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Open Access 01-04-2018 | Original Article

Relationship between anterior mandibular bone thickness and the angulation of incisors and canines—a CBCT study

Published in: Clinical Oral Investigations | Issue 3/2018

Abstract

Objectives

The morphology of the maxillary and mandibular alveolar cortex plays an important role in the planning of orthodontic treatment. Cone-beam computed tomography (CBCT) provides a precise demonstration of anatomical structures. Therefore, the aim of this paper was to evaluate what influence the position of incisors and canines have on the dimensions of the cortical and spongious bone of the anterior mandibular alveolar process.

Materials and methods

The material consisted of 100 CBCT volumes (61 females and 39 males, aged 18–71 years) obtained by means of a Gendex GXCB-500 machine and analysed using i-CAT Vision and CorelDRAW 9 software. Several linear and angular measurements were taken of cortical and spongious mandibular, vestibular and lingual alveolar bone.

Results

The thickness of the vestibular spongious bone increased around lateral incisors and canines together with dental axis inclination, as did the thickness of the lingual spongious bone around central incisors and canines with greater angles of vestibular cortex curvature. In all teeth, the thickness of lingual cancellous bone decreased along with increase of the angle of tooth inclination. In the case of almost all groups of teeth, the thickness of lingual cancellous bone around teeth declined as the angle of curvature of the cortical bone decreased. The rotation of mandibular incisors and canines did not affect the thickness of the surrounding bone.

Conclusions

The position of teeth has little influence on vestibular bone thickness and is only significant around central incisors. In the case of almost all groups of teeth, the thickness of lingual spongious bone around teeth declined as the angle of curvature of the cortical bone decreased.

Clinical relevance

CBCT is a diagnostic tool that provides detailed information on the dimensions of the anterior dentate mandibular alveolar process.

Funato A, Salama MA, Ishikawa T, Garber DA, Salama H (2007) Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective. Int J Periodontics Restorative Dent 27:313–323PubMed

Jivraj S, Chee W (2006) Treatment planning of implants in the aesthetic zone. Br Dent J 201:77–89CrossRefPubMed

Teughels W, Merheb J, Quirynen M (2009) Critical horizontal dimensions of interproximal and buccal bone around implants for optimal aesthetic outcomes: a systematic review. Clin Oral Implants Res 20:134–145CrossRefPubMed

Ghassemian M, Nowzari H, Lajolo C, Verdugo F, Pirronti T, D’Addona A (2012) The thickness of facial alveolar bone overlying healthy maxillary anterior teeth. J Periodontol 83:187–197CrossRefPubMed

Rossell J, Puigdollers A, Girabent - Farrés M (2015) A simple method for measuring thickness of gingiva and labial bone of mandibular incisors. Quintessence Int 46:265–271PubMed

Song JM, Lee JY, Kim YD (2015) CBCT morphologic analysis of edentulous posterior mandible for mandibular body bone graft. J Oral Implantol 41:477–482CrossRefPubMed

Joss-Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C (2010) Orthodontic therapy and gingival recession: a systematic review. Orthodontics Craniofac Res 13:127–141CrossRef

Seixas MR, Costa-Pinto RA, Araújo TMD (2012) Gingival esthetics: an orthodontic and periodontal approach. Dent Press J Orthodontics 17:190–201CrossRef

Leymarie S (2012) Pre-orthodontic mucogingival surgery: an esthetical case report. J Dentofac Anom Orthodontics 15:306–318CrossRef

10.

Alhulaimi HA, Awartani FA (2013) Periodontium biotype modification prior to an orthodontic therapy: case report. King Saud Univ J Den Sci 4:91–94

11.

Quereshy FA, Savell TA, Palomo JM (2008) Applications of cone-beam computed tomography in the practice of oral and maxillofacial surgery. J Oral Maxillofac Surg 66:791–796CrossRefPubMed

12.

Molen AD (2010) Considerations in the use of cone-beam computed tomography for buccal bone measurements. Am J Orthod Dentofac Orthop 137:130–135CrossRef

13.

Marmulla R, Wörtche R, Mühling J, Hassfeld S (2005) Geometric accuracy of the NewTom 9000 Cone-beam CT. Dentomaxillofac Radiol 34:28–31CrossRefPubMed

14.

Ferrare N, Leite AF, Caracas HCPM, de Azevedo RB, de Melo NS, Souza d, PT Fu (2013) Cone-beam computed tomography and microtomography for alveolar bone measurements. Surg Radiol Anat 35:495–502CrossRefPubMed

15.

Romero-Delmastro A, Kadioglu O, Currier GF, Cook T (2014) Digital tooth-based superimposition method for assessment of alveolar bone levels on cone-beam computed tomography images. Am J Orthod Dentofac Orthop 146:255–263CrossRef

16.

Leung CC, Palomo L, Griffith R, Hans MG (2010) Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofac Orthop 137:109–119CrossRef

17.

Garib DG, Yatabe MS, Ozawa TO, Silva Filho OGD (2010) Alveolar bone morphology under the perspective of the computed tomography: defining the biological limits of tooth movement. Dent Press J Orthodontics 15:192–205CrossRef

18.

Kobayashi K, Shimoda S, Nakagawa Y, Yamamoto A (2003) Accuracy in measurement of distance using limited cone-beam computerized tomography. The. Int J Oral Maxillofac Implants 19:228–231

19.

Mischkowski RA, Pulsfort R, Ritter L, Neugebauer J, Brochhagen HG, Keeve E, Zöller JE (2007) Geometric accuracy of a newly developed cone-beam device for maxillofacial imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:551–559CrossRefPubMed

20.

Timock AM, Cook V, McDonald T, Leo MC, Crowe J, Benninger BL, Covell DA (2011) Accuracy and reliability of buccal bone height and thickness measurements from cone-beam computed tomography imaging. Am J Orthod Dentofac Orthop 140:734–744CrossRef

21.

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

22.

Baysal A, Ucar FI, Buyuk SK, Ozer T, Uysal T (2013) Alveolar bone thickness and lower incisor position in skeletal Class I and Class II malocclusions assessed with cone-beam computed tomography. The. Korean J Orthodontics 43:134–140CrossRef

23.

Swasty D, Lee JS, Huang JC, Maki K, Gansky SA, Hatcher D, Miller AJ (2009) Anthropometric analysis of the human mandibular cortical bone as assessed by cone-beam computed tomography. J Oral Maxillofac Surg 67:491–500CrossRefPubMed

24.

Lee SL, Kim HJ, Son MK, Chung CH (2010) Anthropometric analysis of maxillary anterior buccal bone of Korean adults using cone-beam CT. J Adv Prosthodontics 2:92–96CrossRef

25.

Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J (2011) Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res 22:1168–1171CrossRefPubMed

26.

El Nahass HN, Naiem S (2015) Analysis of the dimensions of the labial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res 26:57–61CrossRef

27.

Wang HM, Shen JW, MF Y, 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. The. Int J Oral Maxillofac Implants 29:1123–1129CrossRefPubMed

28.

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

29.

Vera C, De Kok IJ, Reinhold D, Limpiphipatanakorn P, Yap AK, Tyndall D, Cooper LF (2011) Evaluation of buccal alveolar bone dimension of maxillary anterior and premolar teeth: a cone-beam computed tomography investigation. The. Int J Oral Maxillofac Implants 27:1514–1519

30.

Nowzari H, Molayem S, Chiu CHK, Rich SK (2012) Cone-beam computed tomographic measurement of maxillary central incisors to determine prevalence of facial alveolar bone width≥ 2 mm. Clin Implant Dent Relat Res 14:595–602CrossRefPubMed

31.

Huynh-Ba G, Pjetursson BE, Sanz M, Cecchinato D, Ferrus J, Lindhe J, Lang NP (2010) Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clin Oral Implants Res 21:37–42CrossRefPubMed

32.

Gracco A, Luca L, Bongiorno MC, Siciliani G (2010) Computed tomography evaluation of mandibular incisor bony support in untreated patients. Am J Orthod Dentofac Orthop 138:179–187CrossRef

33.

Ozdemir F, Tozlu M, Germec-Cakan D (2013) Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types. Am J Orthod Dentofac Orthop 143:190–196CrossRef

34.

Jonasson G, Kiliaridis S, Gunnarsson R (1999) Cervical thickness of the mandibular alveolar process and skeletal bone mineral density. Acta Odontol 57:155–161CrossRef

35.

Jonasson G, Kiliaridis S (2005) Changes in the bucco-lingual thickness of the mandibular alveolar process and skeletal bone mineral density in dentate women: a 5-yr prospective study. Eur J Oral Sci 113:114–120CrossRefPubMed

36.

Swasty D, Lee J, Huang JC, Maki K, Gansky SA, Hatcher D, Miller AJ (2011) Cross-sectional human mandibular morphology as assessed in vivo by cone-beam computed tomography in patients with different vertical facial dimensions. Am J Orthod Dentofac Orthop 139:377–389CrossRef

37.

Horner KA, Behrents RG, Kim KB, Buschang PH (2012) Cortical bone and ridge thickness of hyperdivergent and hypodivergent adults. Am J Orthod Dentofac Orthop 142:170–178CrossRef

38.

Schwarz AM (1961) Roentgenostatics: a practical evaluation of the x-ray headplate. Am J Orthod 47:561–585CrossRef

39.

Steiner CC (1960) The use of cephalometric as an aid to planning and assessing orthodontic treatment. Am J Orthod Dentofac Orthop 46:721–732CrossRef

40.

Wang RY, Han M, Liu H, Wang CL, Xian HH, Zhang L, Liu DX (2012) Establishment of reference mandibular plane for anterior alveolar morphology evaluation using cone-beam computed tomography. J Zhejiang Univ Sci B 13:942–947CrossRefPubMedPubMedCentral

41.

Adams GL, Gansky SA, Miller AJ, WEJr H, Hatcher DC (2004) Comparison between traditional 2 - dimensional cephalometry and a 3-dimensional approach on human dry skulls. Am J Orthod Dentofac Orthop 126:397–409CrossRef

Title: Relationship between anterior mandibular bone thickness and the angulation of incisors and canines—a CBCT study
Publication date: 01-04-2018
Published in: Clinical Oral Investigations / Issue 3/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2255-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Relationship between anterior mandibular bone thickness and the angulation of incisors and canines—a CBCT study

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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