Quantitative Assessment of the Jawbone Quality Classification: A Meta-analysis Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Jun 16

PMID 34133463

Citations 6

Authors

Keren Shemtov-Yona

Affiliations

Soon will be listed here.

Abstract

Aim: Bone quality is evaluated using bone density for qualitative classification, a characteristic that may be delicate to evaluate. Contemporary implantology that relies on modern measurement techniques, needs a more quantitative estimate of the bone quality.

Materials And Methods: PubMed and EMBASE databases were searched with no time restriction. Clinical and radiographic studies reporting on alveolar ridge dimensions and its parameters in different areas of the dentate and edentulous jaws were included. A meta-analysis was performed using random effect models to report a combined mean for alveolar ridge and its parameters. Meta regression statistical tests were performed in order to identify differences in those outcome parameters.

Results: 30 studies were included. The majority of the selected studies (total of 27) used live human subjects and CBCT to analyze alveolar ridge dimensions and its parameters. Using the combined mean obtained from the meta-analysis, a typical portrait of the alveolar ridge was constructed, and a geometrically based quantitative bone classification proposed. The quantitative classification was found to match the existing qualitative classification.

Conclusion: A geometry-based analysis was constructed that yields valuable insights on the bone type based on its components and on the dynamics of the dentate / edentulous states.

Citing Articles

A Comparison of Deep Learning vs. Dental Implantologists in Cone-Beam Computed Tomography-Based Bone Quality Classification.

Pornvoranant T, Panyarak W, Wantanajittikul K, Charuakkra A, Rungsiyakull P, Chaijareenont P J Imaging Inform Med. 2024; .

PMID: 39557735 DOI: 10.1007/s10278-024-01317-1.

Factual observations of dynamic bone crushing.

Aharoni S, Rittel D, Shemtov-Yona K Sci Rep. 2024; 14(1):25597.

PMID: 39462125 PMC: 11513972. DOI: 10.1038/s41598-024-77717-8.

Repeatability and Reproducibility of a Modified Lekholm and Zarb Bone Quality Classification Based on Cone Beam Computed Tomography: An Observatsion Study.

Rosas-Diaz J, Cordova-Limaylla N, Palomino-Zorrilla J, Guerrero M, Carreteros R, Cervantes-Ganoza L J Int Soc Prev Community Dent. 2024; 14(4):278-286.

PMID: 39380925 PMC: 11458091. DOI: 10.4103/jispcd.jispcd_291_21.

Jawbone quality classification in dental implant planning and placement studies. A scoping review.

Palomino-Zorrilla J, Cordova-Limaylla N, Rosas-Diaz J, Cayo-Rojas C, Cervantes-Ganoza L, Guerrero M J Int Soc Prev Community Dent. 2024; 14(2):89-97.

PMID: 38827351 PMC: 11141890. DOI: 10.4103/jispcd.JISPCD_4_22.

Electrospun Membrane Surface Modification by Sonocoating with HA and ZnO:Ag Nanoparticles-Characterization and Evaluation of Osteoblasts and Bacterial Cell Behavior In Vitro.

Higuchi J, Klimek K, Wojnarowicz J, Opalinska A, Chodara A, Szalaj U Cells. 2022; 11(9).

PMID: 35563888 PMC: 9103553. DOI: 10.3390/cells11091582.

References

Song J, Lee J, Kim Y . CBCT Morphologic Analysis of Edentulous Posterior Mandible for Mandibular Body Bone Graft. J Oral Implantol. 2014; 41(4):477-82. DOI: 10.1563/AAID-JOI-D-13-00215. View

Ulm C, Solar P, Gsellmann B, Matejka M, Watzek G . The edentulous maxillary alveolar process in the region of the maxillary sinus--a study of physical dimension. Int J Oral Maxillofac Surg. 1995; 24(4):279-82. DOI: 10.1016/s0901-5027(95)80029-8. View

Bonta H, Carranza N, Gualtieri A, Rojas M . Morphological characteristics of the facial bone wall related to the tooth position in the alveolar crest in the maxillary anterior. Acta Odontol Latinoam. 2017; 30(2):49-56. View

Klinge A, Ahmad M, Eldh P, Ulvan R, Andersson L, Becktor J . Craniofacial Height in Relation to Cross-Sectional Morphology of the Anterior Maxilla: An Anatomical Consideration in Implant Therapy. Int J Oral Maxillofac Implants. 2020; 35(2):386-394. DOI: 10.11607/jomi.7776. View

Misawa M, Lindhe J, Araujo M . The alveolar process following single-tooth extraction: a study of maxillary incisor and premolar sites in man. Clin Oral Implants Res. 2015; 27(7):884-9. DOI: 10.1111/clr.12710. View

Koletsi D, Fleming P, Michelaki I, Pandis N . Heterogeneity in Cochrane and non-Cochrane meta-analyses in orthodontics. J Dent. 2018; 74:90-94. DOI: 10.1016/j.jdent.2018.05.003. View

Wang S, Shen Y, Fuh L, Peng S, Tsai M, Huang H . Relationship between Cortical Bone Thickness and Cancellous Bone Density at Dental Implant Sites in the Jawbone. Diagnostics (Basel). 2020; 10(9). PMC: 7555203. DOI: 10.3390/diagnostics10090710. View

Horner K, Behrents R, Kim K, Buschang P . Cortical bone and ridge thickness of hyperdivergent and hypodivergent adults. Am J Orthod Dentofacial Orthop. 2012; 142(2):170-8. DOI: 10.1016/j.ajodo.2012.03.021. View

Braut V, Bornstein M, Kuchler U, Buser D . Bone dimensions in the posterior mandible: a retrospective radiographic study using cone beam computed tomography. Part 2--analysis of edentulous sites. Int J Periodontics Restorative Dent. 2014; 34(5):639-47. DOI: 10.11607/prd.1895. View

10.

Tan W, Wong T, Wong M, Lang N . A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012; 23 Suppl 5:1-21. DOI: 10.1111/j.1600-0501.2011.02375.x. View

11.

Tsigarida A, Toscano J, Bezerra B, Geminiani A, Barmak A, Caton J . Buccal bone thickness of maxillary anterior teeth: A systematic review and meta-analysis. J Clin Periodontol. 2020; 47(11):1326-1343. DOI: 10.1111/jcpe.13347. View

12.

Misch C, Qu Z, Bidez M . Mechanical properties of trabecular bone in the human mandible: implications for dental implant treatment planning and surgical placement. J Oral Maxillofac Surg. 1999; 57(6):700-6; discussion 706-8. DOI: 10.1016/s0278-2391(99)90437-8. View

13.

Bressan E, Ferrarese N, Pramstraller M, Lops D, Farina R, Tomasi C . Ridge Dimensions of the Edentulous Mandible in Posterior Sextants: An Observational Study on Cone Beam Computed Tomography Radiographs. Implant Dent. 2016; 26(1):66-72. DOI: 10.1097/ID.0000000000000489. View

14.

Araujo M, Lindhe J . Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005; 32(2):212-8. DOI: 10.1111/j.1600-051X.2005.00642.x. View

15.

Couso-Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila-Ortiz G . Post-extraction dimensional changes: A systematic review and meta-analysis. J Clin Periodontol. 2020; 48(1):126-144. DOI: 10.1111/jcpe.13390. View

16.

Deguchi T, Nasu M, Murakami K, Yabuuchi T, Kamioka H, Takano-Yamamoto T . Quantitative evaluation of cortical bone thickness with computed tomographic scanning for orthodontic implants. Am J Orthod Dentofacial Orthop. 2006; 129(6):721.e7-12. DOI: 10.1016/j.ajodo.2006.02.026. View

17.

Braut V, Bornstein M, Lauber R, Buser D . Bone dimensions in the posterior mandible: a retrospective radiographic study using cone beam computed tomography. Part 1--analysis of dentate sites. Int J Periodontics Restorative Dent. 2012; 32(2):175-84. View

18.

Atwood D . Some clinical factors related to rate of resorption of residual ridges. 1962. J Prosthet Dent. 2001; 86(2):119-25. DOI: 10.1067/mpr.2001.117609. View

19.

Cardaropoli D, Tamagnone L, Roffredo A, Gaveglio L . Relationship between the buccal bone plate thickness and the healing of postextraction sockets with/without ridge preservation. Int J Periodontics Restorative Dent. 2014; 34(2):211-7. DOI: 10.11607/prd.1885. View

20.

Goiato M, Dos Santos D, Santiago Jr J, Moreno A, Pellizzer E . Longevity of dental implants in type IV bone: a systematic review. Int J Oral Maxillofac Surg. 2014; 43(9):1108-16. DOI: 10.1016/j.ijom.2014.02.016. View