Assessment of Buccal Plate Thickness in the Maxillary and Mandibular Posterior Dentition using Cone Beam Computed Tomography
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Keywords

Bone substitutes; cone beam computed tomography; implants; mandible; maxilla.

Abstract

Introduction: Adequate buccal plate thickness sustains alveolar bone remodelling without significant peri-implant bone resorption, thereby, preventing peri-implant bone defects like fenestrations and dehiscences, and maintaining the integrity of overlying soft tissues.

Objective: To assess the buccal plate thickness in the maxillary and mandibular posterior dentition using cone beam computed tomography (CBCT).


Methods: An analytical cross-sectional study was conducted in the Department of Periodontology and Oral Implantology, Kantipur Dental College Teaching Hospital and Research Centre, from 2021 December to 2023 July. After ethical approval, CBCT scans obtained from 60 participants in the age range of 21-49 years, selected through non-probability convenience sampling, fulfilling all the inclusion and exclusion criteria, were retrospectively analysed for buccal plate thickness at three measurement points, 1 mm, 3 mm, and 5 mm from the crest, with an additional measurement from cementoenamel junction (CEJ) to the crest, on 1,440 roots, using Carestream (CS) 3D imaging software version 3.5.18. The data were then compared between jaws, measurement points, sides, and genders using SPSS v.20 software.


Results: In the maxilla, the thinnest buccal plate was presented by mesiobuccal root of first molar at 1 mm, and by first premolar at 3 mm and 5 mm, while the thickest buccal plate was presented by mesiobuccal and distobuccal roots of second molar at 5 mm, and at 1 mm and 3 mm respectively. In the mandible, first premolar had the thinnest buccal plate while distobuccal root of second molar had the thickest buccal plate at all three measurement points.


Conclusions: The study presented the tendency of buccal plate to increase in thickness from anterior to posterior, and from coronal to apical along the roots, in both jaws. No significant differences could be determined between right and left sides, or between genders.

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