Evaluation of Early Changes in Periimplantal Alveolar Bone Micromarchitecture During Immediate Implantation Using Fractal Analysis: A Retrospective Study
Abstract
Objective: The aim of our study was to evaluate the effect of immediate implantation on the peri-implant bone using fractal analysis.
Materials and Methods: Orthophotomographs of the participants just before the immediate implantation (T0) and the first (T1) and fourth months (T2) after the immediate implantation were used for fractal dimension analysis. In the radiographs, "Regions of Interest" (ROI) with dimensions of 33 × 33 pixels were determined (ROI-1: mesial-coronal, ROI2: mesial-apical, ROI3: distal-apical, ROI 4: distal-coronal, ROI average).
Results: The fractal dimension analyzes at T0, T1,T2 times in the research; It was found that there was a significant decrease in ROI1, ROI4, ROI average measurements between T1-T0 (p< 0.05), and T2-T1 (p < 0.05), no significant difference in measurements between T0 -T2 (p > 0.05). No significant differences were found in the ROI2 and ROI3 measurements at any time (p >0.05). Gender, jaw subgroups: ROI1, ROI4, and ROI average, while a significant difference (p < 0.05) was observed between T0- T1, T1–T2 values, no significant difference was found in the measurements between T0-T2 (p >0.05). No significant differences were found in the ROI2 and ROI3 measurements for all subgroups and evaluation times (p >0.05). When gender and jaw type subgroups were evaluated within themselves, it was observed that there was no statistically significant difference (p > 0.05).
Conclusion: Within the limits of our study, we can state that immediate implantation preserves the fractal dimension in the peri-implant bone
Keywords
Ethical Statement
The authors declare that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper, and the material described is not under publication or consideration for publication elsewhere.
Supporting Institution
none
References
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- 11. Blanco J, Nuñez V, Aracil L, Muñoz F, Ramos I. Ridge alterations following immediate implant placement in the dog: flap versus flapless surgery. J Clin Periodontol 2008;35:640-648.
- 12. Caneva M, Botticelli D, Viganò P, Morelli F, Rea M, et al. Connective tissue grafts in conjunction with implants installed immediately into extraction sockets. An experimental study in dogs. Clin Oral Implants Res 2013;24:50-56.
- 13. Carlsson L, Röstlund T, Albrektsson B, Albrektsson T. Implant fixation improved by close fit. Cylindrical implant-bone interface studied in rabbits. Acta Orthop Scand 1988;59:272-275.
- 14. Chu SJ, Salama MA, Garber DA, Salama H, Sarnachiaro GO, et al. Flapless Postextraction Socket Implant Placement, Part 2: The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height and Thickness- A Retrospective Study. Int J Periodontics Restorative Dent 2015;35:803-809.
- 15. Guido Mangano F, Ghertasi Oskouei S, Paz A, Mangano N, Mangano C. Low serum vitamin D and early dental implant failure: Is there a connection? A retrospectclinical study on 1740 implants placed in 885 patients. J Dent Res Dent Clin Dent Prospects 2018;12:174-182.
- 16. August M, Chung K, Chang Y, Glowacki J. Influence of estrogen status on endosseous implant osseointegration. J Oral Maxillofac Surg 2001;59:1285-9; discussion 90-91.
- 17. Chen MH, Lyons K, Tawse-Smith A, Ma S. Resonance Frequency Analysis in Assessing Implant Stability: A Retrospective Analysis. Int J Prosthodont 2019;32:317- 326.
- 18. Lee DH, Ku Y, Rhyu IC, Hong JU, Lee CW, et al. A clinical study of alveolar bone quality using the fractal dimension and the implant stability quotient. J Periodontal Implant Sci 2010;40:19-24.
İmmediat Implantasyon Sırasında Periimplantal Alveoler Kemik Mikro Mimarisindeki Erken Değişikliklerin Fraktal Analiz Yöntemiyle Değerlendirilmesi: Retrospektif Bir Çalışma
Abstract
References
- 1. Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review. Clin Implant Dent Relat Res 2015;17 Suppl 1:e1- e16.
- 2. BB. M, Freeman. The fractal geometry of nature. 2 nd ed: W.H Freeman New York 1983.
- 3. Mishra S, Kumar M, Mishra L, Mohanty R, Nayak R, et al. Fractal Dimension as a Tool for Assessment of Dental Implant Stability-A Scoping Review. J Clin Med 2022;11.
- 4. Ozturk K, Kis HC. Peri-implant bone microstructural analysis and comparison of resonance frequency analysis before prosthetic placement: a retrospective study. Clin Oral Investig 2022;26:4967-4975.
- 5. 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- 635.
- 6. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 2009;24 Suppl:186-217.
- 7. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23 Suppl 5:39-66.
- 8. Esposito M, Grusovin MG, Polyzos IP, Felice P, Worthington HV. Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol 2010;3:189-205.
- 9. Araújo MG, Sukekava F, Wennström JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res 2006;17:615-624.
- 10. Caneva M, Salata LA, de Souza SS, Bressan E, Botticelli D, et al. Hard tissue formation adjacent to implants of various size and configuration immediately placed into extraction sockets: an experimental study in dogs. Clin Oral Implants Res 2010;21:885-890.
- 11. Blanco J, Nuñez V, Aracil L, Muñoz F, Ramos I. Ridge alterations following immediate implant placement in the dog: flap versus flapless surgery. J Clin Periodontol 2008;35:640-648.
- 12. Caneva M, Botticelli D, Viganò P, Morelli F, Rea M, et al. Connective tissue grafts in conjunction with implants installed immediately into extraction sockets. An experimental study in dogs. Clin Oral Implants Res 2013;24:50-56.
- 13. Carlsson L, Röstlund T, Albrektsson B, Albrektsson T. Implant fixation improved by close fit. Cylindrical implant-bone interface studied in rabbits. Acta Orthop Scand 1988;59:272-275.
- 14. Chu SJ, Salama MA, Garber DA, Salama H, Sarnachiaro GO, et al. Flapless Postextraction Socket Implant Placement, Part 2: The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height and Thickness- A Retrospective Study. Int J Periodontics Restorative Dent 2015;35:803-809.
- 15. Guido Mangano F, Ghertasi Oskouei S, Paz A, Mangano N, Mangano C. Low serum vitamin D and early dental implant failure: Is there a connection? A retrospectclinical study on 1740 implants placed in 885 patients. J Dent Res Dent Clin Dent Prospects 2018;12:174-182.
- 16. August M, Chung K, Chang Y, Glowacki J. Influence of estrogen status on endosseous implant osseointegration. J Oral Maxillofac Surg 2001;59:1285-9; discussion 90-91.
- 17. Chen MH, Lyons K, Tawse-Smith A, Ma S. Resonance Frequency Analysis in Assessing Implant Stability: A Retrospective Analysis. Int J Prosthodont 2019;32:317- 326.
- 18. Lee DH, Ku Y, Rhyu IC, Hong JU, Lee CW, et al. A clinical study of alveolar bone quality using the fractal dimension and the implant stability quotient. J Periodontal Implant Sci 2010;40:19-24.
Details
| Primary Language | English |
|---|---|
| Subjects | Oral and Maxillofacial Radiology, Oral Implantology |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 28, 2025 |
| Submission Date | March 13, 2024 |
| Acceptance Date | March 12, 2025 |
| Published in Issue | Year 2025Volume: 28 Issue: 1 |
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