Analysis of the Buccal Bone Plate, Root Inclination and Alveolar Bone Dimensions in the Jawbone. A Descriptive Study Using Cone-Beam Computed Tomography

Objectives: This study aims to determine if there are enough buccal alveolar bone thickness to perform an immediate dental implant placement in anterior and posterior maxillary teeth. Material and Methods: A total of 1463 teeth were examined, from 202 cone-beam computed tomography scans with voxe...

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Bibliographic Details
Main Authors: Joana Gomes dos Santos, Ana Paula Oliveira Reis Durão, António Cabral de Campos Felino, Ricardo Manuel Casaleiro Lobo de Faria de Almeida
Format: Article
Language:English
Published: Stilus Optimus 2019-07-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:https://www.ejomr.org/JOMR/archives/2019/2/e4/v10n2e4ht.htm
Description
Summary:Objectives: This study aims to determine if there are enough buccal alveolar bone thickness to perform an immediate dental implant placement in anterior and posterior maxillary teeth. Material and Methods: A total of 1463 teeth were examined, from 202 cone-beam computed tomography scans with voxel sizes of 0.15 mm. On each tooth, the following measures were determined: the alveolar bone thickness in two locations; the vertical distance between the buccal alveolar crest and cementoenamel junction; the angle between the tooth’s long axis and the alveolar bone axial inclination in the sagittal plane. Results: In the most coronal location of maxillary teeth, the thickness of alveolar bone was lower than 0.6 (SD 0.6) mm in 50% of the teeth, and in the middle of the root the bone thickness was, on average, 0.96 (SD 0.6) mm. For the same maxillary teeth, the vertical distance between the buccal alveolar crest and cementoenamel junction and the angulation measured were, on average, 3.6 (SD 1.2) mm and 12.1º (SD 1.4º), respectively. Conclusions: The present study revealed that in most cases the thickness of buccal alveolar bone was less than 1 mm. Consequently, in such cases, immediate dental implant placement operation is not recommended, or should be combined with bone regeneration techniques.
ISSN:2029-283X