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Bone quality and quantity measurement techniques in dentistry

Year 2016, Volume: 19 Issue: 1, 73 - 86, 03.01.2016

Abstract

In dentistry, finding a reliable method for measurement mineral density of bone and bone

strength in jaw bones is not only beneficial for implant planning, but also benefical in early

diagnosis of diseases which effects the mineral density of bone like osteoporosis. Dual-energy

X-ray absorptiometry (DXA) method is considered as a gold standard for measurement of bone

mineral density in medicine. DXA yields quantitative information on bone structure. In addition

DXA, imaging methods which given detailed qualitative information have been developed.

Finding a method, which can be also applied on jaw bones and will not damage to the patient

and offering a correct information that might be contrubute in dentistry especially with respect

to implant and periodontal operations.

The aim of the present article, is to provide basic information to reader from past to present

about main procedures on assessment of bone structure also including jaw bones and the

advantages and disadvantages of these methods.

References

  • Kanis JA, Borgstrom F, De Laet C, Johansson H, Johnell O, Jonsson B, Oden A, Zethraeus N, Pfleger B, Khaltaev N. Assessment of fracture risk. Osteoporos Int 2005Jun;16(6):581-589.
  • Fanuscu M I, Chang TL. Threedimensional morphometric analysis of human cadaver bone: microstructural data from maxilla and mandible. Clin Oral Implants Res 2004;15:213–218.
  • Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark P I, Zarb G A, Albrektsson T (eds). Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence,1985:199–209.
  • Misch C E. Density of bone: effect on treatment planning, surgical approach, and healing. In: Misch CE (ed). Contemporary Implant Dentistry. USA,St. Louis,Mo: Mosby,1993:469–485.
  • Moisio K, Podolskaya G, Barnhart B, Berzins A, Sumner D. pQCT provides better prediction of canine femur breaking load than does DXA. J Musculoskelet Neuronal Interact 2003;3:240–245.
  • Hsu JT, Wang SP, Huang HL, Chen YJ, Wu J, Tsai MT. J The assessment of trabecular bone parameters and cortical bone strength: A comparison of micro-CT and dental cone-beam CT. Biomech 2013Oct;46(15):2611‑2618.
  • McCreadie BR, Goldstein SA. Biomechanics of fracture: is bone mineral density sufficient to assess risk? J Bone Miner Res 2000;15:2305–2308.
  • Genant HK, Cooper C, Poor G, et al. Interim report and recommendations of the World Health Organization Task-Force for Osteoporosis. Osteoporos Int. 1999;10:259–264.
  • Lindh C, Nilsson M, Klinge B, Petersson A. Quantitative computed tomography of trabecular bone in the mandible. Dentomaxillofac Radiol 1996;25:146-150.
  • Ferretti J. Perspectives of pQCT technology associated to biomechanical studies in skeletal research employing rat models. Bone 1995;17:353–364.
  • Ferretti J L, Capozza R F, Zanchetta J R. Mechanical validation of a tomographic (pQCT) index for noninvasive estimation of rat femur bending strength. Bone 1996;18:97–102.
  • Brandenburger GH.Clinical determination of bone quality: is ultrasound an answer? Calcif Tissue Int 1993;53 (Suppl1):151-156.
  • Park YS, Yi KY, Lee I S, Jung YC. Correlation between microtomography and histomorphometry for assessment of implant osseointegration. Clin Oral Implants Res 2005;16(2):156–160.
  • Vlasiadis ZK, Skouteris AC, Velegrakis AG, Fragouli I, Neratzoulakis MJ, Damilakis J, Koumantakis EE. Mandibular radiomorphometric measurements as indicators of possible osteoporosis in postmenopausal women. Maturitas. 2007;58:226-235.
  • Wical KE, Swoope CC. Studies of residual ridge resorption. Part I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent 1974July;32:7-12.
  • Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic based mandibular indices in relation to mandibular bone mineral density and sketal status assessed by dual energy X ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol 2002;31:361-367.
  • Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999;28:173-181.
  • Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 1997;26:95-100.
  • Sumona Pal, Sunita Amrutesh. Evaluation of panoramic radiomorphometric indices in Indian population. Cumhuriyet Dent J 2013;16(4):273-281.
  • Mahl CRW, Licks R, Fontanella VRC. Comparison of morphometric indices obtained from dental panoramic radiography for identifying individuals with osteoporosis/osteopenia. Radiol Bras 2008;41:183-187.
  • Law AN, Bollen AM, Kuang Chen SSU. Detecting osteoporosis using dental radiographs: a comparison of four methods. J Am Dent Assoc. 1996;127:1734-1742.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assesment of the osteoporosis risk group. Scand J Dent Res 1994;102:68-72.
  • Tosoni GM, Lurie AG, Cowan AE, Burleson JA, Brazil A, Farmington CT. Pixel intensity and fractal analyses: detecting osteoporosis in perimenopausal and postmenopausal women by using digital panoramic images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:235-241.
  • Horner K, Devlin H. The relationship between mandibular bone mineral density and panoramic radiographic measurements. J Dent 1998;26:337-343.
  • Bonnick SL, Lewis LA. Bone densitometry for technologists. Totowa (NJ): Humana Press Inc 2006.
  • Horner K, Devlin H, Alsop CW, Hodgkinso IM, Adams JE. Mandibular bone mineral density as a predictor of skeletal osteoporosis. Br J Radiol. 1996;69:1019-1025.
  • Çakur B, Dağıstan S, Şahin A, Harorlı A, Yılmaz AB. Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women. Dentomaxillofac Radiol 2009;38:255-261.
  • Drozdzowska B, Pluskiewicz W. Longitudinal changes in mandibular bone mineral density compared with hip bone mineral density and quantitative ultrasound at calcaneus and hand phalanges. Br J Radiol 2002;75:743-747.
  • Sim LH, van Doorn T. Radiographic measurement of bone mineral: reviewing dual energy x-ray absorptiometry. Australas Phys Eng Sci Med 1995;18:65-80.
  • Corten FGA, Van’t Hof MA, Buus WCAM, Hoppenbrouwers P, Kalk W, Corstens FHM. Measurement of mandibuler bone density ex vivo and in vivo by dual-energy x-ray absorbtiometry. Arch Oral Biol 1993;38:215-219.
  • Nackaerts O, Jacobs R, Devlin H, Pavitt S, Bleyen E, Yan B, Borghs H, Lindh C, Karayianni K, van der Stelt P, Marjanovic E, Adams JE, Horner K. Osteoporosis detection using intraoral densitometry. Dentomaxillofac Radiol 2008;37:282-287.
  • Von Wovern N. In vivo measurement of bone mineral content of mandibles by dual photon absorbtiometry. Scand J Dent Res 1985;93:162-168.
  • Link TM.Osteoporosis imaging: state of the art and advanced imaging. Radiology 2012Apr;263(1):3-17.
  • Tanner SB. Dual-energy X-ray absorptiometry in clinical practice: new guidelines and concerns. Curr Opin Rheumatol 2011Jul;23(4):385‑388.
  • Siu WS, Qin L, Leung KS. pQCT bone strength index may serve as a better predictor than bone mineral density for long bone breaking strength. J Bone Miner Metabol 2003;21:316–322.
  • National Osteoporosis Society Scientific Advisory Committee. Priorities for Prevention. Osteoporosis: A Decision-Making Document for Diagnosis and Prevention. Bath, United Kingdom: National Osteoporosis Society; 1994.
  • Kyung-In Jeong, Su-Gwan Kim, Ji-Su Oh, and Mi-Ae Jeong. Consideration of Various Bone Quality Evaluation Methods. Implant Dent 2013;22(1):55-59.
  • Celenk C, Celenk P. Bone Density Measurement Using Computed Tomography. In: Luca Saba(ed). Computed Tomography-Clinic Applications, 2012.
  • Reinbold WD, Genant HK, Reiser UJ, Harris ST, Ettinger B. Bone mineral content in early postmenopausal and postmenopausal osteoporotic women: Comparison of measurement methods. Radiology 1986;160:469‑478.
  • Eve Donnelly PhD. Methods for assessing bone quality. Clin Orthop Relat Res 2011;469:2128–2138.
  • White SC, Pharoah MJ. Oral radiology. Principles and interpretation (6th ed). St. Louis: Mosby; 2009.
  • Barone A, Covani U, Cornelini R, Gherlone E. Radiographic bone density around immediately loaded oral implants.A case series. Clin Oral Implants Res. 2003;14:610-615.
  • Scarfe WC, Farman AG, Skovic P. Clinical application of conebeam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80.
  • Hao Y, Zhao W, Wang Y, Yu J, Zou D. Assessments of jaw bone density at implant sites using 3D cone-beam computed tomography. Eur Rev Med Pharmacol Sci 2014;18:1398-1403.
  • Endo M, Tsunoo T, Nakamori N, Yoshida K. Effect of scattered radiation on image noise in cone beam CT. Med Phys 2001;28:469–474.
  • Yoo S,Yin FF. Dosimetric feasibility of cone-beam CT-based treatment planning compared to CT-based treatment planning. Int J Radiat Oncol Biol Phys 2006;66(5):1553–1561.
  • Bilhan H, Arat S, Geckili O. How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density? Int J Dent 2012;2012:348908.
  • Moris M, Peretz A, Tjeka R, Negaban N, Wouters M, Bergmann P. Quantitative ultrasound bone measurements: normal values and comparison with bone mineral density by dual X-ray absorptiometry. Calcif Tissue Int 1995 Jul;57(1):6-10.
  • Caffarelli J, Hayek MD, Tomai Pitinca R, Nuti S, Gonnelli A. Comparative Study of Dual-X-ray Absorptiometry and Quantitative Ultrasonography for the Evaluating Bone Statusin Subjects with Rett Syndrome Calcif Tissue Int 2014 Sep;95(3):248-256.
  • Miller CG, Herd RJ, Ramalingam T, Fogelman I, Blake GM. Ultrasonic velocity measurements through the calcaneus: which velocity should be measured? Osteoporos Int 1993Jan;3(1):31-35.
  • Kotzki PO, Buyck D, Leroux JL, Thomas E, Rossi M, Blotman F. Measurement of the bone mineral density of the os calcis as an indication of vertebral fracture in women with lumbar osteoarthritis. Br J Radiol 1993Jan;66(781):55-60.
  • Swain M V and Xue J. State of the art of micro-CT applications in dental research. Int J Oral Sci 2009;1(4):177–188.
  • Bagi CM, Berryman E, Moalli MR. Comparative bone anatomy of commonly used laboratory animals: implications for drug discovery. Comp Med 2011Feb;61(1):76-85.
  • Bensamoun SF, Hawse JR, Subramaniam M, Ilharreborde B, Bassillais A, Benhamou CL, Fraser DG, Oursler MJ, Amadio PC, An KN, Spelsberg T C. TGF beta inducible early gene-1 knockout mice display defects in bone strength and microarchitecture. Bone 2006;39:1244–1251.
  • Bouxsein ML, Boyd SK, Christiansen BA, Guldberg RE, Jepsen KJ, Müller R. Guidelines for assessment of bone microstructure in rodents using micro–computed tomography. J Bone Miner Res 2010;25:1468–1486.
  • Bettina Basrani, Endodontic Radiology, 2nd Edition.2012.
  • Carballido-Gamio J, Majumdar S. Clinical utility of microarchitecture measurements of trabecular bone. Curr Osteoporos Rep 2006;4:64–70.
  • Chung HW, Wehrli FW, Williams JL, Kugelmass SD, Wehrli SL. Quantitative analysis of trabecular microstructure by 400 MHz nuclear magnetic resonance imaging. J Bone Miner Res 1995;10:803–811.
  • Kazakia GJ, Majumdar S. New imaging technologies in the diagnosis of osteoporosis. Rev Endocr Metab Disord. 2006;7:67–74.
  • Majumdar S, Kothari M, Augat P, Newitt DC, Link TM, Lin JC, Lang T, Lu Y, Genant HK. High-resolution magnetic resonance imaging: three-dimensional trabecular bone architecture andbiomechanical properties. Bone 1998;22:445–454.
  • Majumdar S, Genant HK, Grampp S, Newitt DC, Truong VH, Lin JC, Mathur A. Correlation of trabecular bone structure with age, bone mineral density, and osteoporotic status: in vivo studies ofthe distal radius using high resolution magnetic resonance imaging. J Bone Miner Res. 1997;12:111–118.
  • Bollen AM, Taguchi A, Hujoel PP, Hollender LG. Case control study on self reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:518-24.
  • Taguchi A, Sugino N, Miki M, Kozai Y, Mochizuki N, Osanai H, et al. Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs. Dentomaxillofac Radiol. 2011;40:154-59.
  • Taguchi A, Sunada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, et al. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res 2003:18:1689-1694.
  • Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporos Int 2002;13:373-378.
  • Kribbs P J, Chesnut C H, Ott S M, Kilcoyne R F. Relationships between mandibular and skeletal bone in an osteoporotic population. J Prosthet Dent 1989;62:703–707.
  • Kribbs P J, Chesnut C H, Ott S M, Kilcoyne R F. Relationships between mandibular and skeletal bone in a population of normal women. J Prosthet Dent 1990;63:86–89.
  • Kribbs PJ. Comparison of mandibular bone in normal and osteoporotic women. J Prosthet Dent 1990;63:218–222.
  • Mohajery M, Brooks S L. Oral radiographs in the detection of early signs of Osteoporosis. Oral Surg Oral Med Oral Pathol 1992;73:112-117.
  • Horner K, Devlin H. Clinical bone densitometric study of mandibular atrophy using dental panoramic tomography. J Dent 1992 Feb;20(1):33-37.
  • Devlin H, Horner K. Measurement of mandibular bone mineral content using the dental panoramic tomogram. Journal of Dent 1991;19:116–120.
  • Prouteau S, Ducher G, Nanyan P, Lemineur G, Benhamou L, Courteix D. Fractal analysis of bone texture: a screening tool for stress fracture risk? Eur J Clin Invest 2004;34:137–142.
  • Southard TE, Southard KA, Krizan KE, Hillis SL, Haller JW, Keller J, et al. Mandibular bone density and fractal dimension in rabbits with induced osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:244–249.
  • Yu YY, Chen H, Lin CH, Chen CM, Oviir T, Chen SK, et al. Fractal dimension analysis of periapical reactive bone in response to root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:283–288.
  • Shrout MK, Hildebolt CF, Potter BJ. The effect of varying the region of interest on calculations of fractal index. Dentomaxillofac Radiol 1997;26:295–298.
  • Webber RL, Hazelrig JB, van der Berg HR, Lemons JE. Evaluation of site-specific differences in trabecular bone using fractal geometry. J Dent Res 1991;70:528.(Abstr 2095).
  • Khosrovi PM, Kahn AJ, Majumdar HK, Genant CA. Fractal analysis of dental radiographs to assess trabecular bone structure. J Dent Res 1995;74:173. (Abstr 1294).
  • Otis LL, Hong JSH, Tuncay OC. Bone structure effect on root resorption. Orthod Craniofac Res 2004;7:165–177.
  • Ruttimann UE, Webber RL, Hazelrig JB. Fractal dimension from radiographs of peridental alveolar bone: a possible diagnostic indicator of osteoporosis. Oral Surg Oral Med Oral Pathol 1992;74:98–110.
  • White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:628–35.
  • Shrout MK, Roberson B, Potter BJ, Mailhot JM, Hildebolt CF. A comparison of 2 patient populations using fractal analysis. J Periodontol 1998;69:9–13.
  • Güneri P, Göğüş S, Tuğsel Z, Ozturk A, Gungor C, Boyacıoğlu H. Clinical efficacy of a new software developed for dental digital subtraction radiography. Dentomaxillofac Radiol. 2006;35:417–21.
  • Yaşar F,Akgünlü F. The differences in panoramic mandibular indices and fractal dimension between with and without spinal osteoporosis. Dentomaxillofac Radiol 2006;35:1‑9.
  • Drage NA, Palmer RM, Blake G, Wilson R, Crane F, Fogelman I. A comparison of bone mineral density in the spine, hip and jaws of edentulous subjects.Clin Oral Implants Res. 2007Aug;18(4):496‑500.
  • Bando K, Nitta H, Matsubara M, Ishikawa I. Bone mineral density in periodontally healthy and edentulous postmenopausal women. Ann Periodontol 1998 Jul;3(1):322-6.
  • Mohammad A R, Bauer R L, Yeh C K. Spinal bone density and tooth loss in a cohort of postmenopausal women. Int J Prosthodont 1997;10:381–385.
  • Earnshaw S A, Keating N, Hosking D J, Chilvers C E, Ravn P, McClung M, Wasnich RD. Tooth counts do not predict bone mineral density in early postmenopausal Caucasianwomen. EPIC study group. Int J Epidemiol 1998;27:479–483.
  • Celenk C, Celenk P. Evaluation by quantitative magnetic resonance imaging of trabecular bone quality in the dentate and edentulous mandible. Clin Oral Implant Res 19,2008;15–18
  • Gasser JA. Assessing bone quantity by pQCT. Bone 1995Oct;17(4 Suppl):145-154.
  • Jämsä T, Jalovaara P, Peng Z, Väänänen HK, Tuukkanen J. Comparison of three-point bending test and peripheral quantitative computed tomography analysis in the evaluation of the strength of mouse femur and tibia. J Bone 1998Aug;23(2):155-61.
  • Lochmüller EM, Lill CA, Kuhn V, Schneider E, Eckstein F. Radius bone strength in bending, compression, and falling and its correlation with clinical densitometry at multiple sites. J Bone Miner Res 2002Sep;17(9):1629-38.
  • Molly L. Bone density and primary stability in implants therapy. Clin Oral Implants Res. 2006;17:124–135.
  • Sakakura CE, Grio G, Goncalces D, et al. Radiographic assessment f bone density around integrated titanium implants after ovariectomy in rats. Clin Oral Implants Res 2006;17:134–138.
  • Bassi F, Procchio M, Fava C, Schierano G, Preti G. Bone density in human dentate and edentulous mandibles using computed tomography. Clin Oral Implants Res 1999;10:356-361.
  • Arisan V, Karabuda Z C, Avsever H, Özdemir T. Conventional multi‐slice computed tomography (CT) and cone‐beam CT (CBCT) for computerassisted implant placement. Part I: Relationship of radiographic gray density and implant stability. Clin Implant Dent Relat Res 2012.
  • Benavides E,Rios H F, Ganz S D, An CH, Resnik R, Reardon GT, Feldman SJ, Mah J K, Hatcher D, Kim M J. Use of cone beam computed tomography in implant dentistry: the international congress of oral implantologists consensus report. Implant Dent 2012;21:78–86.
  • Fuster-Torres M, Peñarrocha-Diago M, Peñarrocha-Oltra D. Relationships between bone density values from cone beam computed tomography, maximum insertion torque, and resonance frequency analysis at implant placement: a pilot study. Int J Oral Maxillofac Implants 2011;26:1051–1056.
  • Ferrare N, Leite AF, Caracas HC, de Azevedo RB, de Melo NS, de Souza Figueiredo PT. Cone-beam computed tomography and microtomography for alveolar bone measurements. Surg Radiol Anat 2013Aug;35(6):495-502.
  • Nomura Y, Watanabe H, Shirotsu K, Honda E, Sumi Y, Kurabayshi T. Stability of voxel values from conebeam computed tomography for dental use in evaluating bone mineral content. Clin Oral Implants Res 2013;24:543–548.
  • González‐García R, Monje F. The reliability of cone‐beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro‐CT. Clin Oral Implants Res 2012;24:871-879.
Year 2016, Volume: 19 Issue: 1, 73 - 86, 03.01.2016

Abstract

References

  • Kanis JA, Borgstrom F, De Laet C, Johansson H, Johnell O, Jonsson B, Oden A, Zethraeus N, Pfleger B, Khaltaev N. Assessment of fracture risk. Osteoporos Int 2005Jun;16(6):581-589.
  • Fanuscu M I, Chang TL. Threedimensional morphometric analysis of human cadaver bone: microstructural data from maxilla and mandible. Clin Oral Implants Res 2004;15:213–218.
  • Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark P I, Zarb G A, Albrektsson T (eds). Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence,1985:199–209.
  • Misch C E. Density of bone: effect on treatment planning, surgical approach, and healing. In: Misch CE (ed). Contemporary Implant Dentistry. USA,St. Louis,Mo: Mosby,1993:469–485.
  • Moisio K, Podolskaya G, Barnhart B, Berzins A, Sumner D. pQCT provides better prediction of canine femur breaking load than does DXA. J Musculoskelet Neuronal Interact 2003;3:240–245.
  • Hsu JT, Wang SP, Huang HL, Chen YJ, Wu J, Tsai MT. J The assessment of trabecular bone parameters and cortical bone strength: A comparison of micro-CT and dental cone-beam CT. Biomech 2013Oct;46(15):2611‑2618.
  • McCreadie BR, Goldstein SA. Biomechanics of fracture: is bone mineral density sufficient to assess risk? J Bone Miner Res 2000;15:2305–2308.
  • Genant HK, Cooper C, Poor G, et al. Interim report and recommendations of the World Health Organization Task-Force for Osteoporosis. Osteoporos Int. 1999;10:259–264.
  • Lindh C, Nilsson M, Klinge B, Petersson A. Quantitative computed tomography of trabecular bone in the mandible. Dentomaxillofac Radiol 1996;25:146-150.
  • Ferretti J. Perspectives of pQCT technology associated to biomechanical studies in skeletal research employing rat models. Bone 1995;17:353–364.
  • Ferretti J L, Capozza R F, Zanchetta J R. Mechanical validation of a tomographic (pQCT) index for noninvasive estimation of rat femur bending strength. Bone 1996;18:97–102.
  • Brandenburger GH.Clinical determination of bone quality: is ultrasound an answer? Calcif Tissue Int 1993;53 (Suppl1):151-156.
  • Park YS, Yi KY, Lee I S, Jung YC. Correlation between microtomography and histomorphometry for assessment of implant osseointegration. Clin Oral Implants Res 2005;16(2):156–160.
  • Vlasiadis ZK, Skouteris AC, Velegrakis AG, Fragouli I, Neratzoulakis MJ, Damilakis J, Koumantakis EE. Mandibular radiomorphometric measurements as indicators of possible osteoporosis in postmenopausal women. Maturitas. 2007;58:226-235.
  • Wical KE, Swoope CC. Studies of residual ridge resorption. Part I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent 1974July;32:7-12.
  • Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic based mandibular indices in relation to mandibular bone mineral density and sketal status assessed by dual energy X ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol 2002;31:361-367.
  • Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999;28:173-181.
  • Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 1997;26:95-100.
  • Sumona Pal, Sunita Amrutesh. Evaluation of panoramic radiomorphometric indices in Indian population. Cumhuriyet Dent J 2013;16(4):273-281.
  • Mahl CRW, Licks R, Fontanella VRC. Comparison of morphometric indices obtained from dental panoramic radiography for identifying individuals with osteoporosis/osteopenia. Radiol Bras 2008;41:183-187.
  • Law AN, Bollen AM, Kuang Chen SSU. Detecting osteoporosis using dental radiographs: a comparison of four methods. J Am Dent Assoc. 1996;127:1734-1742.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assesment of the osteoporosis risk group. Scand J Dent Res 1994;102:68-72.
  • Tosoni GM, Lurie AG, Cowan AE, Burleson JA, Brazil A, Farmington CT. Pixel intensity and fractal analyses: detecting osteoporosis in perimenopausal and postmenopausal women by using digital panoramic images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:235-241.
  • Horner K, Devlin H. The relationship between mandibular bone mineral density and panoramic radiographic measurements. J Dent 1998;26:337-343.
  • Bonnick SL, Lewis LA. Bone densitometry for technologists. Totowa (NJ): Humana Press Inc 2006.
  • Horner K, Devlin H, Alsop CW, Hodgkinso IM, Adams JE. Mandibular bone mineral density as a predictor of skeletal osteoporosis. Br J Radiol. 1996;69:1019-1025.
  • Çakur B, Dağıstan S, Şahin A, Harorlı A, Yılmaz AB. Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women. Dentomaxillofac Radiol 2009;38:255-261.
  • Drozdzowska B, Pluskiewicz W. Longitudinal changes in mandibular bone mineral density compared with hip bone mineral density and quantitative ultrasound at calcaneus and hand phalanges. Br J Radiol 2002;75:743-747.
  • Sim LH, van Doorn T. Radiographic measurement of bone mineral: reviewing dual energy x-ray absorptiometry. Australas Phys Eng Sci Med 1995;18:65-80.
  • Corten FGA, Van’t Hof MA, Buus WCAM, Hoppenbrouwers P, Kalk W, Corstens FHM. Measurement of mandibuler bone density ex vivo and in vivo by dual-energy x-ray absorbtiometry. Arch Oral Biol 1993;38:215-219.
  • Nackaerts O, Jacobs R, Devlin H, Pavitt S, Bleyen E, Yan B, Borghs H, Lindh C, Karayianni K, van der Stelt P, Marjanovic E, Adams JE, Horner K. Osteoporosis detection using intraoral densitometry. Dentomaxillofac Radiol 2008;37:282-287.
  • Von Wovern N. In vivo measurement of bone mineral content of mandibles by dual photon absorbtiometry. Scand J Dent Res 1985;93:162-168.
  • Link TM.Osteoporosis imaging: state of the art and advanced imaging. Radiology 2012Apr;263(1):3-17.
  • Tanner SB. Dual-energy X-ray absorptiometry in clinical practice: new guidelines and concerns. Curr Opin Rheumatol 2011Jul;23(4):385‑388.
  • Siu WS, Qin L, Leung KS. pQCT bone strength index may serve as a better predictor than bone mineral density for long bone breaking strength. J Bone Miner Metabol 2003;21:316–322.
  • National Osteoporosis Society Scientific Advisory Committee. Priorities for Prevention. Osteoporosis: A Decision-Making Document for Diagnosis and Prevention. Bath, United Kingdom: National Osteoporosis Society; 1994.
  • Kyung-In Jeong, Su-Gwan Kim, Ji-Su Oh, and Mi-Ae Jeong. Consideration of Various Bone Quality Evaluation Methods. Implant Dent 2013;22(1):55-59.
  • Celenk C, Celenk P. Bone Density Measurement Using Computed Tomography. In: Luca Saba(ed). Computed Tomography-Clinic Applications, 2012.
  • Reinbold WD, Genant HK, Reiser UJ, Harris ST, Ettinger B. Bone mineral content in early postmenopausal and postmenopausal osteoporotic women: Comparison of measurement methods. Radiology 1986;160:469‑478.
  • Eve Donnelly PhD. Methods for assessing bone quality. Clin Orthop Relat Res 2011;469:2128–2138.
  • White SC, Pharoah MJ. Oral radiology. Principles and interpretation (6th ed). St. Louis: Mosby; 2009.
  • Barone A, Covani U, Cornelini R, Gherlone E. Radiographic bone density around immediately loaded oral implants.A case series. Clin Oral Implants Res. 2003;14:610-615.
  • Scarfe WC, Farman AG, Skovic P. Clinical application of conebeam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80.
  • Hao Y, Zhao W, Wang Y, Yu J, Zou D. Assessments of jaw bone density at implant sites using 3D cone-beam computed tomography. Eur Rev Med Pharmacol Sci 2014;18:1398-1403.
  • Endo M, Tsunoo T, Nakamori N, Yoshida K. Effect of scattered radiation on image noise in cone beam CT. Med Phys 2001;28:469–474.
  • Yoo S,Yin FF. Dosimetric feasibility of cone-beam CT-based treatment planning compared to CT-based treatment planning. Int J Radiat Oncol Biol Phys 2006;66(5):1553–1561.
  • Bilhan H, Arat S, Geckili O. How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density? Int J Dent 2012;2012:348908.
  • Moris M, Peretz A, Tjeka R, Negaban N, Wouters M, Bergmann P. Quantitative ultrasound bone measurements: normal values and comparison with bone mineral density by dual X-ray absorptiometry. Calcif Tissue Int 1995 Jul;57(1):6-10.
  • Caffarelli J, Hayek MD, Tomai Pitinca R, Nuti S, Gonnelli A. Comparative Study of Dual-X-ray Absorptiometry and Quantitative Ultrasonography for the Evaluating Bone Statusin Subjects with Rett Syndrome Calcif Tissue Int 2014 Sep;95(3):248-256.
  • Miller CG, Herd RJ, Ramalingam T, Fogelman I, Blake GM. Ultrasonic velocity measurements through the calcaneus: which velocity should be measured? Osteoporos Int 1993Jan;3(1):31-35.
  • Kotzki PO, Buyck D, Leroux JL, Thomas E, Rossi M, Blotman F. Measurement of the bone mineral density of the os calcis as an indication of vertebral fracture in women with lumbar osteoarthritis. Br J Radiol 1993Jan;66(781):55-60.
  • Swain M V and Xue J. State of the art of micro-CT applications in dental research. Int J Oral Sci 2009;1(4):177–188.
  • Bagi CM, Berryman E, Moalli MR. Comparative bone anatomy of commonly used laboratory animals: implications for drug discovery. Comp Med 2011Feb;61(1):76-85.
  • Bensamoun SF, Hawse JR, Subramaniam M, Ilharreborde B, Bassillais A, Benhamou CL, Fraser DG, Oursler MJ, Amadio PC, An KN, Spelsberg T C. TGF beta inducible early gene-1 knockout mice display defects in bone strength and microarchitecture. Bone 2006;39:1244–1251.
  • Bouxsein ML, Boyd SK, Christiansen BA, Guldberg RE, Jepsen KJ, Müller R. Guidelines for assessment of bone microstructure in rodents using micro–computed tomography. J Bone Miner Res 2010;25:1468–1486.
  • Bettina Basrani, Endodontic Radiology, 2nd Edition.2012.
  • Carballido-Gamio J, Majumdar S. Clinical utility of microarchitecture measurements of trabecular bone. Curr Osteoporos Rep 2006;4:64–70.
  • Chung HW, Wehrli FW, Williams JL, Kugelmass SD, Wehrli SL. Quantitative analysis of trabecular microstructure by 400 MHz nuclear magnetic resonance imaging. J Bone Miner Res 1995;10:803–811.
  • Kazakia GJ, Majumdar S. New imaging technologies in the diagnosis of osteoporosis. Rev Endocr Metab Disord. 2006;7:67–74.
  • Majumdar S, Kothari M, Augat P, Newitt DC, Link TM, Lin JC, Lang T, Lu Y, Genant HK. High-resolution magnetic resonance imaging: three-dimensional trabecular bone architecture andbiomechanical properties. Bone 1998;22:445–454.
  • Majumdar S, Genant HK, Grampp S, Newitt DC, Truong VH, Lin JC, Mathur A. Correlation of trabecular bone structure with age, bone mineral density, and osteoporotic status: in vivo studies ofthe distal radius using high resolution magnetic resonance imaging. J Bone Miner Res. 1997;12:111–118.
  • Bollen AM, Taguchi A, Hujoel PP, Hollender LG. Case control study on self reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:518-24.
  • Taguchi A, Sugino N, Miki M, Kozai Y, Mochizuki N, Osanai H, et al. Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs. Dentomaxillofac Radiol. 2011;40:154-59.
  • Taguchi A, Sunada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, et al. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res 2003:18:1689-1694.
  • Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporos Int 2002;13:373-378.
  • Kribbs P J, Chesnut C H, Ott S M, Kilcoyne R F. Relationships between mandibular and skeletal bone in an osteoporotic population. J Prosthet Dent 1989;62:703–707.
  • Kribbs P J, Chesnut C H, Ott S M, Kilcoyne R F. Relationships between mandibular and skeletal bone in a population of normal women. J Prosthet Dent 1990;63:86–89.
  • Kribbs PJ. Comparison of mandibular bone in normal and osteoporotic women. J Prosthet Dent 1990;63:218–222.
  • Mohajery M, Brooks S L. Oral radiographs in the detection of early signs of Osteoporosis. Oral Surg Oral Med Oral Pathol 1992;73:112-117.
  • Horner K, Devlin H. Clinical bone densitometric study of mandibular atrophy using dental panoramic tomography. J Dent 1992 Feb;20(1):33-37.
  • Devlin H, Horner K. Measurement of mandibular bone mineral content using the dental panoramic tomogram. Journal of Dent 1991;19:116–120.
  • Prouteau S, Ducher G, Nanyan P, Lemineur G, Benhamou L, Courteix D. Fractal analysis of bone texture: a screening tool for stress fracture risk? Eur J Clin Invest 2004;34:137–142.
  • Southard TE, Southard KA, Krizan KE, Hillis SL, Haller JW, Keller J, et al. Mandibular bone density and fractal dimension in rabbits with induced osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:244–249.
  • Yu YY, Chen H, Lin CH, Chen CM, Oviir T, Chen SK, et al. Fractal dimension analysis of periapical reactive bone in response to root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:283–288.
  • Shrout MK, Hildebolt CF, Potter BJ. The effect of varying the region of interest on calculations of fractal index. Dentomaxillofac Radiol 1997;26:295–298.
  • Webber RL, Hazelrig JB, van der Berg HR, Lemons JE. Evaluation of site-specific differences in trabecular bone using fractal geometry. J Dent Res 1991;70:528.(Abstr 2095).
  • Khosrovi PM, Kahn AJ, Majumdar HK, Genant CA. Fractal analysis of dental radiographs to assess trabecular bone structure. J Dent Res 1995;74:173. (Abstr 1294).
  • Otis LL, Hong JSH, Tuncay OC. Bone structure effect on root resorption. Orthod Craniofac Res 2004;7:165–177.
  • Ruttimann UE, Webber RL, Hazelrig JB. Fractal dimension from radiographs of peridental alveolar bone: a possible diagnostic indicator of osteoporosis. Oral Surg Oral Med Oral Pathol 1992;74:98–110.
  • White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:628–35.
  • Shrout MK, Roberson B, Potter BJ, Mailhot JM, Hildebolt CF. A comparison of 2 patient populations using fractal analysis. J Periodontol 1998;69:9–13.
  • Güneri P, Göğüş S, Tuğsel Z, Ozturk A, Gungor C, Boyacıoğlu H. Clinical efficacy of a new software developed for dental digital subtraction radiography. Dentomaxillofac Radiol. 2006;35:417–21.
  • Yaşar F,Akgünlü F. The differences in panoramic mandibular indices and fractal dimension between with and without spinal osteoporosis. Dentomaxillofac Radiol 2006;35:1‑9.
  • Drage NA, Palmer RM, Blake G, Wilson R, Crane F, Fogelman I. A comparison of bone mineral density in the spine, hip and jaws of edentulous subjects.Clin Oral Implants Res. 2007Aug;18(4):496‑500.
  • Bando K, Nitta H, Matsubara M, Ishikawa I. Bone mineral density in periodontally healthy and edentulous postmenopausal women. Ann Periodontol 1998 Jul;3(1):322-6.
  • Mohammad A R, Bauer R L, Yeh C K. Spinal bone density and tooth loss in a cohort of postmenopausal women. Int J Prosthodont 1997;10:381–385.
  • Earnshaw S A, Keating N, Hosking D J, Chilvers C E, Ravn P, McClung M, Wasnich RD. Tooth counts do not predict bone mineral density in early postmenopausal Caucasianwomen. EPIC study group. Int J Epidemiol 1998;27:479–483.
  • Celenk C, Celenk P. Evaluation by quantitative magnetic resonance imaging of trabecular bone quality in the dentate and edentulous mandible. Clin Oral Implant Res 19,2008;15–18
  • Gasser JA. Assessing bone quantity by pQCT. Bone 1995Oct;17(4 Suppl):145-154.
  • Jämsä T, Jalovaara P, Peng Z, Väänänen HK, Tuukkanen J. Comparison of three-point bending test and peripheral quantitative computed tomography analysis in the evaluation of the strength of mouse femur and tibia. J Bone 1998Aug;23(2):155-61.
  • Lochmüller EM, Lill CA, Kuhn V, Schneider E, Eckstein F. Radius bone strength in bending, compression, and falling and its correlation with clinical densitometry at multiple sites. J Bone Miner Res 2002Sep;17(9):1629-38.
  • Molly L. Bone density and primary stability in implants therapy. Clin Oral Implants Res. 2006;17:124–135.
  • Sakakura CE, Grio G, Goncalces D, et al. Radiographic assessment f bone density around integrated titanium implants after ovariectomy in rats. Clin Oral Implants Res 2006;17:134–138.
  • Bassi F, Procchio M, Fava C, Schierano G, Preti G. Bone density in human dentate and edentulous mandibles using computed tomography. Clin Oral Implants Res 1999;10:356-361.
  • Arisan V, Karabuda Z C, Avsever H, Özdemir T. Conventional multi‐slice computed tomography (CT) and cone‐beam CT (CBCT) for computerassisted implant placement. Part I: Relationship of radiographic gray density and implant stability. Clin Implant Dent Relat Res 2012.
  • Benavides E,Rios H F, Ganz S D, An CH, Resnik R, Reardon GT, Feldman SJ, Mah J K, Hatcher D, Kim M J. Use of cone beam computed tomography in implant dentistry: the international congress of oral implantologists consensus report. Implant Dent 2012;21:78–86.
  • Fuster-Torres M, Peñarrocha-Diago M, Peñarrocha-Oltra D. Relationships between bone density values from cone beam computed tomography, maximum insertion torque, and resonance frequency analysis at implant placement: a pilot study. Int J Oral Maxillofac Implants 2011;26:1051–1056.
  • Ferrare N, Leite AF, Caracas HC, de Azevedo RB, de Melo NS, de Souza Figueiredo PT. Cone-beam computed tomography and microtomography for alveolar bone measurements. Surg Radiol Anat 2013Aug;35(6):495-502.
  • Nomura Y, Watanabe H, Shirotsu K, Honda E, Sumi Y, Kurabayshi T. Stability of voxel values from conebeam computed tomography for dental use in evaluating bone mineral content. Clin Oral Implants Res 2013;24:543–548.
  • González‐García R, Monje F. The reliability of cone‐beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro‐CT. Clin Oral Implants Res 2012;24:871-879.
There are 100 citations in total.

Details

Subjects Health Care Administration
Journal Section Review
Authors

Defne Yalçın Yeler

Publication Date January 3, 2016
Submission Date December 7, 2016
Published in Issue Year 2016Volume: 19 Issue: 1

Cite

EndNote Yeler DY (January 1, 2016) Bone quality and quantity measurement techniques in dentistry. Cumhuriyet Dental Journal 19 1 73–86.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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