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Evaluation of alveolar cortical bone thickness and density for orthodontic mini-implant placement

机译:牙槽皮质厚度和密度评估正畸微型种植体的位置

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摘要

Objective: Mini-implant stability is primarily related to bone quality and quantity. This study evaluated alveolar cortical bone thickness and density differences between interradicular sites at different levels from the alveolar crest, and assessed the differences between adolescents (12-18 years of age) and adults (19-50 years of age), males and females, upper and lower arch, anterior and posterior region of jaws and buccal and oral side. Study Design: In this retrospective study, 48 Computed Tomography scans, performed for oral surgery purposes were selected from dental records of 3,223 Caucasian orthodontic patients. The SimPlant software (Materialise, Leuven, Belgium) was used to measure cortical bone thickness and density at 13 interradicular sites and four bone levels ( 2,4,6 and 8 mm ). For the statistical analysis descriptive statistics, Student’s t-test and Pearson correlation coefficient were used. Results: Statistically significant differences in alveolar cortical bone thickness and density between age, gender, sites and sides were found (P<0.05). The Pearson correlation coefficient demonstrated a significant linear increasing of thickness and density from crest to base of alveolar crest (P≤0.05). Conclusion. Adults show a thicker alveolar cortical bone than adolescents. Alveolar cortical bone thickness and density were greater in males than in females, in mandible than in maxilla, in the posterior region than the anterior, in oral than buccal side. There is an increase of thickness and density from crest to base of alveolar crest. > Key words:Orthodontics, cortical bone thickness, cortical bone density, mini-implant, computed tomography, temporary anchorage devices.
机译:目的:微型植入物的稳定性主要与骨骼的质量和数量有关。这项研究评估了来自牙槽rest的不同水平的牙槽皮质骨厚度和根尖之间的密度差异,并评估了青少年(12-18岁)和成人(19-50岁),男性和女性之间的差异,上牙弓和下牙弓,颌骨的前后区域以及颊侧和口腔侧。研究设计:在这项回顾性研究中,从3,223名白种人正畸患者的牙科记录中选择了48项用于口腔外科目的的计算机断层扫描扫描。 SimPlant软件(位于比利时鲁汶的材料公司)用于测量13个放射根间部位和四个骨水平(2、4、6和8 mm)的皮质骨厚度和密度。对于统计分析的描述性统计,使用了学生t检验和Pearson相关系数。结果:发现年龄,性别,部位和侧面之间的肺泡皮质骨厚度和密度有统计学差异(P <0.05)。皮尔逊相关系数表明,从牙槽to的波峰到波峰的底部,厚度和密度显着线性增加(P≤0.05)。结论。与青少年相比,成年人的肺泡皮质骨更厚。男性的肺泡皮质骨厚度和密度大于女性,下颌骨比上颌骨大,下颌骨比前颊大,口腔比颊侧大。从牙槽to到牙槽base的厚度和密度都有所增加。 >关键词:正畸,皮质骨厚度,皮质骨密度,微型植入物,计算机断层扫描,临时锚固装置。

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