soft tissue landmarks. Int J Oral Maxillofac Implants 29:627–633. https://doi.org/10.11607/jomi.2907 CrossRefPubMed

10.

Cosyn J, Eghbali A, Hanselaer L, De Rouck T, Wyn I, Sabzevar MM, Cleymaet R, De Bruyn H (2013) Four modalities of single implant treatment in the anterior maxilla: a clinical, radiographic, and aesthetic evaluation. Clin Implant Dent Relat Res 15:517–530. https://doi.org/10.1111/j.1708-8208.2011.00417.x CrossRefPubMed

11.

Farahamnd A, Sarlati F, Eslami S, Ghassemian M, Youssefi N, Jafarzadeh Esfahani B (2017) Evaluation of impacting factors on facial bone thickness in the anterior maxillary region. J Craniofac Surg 28:700–705. https://doi.org/10.1097/scs.0000000000003643 CrossRefPubMed

12.

Geiger AM, Wasserman BH, Turgeon LR (1973) Relationship of occlusion and periodontal disease. VI. Relation of anterior overjet and overbite to periodontal destruction and gingival inflammation. J Periodontol 44:150–157. https://doi.org/10.1902/jop.1973.44.3.150 CrossRefPubMed

13.

Gluckman H, Pontes CC, Du Toit J (2018) Radial plane tooth position and bone wall dimensions in the anterior maxilla: a CBCT classification for immediate implant placement. J Prosthet Dent 120:50–56. https://doi.org/10.1016/j.prosdent.2017.09.005 CrossRefPubMed

14.

Gross MD (2008) Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts. Aust Dent J 53 Suppl 1:S60–68. doi:10.1111/j.1834–7819.2008.00043.x

15.

Grunder U, Gracis S, Capelli M (2005) Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restor Dent 25:113–119. https://doi.org/10.11607/prd.00.0624 CrossRef

16.

Hartlev J, Kohberg P, Ahlmann S, Andersen NT, Schou S, Isidor F (2014) Patient satisfaction and esthetic outcome after immediate placement and provisionalization of single-tooth implants involving a definitive individual abutment. Clin Oral Implants Res 25:1245–1250. https://doi.org/10.1111/clr.12260 CrossRefPubMed

17.

Januario AL, Duarte WR, Barriviera M, Mesti JC, Araujo MG, Lindhe J (2011) Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res 22:1168–1171. https://doi.org/10.1111/j.1600-0501.2010.02086.x CrossRefPubMed

18.

Jung YH, Cho BH, Hwang JJ (2017) Analysis of the root position of the maxillary incisors in the alveolar bone using cone-beam computed tomography. Imaging Sci Dent 47:181–187. https://doi.org/10.5624/isd.2017.47.3.181 CrossRefPubMedCentralPubMed

19.

Kan JY, Roe P, Rungcharassaeng K, Patel RD, Waki T, Lozada JL, Zimmerman G (2011) Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants 26:873–876PubMed

20.

Kan JY, Rungcharassaeng K, Lozada J (2003) Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants 18:31–39PubMed

21.

Khoury J, Ghosn N, Mokbel N, Naaman N (2016) Buccal bone thickness overlying maxillary anterior teeth: a clinical and radiographic prospective human study. Implant Dent 25:525–531. https://doi.org/10.1097/ID.0000000000000427 CrossRefPubMed

22.

Lau SL, Chow J, Li W, Chow LK (2011) Classification of maxillary central incisors-implications for immediate implant in the esthetic zone. J Oral Maxillofac Surg 69:142–153. https://doi.org/10.1016/j.joms.2010.07.074 CrossRefPubMed

23.

Lin CY, Pan WL, Wang HL (2018) Facial fenestration and dehiscence defects associated with immediate implant placement without flap elevation in anterior maxillary ridge: a preliminary cone beam computed tomography study. Int J Oral Maxillofac Implants 33:1112–1118. https://doi.org/10.11607/jomi.6575 CrossRefPubMed

24.

Morton D, Chen ST, Martin WC, Levine RA, Buser D (2014) Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 29(Suppl):216–220. https://doi.org/10.11607/jomi.2013.g3 CrossRefPubMed

25.

Sierwald I, John MT, Schierz O, Jost-Brinkmann PG, Reissmann DR (2015) Association of overjet and overbite with esthetic impairments of oral health-related quality of life. J Orofac Orthop 76:405–420. https://doi.org/10.1007/s00056-015-0300-x CrossRef

26.

Sun L, Zhang L, Shen G, Wang B, Fang B (2015) Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Am J Orthod Dentofacl Orthop 147:313–323. https://doi.org/10.1016/j.ajodo.2014.10.032 CrossRef

27.

Wang HM, Shen JW, Yu MF, Chen XY, Jiang QH, He FM (2014) Analysis of facial bone wall dimensions and sagittal root position in the maxillary esthetic zone: a retrospective study using cone beam computed tomography. Int J Oral Maxillofac Implants 29:1123–1129. https://doi.org/10.11607/jomi.3348 CrossRefPubMed

28.

Xu D, Wang Z, Sun L, Lin Z, Wan L, Li Y, Lin X, Peng W, Zhang Z, Gao Y (2016) Classification of the root position of the maxillary central incisors and its clinical significance in immediate implant placement. Implant Dent 25:520–524. https://doi.org/10.1097/ID.0000000000000438 CrossRefPubMed

29.

Yan Q, Xiao LQ, Su MY, Mei Y, Shi B (2016) Soft and hard tissue changes following immediate placement or immediate restoration of single-tooth implants in the esthetic zone: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 31:1327–1340. https://doi.org/10.11607/jomi.4668 CrossRefPubMed

30.

Zekry A, Wang R, Chau AC, Lang NP (2014) Facial alveolar bone wall width—a cone-beam computed tomography study in Asians. Clin Oral Implants Res 25:194–206. https://doi.org/10.1111/clr.12096 CrossRefPubMed

Title: Correlation of anterior overbite with root position and buccal bone thickness of maxillary anterior teeth: a CBCT study
Authors: Rachana Shrestha
Xin Liu
Shoucheng Chen
Zhipeng Li
Zetao Chen
Edmond H. N. Pow
Zhuofan Chen
Baoxin Huang
Publication date: 01-08-2019
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 8/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-019-02257-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Correlation of anterior overbite with root position and buccal bone thickness of maxillary anterior teeth: a CBCT study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 8/2019

Options of bipolar muscle transfers to restore deltoid function: an anatomical study

Supernumerary incisive canals in a cadaver: a rare anatomical variation

Quantitative anatomy of the primary ossification center of the radial shaft in human fetuses

Magnetic resonance and retrograde endoscopic cholangiopancreatography-based identification of biliary tree variants: are there type-related variabilities among the Saudi population?

Anatomical variation in the right non-recurrent laryngeal nerve reported from studies using pre-operative arterial imaging

An accessory right hepatic artery derived from the superior mesenteric artery for anterior right liver lobe supply: a case report