Skip to main content
Top
Published in: International Journal of Implant Dentistry 1/2020

Open Access 01-12-2020 | Prosthodontics | Research

Bone turnover markers to assess jawbone quality prior to dental implant treatment: a case-control study

Authors: Keisuke Yasuda, Shinsuke Okada, Yohei Okazaki, Kyou Hiasa, Kazuhiro Tsuga, Yasuhiko Abe

Published in: International Journal of Implant Dentistry | Issue 1/2020

Login to get access

Abstract

Background

Bone quality is as important as bone mineral density in terms of bone strength. Bone turnover markers (BTMs) are clinical indicators of bone quality. In implant dentistry, bone quality is considered equivalent to bone density on radiographic assessments. The purpose of this study was to determine whether the BTM values are reflected in jawbone condition by evaluating the relationship at baseline and during follow-up in patients with prosthodontic implants.
Computed tomography (CT) scans were obtained and BTM (osteocalcin, bone-specific alkaline phosphatase, pyridinoline cross-linked carboxyterminal telopeptide of type I collagen, and crosslinked N-telopeptide of type I collagen) levels in blood samples were measured in partially edentulous eighteen patients before implant surgery. During the follow-up observation after implant surgery, marginal bone loss (MBL) was measured on dental radiography. We investigated the relationship between the presence of BTM abnormalities and radiographic bone density.

Results

More women than men had abnormal BTM values. Bone turnover was accelerated in the group of women with abnormal BTM values. The density of cancellous bone at the implant placement site was significantly lower in the patients with abnormally high BTM values than in their counterparts with BTM values in the normal range.

Conclusions

Female patients who undergo implant treatments may have reduced bone quality; evaluations of bone strength will require assessments of both BTMs and the density of cancellous bone.
Literature
3.
go back to reference Lekholm U, Zarb G. Patient selection and preparation. Tissue integrated prostheses: osseointegration. In: Proceedings of Clinical Dentistry. New Malden: Quintessence; 1985. p. 199–209. Lekholm U, Zarb G. Patient selection and preparation. Tissue integrated prostheses: osseointegration. In: Proceedings of Clinical Dentistry. New Malden: Quintessence; 1985. p. 199–209.
7.
go back to reference National Institutes of Health. NIH consensus development panel on osteoporosis prevention, and therapy, osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285:785–95.CrossRef National Institutes of Health. NIH consensus development panel on osteoporosis prevention, and therapy, osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285:785–95.CrossRef
8.
go back to reference Fyhrie DP. Summary-measuring “bone quality”. J Musculoskelet Neuronal Interact. 2005;5:318–20 PMID:16340121.PubMed Fyhrie DP. Summary-measuring “bone quality”. J Musculoskelet Neuronal Interact. 2005;5:318–20 PMID:16340121.PubMed
12.
go back to reference Eastell R, Bauman M, Hoyle NR, Wieczorek L, editors. Bone markers: biochemical and clinical perspectives. London: Martin Dunitz Ltd; 2001. Eastell R, Bauman M, Hoyle NR, Wieczorek L, editors. Bone markers: biochemical and clinical perspectives. London: Martin Dunitz Ltd; 2001.
15.
go back to reference Misch CE. Bone density: A key determinant for clinical success. In: Misch CE, editor. Contemporary Implant Dentistry. 2nd ed. St Louis: CV Mosby Company; 1999. p. 109–18. Misch CE. Bone density: A key determinant for clinical success. In: Misch CE, editor. Contemporary Implant Dentistry. 2nd ed. St Louis: CV Mosby Company; 1999. p. 109–18.
17.
go back to reference Committee of use of biochemical markers of bone turnover in osteoporosis, Japan Osteoporosis Society. Japanese guidelines for the use of biochemical markers of bone turnover in osteoporosis (in Japanese). Osteoporosis Jpn. 2012;20:33–5. Committee of use of biochemical markers of bone turnover in osteoporosis, Japan Osteoporosis Society. Japanese guidelines for the use of biochemical markers of bone turnover in osteoporosis (in Japanese). Osteoporosis Jpn. 2012;20:33–5.
18.
go back to reference World Health Organization. WHO scientific group on the assessment of osteoporosis at primary health care level. Summ Meeting Rep. 2004;5:5–7. World Health Organization. WHO scientific group on the assessment of osteoporosis at primary health care level. Summ Meeting Rep. 2004;5:5–7.
19.
go back to reference Japanese guidelines for the prevention and treatment of osteoporosis (in Japanese). Life Science Publishing Co. Ltd, Tokyo; 2006. Japanese guidelines for the prevention and treatment of osteoporosis (in Japanese). Life Science Publishing Co. Ltd, Tokyo; 2006.
Metadata
Title
Bone turnover markers to assess jawbone quality prior to dental implant treatment: a case-control study
Authors
Keisuke Yasuda
Shinsuke Okada
Yohei Okazaki
Kyou Hiasa
Kazuhiro Tsuga
Yasuhiko Abe
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Keyword
Prosthodontics
Published in
International Journal of Implant Dentistry / Issue 1/2020
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-020-00264-0

Other articles of this Issue 1/2020

International Journal of Implant Dentistry 1/2020 Go to the issue