The Relationship of Fractal Dimension and Osseointegration: A Retrospective Radiologic Clinical Trial

Year 2024, Volume: 13 Issue: 3, 737 - 744, 25.12.2024

Fatma Akkoca , Turan Emre Kuzu , Günnur İlhan

https://doi.org/10.53424/balikesirsbd.1471791

Abstract

Objective: The objective of this study was to evaluate the density of alveolar bone in the peri-implant area using fractal analysis on orthopantomograms, both prior to and following clinical osseointegration. Material and Methods: Orthopantomograms were performed prior to the implant surgery and again four months postoperatively. Regions of interest at the mesial, distal, and apical sites of the implants were identified for analysis. The method by White and Rudolph was employed to calculate the fractal dimension. Subsequently, fractal dimension values were compared across all recorded measurements. Results: Statistical analyses revealed significant correlations between the mesial measurements before and after surgery, as well as between the distal measurements pre- and post-operatively, compared to the apical measurements over the same periods. Further subgroup analyses identified significant correlations in pre- and post-operative fractal dimension values specifically within the female subgroup, with notable distinctions observed between pre-mesial, post-mesial, and the average values before and after surgery (p<0.05). Moreover, substantial differences were detected between the jaws (p<0.05) and the specific locations within the jaws (p>0.05), regarding the fractal dimensions measured pre- and post-operatively. Conclusion: Fractal analysis has demonstrated its reliability as a method for both clinical and radiological assessment of osseointegration.

Keywords

Dental implants, Fractal dimension, Orthopantomogram, Osseointegration

Ethical Statement

The Relationship of Fractal Dimension and Osseointegration: A Retrospective Radiologic Clinical Trial adli calismanin yürütülmesinde bilimsel ve etik kurallara uyduğumu, araştırmanın Etik kurul izni gerektiren çalışmalar kapsamına giren bir çalışma olmadığını, etik kurul izni gerektirmediğini ve bu durumu calışmanın yönteminde belirttiğimi beyanederim.

Supporting Institution

YOK

Fraktal Boyut ve Ossentegrasyon İlişkisi: Retrospektif Radyolojik Klinik Deneme

Abstract

Amaç: Bu çalışmanın amacı, klinik ossentegrasyon öncesi ve sonrasında ortopantomogramlar üzerinde fraktal analiz kullanarak alveolar kemik yoğunluğunu değerlendirmektir. Gereç ve Yöntem: İmplant cerrahisi öncesinde ve ameliyattan dört ay sonra ortopantomogramlar çekildi. İmplantların mezial, distal ve apikal bölgelerinde analiz için ilgi alanları belirlendi. Fraktal boyut hesaplamak için White ve Rudolph yöntemi kullanıldı. Daha sonra, kaydedilen tüm ölçümlerde fraktal boyut değerleri karşılaştırıldı. Bulgular: İstatistiksel analizler, cerrahi öncesi ve sonrası mezial ölçümler arasında, aynı dönemlerde apikal ölçümlere kıyasla distal ölçümler arasında önemli korelasyonlar ortaya koydu. Daha fazla alt grup analizleri, özellikle kadın alt grubu içinde cerrahi öncesi ve sonrası fraktal boyut değerlerinde önemli korelasyonlar saptadı; cerrahi öncesi-mezial, cerrahi sonrası-mezial ve cerrahi öncesi ve sonrası ortalama değerler arasında belirgin farklar gözlemlendi (p<0.05). Ayrıca, çeneler arasında (p<0.05) ve çeneler içindeki spesifik lokasyonlar arasında (p>0.05), cerrahi öncesi ve sonrası ölçülen fraktal boyutlar açısından önemli farklar tespit edildi. Sonuç: Fraktal analiz, klinik ve radyolojik ossentegrasyon değerlendirmesi için güvenilir bir yöntem olarak kendini kanıtlamıştır.

Keywords

Diş implantları, Fraktal boyut, Ortopantomogram, Ossentegrasyon.

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