Assessment of Labial Alveolar Bone Thickness in Maxillary Central Incisor using Cone Beam Computed Tomography
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Keywords

Aesthetic
implant
labial bone

Abstract

Introduction: The maxillary anterior region is becoming a major concern due to its aesthetic relevance. The buccal bone thickness is important for implant placement, orthodontic treatment, and restorative treatment.

Objective: To assess the thickness of alveolar bone in the maxillary central incisor using cone beam computed tomography (CBCT).

Methods: A cross-sectional observational study was conducted at Department of Dental Surgery, Bir Hospital where CBCT of 53 samples from July 2019 till December 2019, the archived CBCT images was assessed retrospectively. The thickness of the labial bone in a direction perpendicular to the outer surface of the tooth root was measured at a distance of 2 mm from the cementoenamel junction (CEJ). The measurement was taken thrice and the mean measurement was considered.

Results: The labial alveolar bone thickness in maxillary central incisor was found to be 0.55±0.27 mm at a distance of 2 mm from the CEJ. Only 2 (3.8%) of the samples had an alveolar thickness of >1 mm. No statistically significant difference was found with respect to gender and age.

Conclusion: The average thickness of the labial alveolar bone in maxillary central incisor using cone beam computed tomography was found to be thin.

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References

Moshaverinia A, Kar K, Chee WW. Treatment planning decisions: Implant placement versus preserving natural teeth. J Calif Dent Assoc. 2014;42(12):859-68.
Zhang X, Li Y, Ge Z, Zhao H, Miao L, Pan Y. The dimension and morphology of alveolar bone at maxillary anterior teeth in periodontitis: A retrospective analysis-using CBCT. Int J Oral Sci. 2020;12(1):1-9.
Chen SH, Chan HL, Lu Y, Ong SH, Wang HL, Ko EH, et al. A semi-automatic algorithm for preliminary assessment of labial gingiva and alveolar bone thickness of maxillary anterior teeth. Int J Oral Maxillofac Implants. 2017;32(6):1273-80.
Prakash MS, Ganapathy DM, Nesappan T. Assessment of labial alveolar bone thickness in maxillary central incisor and canine in indian population using cone beam computed tomography. Drug Invent Today. 2019;11(3):712-4.
Abdinian M, Baninajarian H. The accuracy of linear and angular measurements in the different regions of the jaw in cone beam computed tomography views. Dent Hypotheses. 2017;8:100-3.
Timock AM, Cook V, McDonald T, Leo MC, Crowe J, Benninger BL, et al. Accuracy and reliability of buccal bone height and thickness measurements from cone beam computed tomography imaging. Am J Orthod Dentofac. 2011;140(5):734-44.
Nowzari H, Molayem S, Chiu CH, Rich SK. Cone beam computed tomographic measurement of maxillary central incisors to determine prevalence of facial alveolar bone width ≥2mm. Clin Implant Dent Relat Res. 2012;14(4):595-602.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003 Aug;23(4):313-23.
Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005 Feb;32(2):212-8.
Zekry A, Wang R, Chau AC, Lang NP. Facial alveolar bone wall width - A cone beam computed tomography study in asians. Clin Oral Implants Res. 2014;25:194-206.
Tsigarida A, Toscano J, de Brito Bezerra B, Geminiani A, Barmak AB, Caton J, Papaspyridakos P, Chochlidakis K. Buccal bone thickness of maxillary anterior teeth: A systematic review and meta-analysis. J Clin Periodontol. 2020;47(11):1326-43.
Shrestha B, Kurtzman GM, Basnet BB, Adhikari G , Rokaya D. Assessment of buccal bone thickness of aesthetic maxillary region in Nepalese adults: A cone beam computed tomography cbct study. J Nepal Prosthodont Soc. 2019;2(2):63-72.
Alsaffar ZJ, Shafshak SM, Shokry S. Assessment of labial and palatal alveolar bone thickness and height in maxillary anterior teeth in Saudi population using cone beam computed tomography CBCT. Int J Contemp Dent. 2016;7:542-8.
Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J, et al. Dimension of the facial bone wall in the anterior maxilla: A cone beam computed tomography study. Clin Oral Implants Res. 2011;22:1168-71 .
Ghassemian M, Nowzari H, Lajolo C, Verdugo F, Pirronti T, D’Addona A. The thickness of facial alveolar bone overlying healthy maxillary anterior teeth. J Periodontol. 2012;83:187-97.
Katranji A, Misch K, Wang HL. Cortical bone thickness in dentate and edentulous human cadavers. J Periodontol. 2007;78:874-8.
Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol. 2004;31:820-8.
Usui T, Uematsu S, Kanegae H, Morimoto T, Kurihara S. Change in maximum occlusal force in association with maxillofacial growth. Orthod Craniofac Res. 2007;10:226-34.
Jin SH, Park JB, Kim N, Park S, Kim KJ, Kim Y, et al. The thickness of alveolar bone at the maxillary canine and premolar teeth in normal occlusion. J Periodontal Implant Sci. 2012;42:173-8.
Fuentes R, Flores T, Navarro P, Salamanca C, Beltrán V, Borie E. Assessment of buccal bone thickness of aesthetic maxillary region: a cone beam computed tomography study. J Periodontal Implant Sci. 2015;45(5):162-8.
Teughels W, Merheb J, Quirynen M. Critical horizontal dimensions of interproximal and buccal bone around implants for optimal aesthetic outcomes: A systematic review. Clin Oral Implants Res. 2009;20:134-45.
Torres MG, Campos PS, Segundo NP, Navarro M, Crusoé-Rebello I. Accuracy of linear measurements in cone beam computed tomography with different voxel sizes. Implant Dent. 2012;21(2):150-5.
Vera C, De Kok IJ, Reinhold D, Limpiphipatanakorn P, Yap AK, Tyndall D, et al. Evaluation of buccal alveolar bone dimension of maxillary anterior and premolar teeth: A cone beam computed tomography investigation. Int J Oral Maxillofac Implants. 2012;27:1514-9.
Levin L, Levine J. Cigarette smoking and radiographic alveolar bone height and density. N Y State Dent J. 2010;76(6):31-5.
Wang HM, Shen JW, Yu MF, Chen XY, Jiang QH, He FM. Analysis of facial bone wall dimensions and sagittal root position in the maxillary aesthetic zone: A retrospective study using cone beam computed tomography. Int J Oral Maxillofac Implants. 2014;29:1123-9.