Ortodontik tedavi görmüş hastalarda implant planlaması öncesinde fraktal analiz yöntemi kullanılarak alveolar trabeküler kemik yapısının tayini

Year 2020, Volume: 7 Issue: 2, 259 - 264, 01.08.2020

Gülbahar Ustaoğlu Duygu Göller Bulut Emine Şebnem Kurşun Çakmak Burak Sarıoğlu Handan Ankaralı

https://doi.org/10.15311/selcukdentj.549719

Abstract

Amaç:
Bu çalışmanın
amacı, ortodontik tedavi gören hastaların implant tedavisinde rehber olması
amacıyla, ortodontik tedavi öncesinde (T0), hemen sonrasında (T1) ve 6 ay sonrasında
(T2) trabeküler kemik değişikliklerini fraktal boyut (FD) analizini kullanarak
değerlendirmektir.

Gereç
ve Yöntemler: Çalışmaya
bir dişi eksik olan toplam 32 ortodonti hastası dahil edildi. Hastalar dişleri
hizalamak ve implant yerleştirmek için boyutsal olarak uygun bir alan
oluşturmak için tedavi edildi. Panoramik radyografiler standart protokollerle sabit
ortodontik tedavi öncesinde (T0), hemen sonrasında (T1) ve 6 ay sonrasında (T2)
alındı. FD analizi Image J 1.3 yazılımı kullanılarak kutu sayma yöntemiyle
yapıldı.

Bulgular:
En yüksek FD
değeri tedavi öncesinde ölçüldü (T0 = 1.47 ± 0.14). T2' nin ortalama FD değeri
(1.32 ± 0.14), T1'den (1.19 ± 0.15) istatistiksel olarak anlamlı derecede
yüksek  bulundu (p <0.001).

Sonuç: Trabeküler kemik zamanla daha karmaşık bir yapı
kazandığından, ortodontik tedavinin sona ermesinden hemen sonra implant
ameliyatı planlanmaması önerilmektedir. FD analizi kemik trabekül yapısını panoramik
radyografilerde incelemek için basit ve uygun maliyetli bir yöntemdir.

Keywords

Alveolar kemik, Dental implantlar, Fraktal analizler, Ortodonti

Estimation of the trabecular structure of alveolar bone before implant planning in orthodontic treated patients by using fractal analysis method

Abstract

Background:The aim of this study was to assess the trabecular bone pattern changes of orthodontically treated patients before orthodontic treatment (T0), immediately after (T1) and 6 months after (T2) the treatment by using fractal dimension (FD) analysis in order to guide implant applications. 

Methods:Totally 32 orthodontic patients who had one missing tooth were included in the study. Patients were treated to align the teeth and to create a dimensionally appropriate space for implant placement. Panoramic radiographs were taken with standard protocols at the time periods of before (T0), immediately after (T1) and 6 months after (T2) treatment. FD analysis was performed using Image J 1.3 software with the box-counting method. 

Results:The highest FD value measured before treatment (T0=1.47±0.14). Mean FD values of T2 was found statistically significantly higher (1.32±0.14) than T1 (1.19±0.15) (p<0.001). 

Conclusions:It is suggested not to plan implant surgery immediately after the end of orthodontic treatment because trabecular bone gains more complex nature over time. FD analysis is a simple and cost-effective tool for examining bone structure in panoramic radiographs.

Keywords

Alveolar bone, Dental implants, Fractal analyses, Orthodontics

References

• 1. Isola G, Matarese G, Cordasco G, Perillo L, Ramaglia L. Mechanobiology of the tooth movement during the orthodontic treatment: a literature review. Minerva stomatologica. 2016;65(5):299-327.2. Roschger P, Fratzl P, Eschberger J, Klaushofer K. Validation of quantitative backscattered electron imaging for the measurement of mineral density distribution in human bone biopsies. Bone. 1998;23(4):319-26.3. Ruffoni D, Fratzl P, Roschger P, Klaushofer K, Weinkamer R. The bone mineralization density distribution as a fingerprint of the mineralization process. Bone. 2007;40(5):1308-19.4. King GJ, Keeling SD, Wronski TJ. Histomorphometric study of alveolar bone turnover in orthodontic tooth movement. Bone. 1991;12(6):401-9.5. Hsu JT, Chang HW, Huang HL, Yu JH, Li YF, Tu MG. Bone density changes around teeth during orthodontic treatment. Clinical oral investigations. 2011;15(4):511-9.6. Chang HW, Huang HL, Yu JH, Hsu JT, Li YF, Wu YF. Effects of orthodontic tooth movement on alveolar bone density. Clin Oral Investig. 2012;16(3):679-88.7. Verna C, Dalstra M, Melsen B. The rate and the type of orthodontic tooth movement is influenced by bone turnover in a rat model. European journal of orthodontics. 2000;22(4):343-52.8. Cattaneo PM, Dalstra M, Melsen B. The finite element method: a tool to study orthodontic tooth movement. Journal of dental research. 2005;84(5):428-33.9. Liang W, Rong Q, Lin J, Xu B. Torque control of the maxillary incisors in lingual and labial orthodontics: a 3-dimensional finite element analysis. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2009;135(3):316-22.10. Haghnegahdar A, Zarif Najafi H, Sabet M, Saki M. Assessment of the changes in alveolar bone quality after fixed orthodontic therapy: A trabecular structure analysis. Journal of dental research, dental clinics, dental prospects. 2016;10(4):201-6.11. Huang H, Richards M, Bedair T, Fields HW, Palomo JM, Johnston WM, et al. Effects of orthodontic treatment on human alveolar bone density distribution. Clinical oral investigations. 2013;17(9):2033-40.12. Genant HK, Jiang Y. Advanced imaging assessment of bone quality. Annals of the New York Academy of Sciences. 2006;1068:410-28.13. Hwang JJ, Lee JH, Han SS, Kim YH, Jeong HG, Choi YJ, et al. Strut analysis for osteoporosis detection model using dental panoramic radiography. Dento maxillo facial radiology. 2017;46(7):20170006.14. Faber TD, Yoon DC, Service SK, White SC. Fourier and wavelet analyses of dental radiographs detect trabecular changes in osteoporosis. Bone. 2004;35(2):403-11.15. Ibrahim N, Parsa A, Hassan B, Van der Stelt P, Wismeijer D. Diagnostic imaging of trabecular bone microstructure for oral implants: a literature review. Dentomaxillofacial Radiology. 2013;42(3):20120075.16. Buckland-Wright JC, Lynch JA, Rymer J, Fogelman I. Fractal signature analysis of macroradiographs measures trabecular organization in lumbar vertebrae of postmenopausal women. Calcified tissue international. 1994;54(2):106-12.17. Fazzalari NL, Parkinson IH. Fractal properties of cancellous bone of the iliac crest in vertebral crush fracture. Bone. 1998;23(1):53-7.18. Gumussoy I, Miloglu O, Cankaya E, Bayrakdar IS. Fractal properties of the trabecular pattern of the mandible in chronic renal failure. Dento maxillo facial radiology. 2016;45(5):20150389.19. de Molon RS, de Paula WN, Spin-Neto R, Verzola MH, Tosoni GM, Lia RC, et al. Correlation of fractal dimension with histomorphometry in maxillary sinus lifting using autogenous bone graft. Brazilian dental journal. 2015;26(1):11-8.20. Pham D, Kiliaridis S. Evaluation of changes in trabecular alveolar bone during growth using conventional panoramic radiographs. Acta odontologica Scandinavica. 2012;70(2):127-32.21. White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 1999;88(5):628-35.22. Jeong KI, Kim SG, Oh JS, Jeong MA. Consideration of various bone quality evaluation methods. Implant dentistry. 2013;22(1):55-9.23. Verna C, Zaffe D, Siciliani G. Histomorphometric study of bone reactions during orthodontic tooth movement in rats. Bone. 1999;24(4):371-9.24. Yu JH, Huang HL, Liu CF, Wu J, Li YF, Tsai MT, et al. Does Orthodontic Treatment Affect the Alveolar Bone Density? Medicine. 2016;95(10):e3080.25. Kursun-Cakmak ES, Bayrak S. Comparison of fractal dimension analysis and panoramic-based radiomorphometric indices in the assessment of mandibular bone changes in patients with type 1 and type 2 diabetes mellitus. Oral surgery, oral medicine, oral pathology and oral radiology. 2018;126(2):184-91.26. Goller Bulut D, Bayrak S, Uyeturk U, Ankarali H. Mandibular indexes and fractal properties on the panoramic radiographs of the patients using aromatase inhibitors. The British journal of radiology. 2018:20180442.27. Ma ZG, Yang C, Fang B, Xia YH, Mao LX, Feng YM. Three-D imaging of dental alveolar bone change after fixed orthodontic treatment in patients with periodontitis. International journal of clinical and experimental medicine. 2015;8(2):2385-91.28. Ru N, Liu SS, Zhuang L, Li S, Bai Y. In vivo microcomputed tomography evaluation of rat alveolar bone and root resorption during orthodontic tooth movement. The Angle orthodontist. 2013;83(3):402-9.29. Zhuang L, Bai Y, Meng X. Three-dimensional morphology of root and alveolar trabecular bone during tooth movement using micro-computed tomography. The Angle orthodontist. 2011;81(3):420-5.30. Wang C, Han J, Li Q, Wang L, Fan Y. Simulation of bone remodelling in orthodontic treatment. Computer methods in biomechanics and biomedical engineering. 2014;17(9):1042-50.31. Campos MJ, de Albuquerque EG, Pinto BC, Hungaro HM, Gravina MA, Fraga MR, et al. The role of orthodontic tooth movement in bone and root mineral density: a study of patients submitted and not submitted to orthodontic treatment. Medical science monitor : international medical journal of experimental and clinical research. 2012;18(12):Cr752-7.32. Wilding RJ, Slabbert JC, Kathree H, Owen CP, Crombie K, Delport P. The use of fractal analysis to reveal remodelling in human alveolar bone following the placement of dental implants. Archives of oral biology. 1995;40(1):61-72.33. Araujo AS, Fernandes AB, Maciel JV, Netto Jde N, Bolognese AM. New methodology for evaluating osteoclastic activity induced by orthodontic load. Journal of applied oral science : revista FOB. 2015;23(1):19-25.34. Lee DH, Ku Y, Rhyu IC, Hong JU, Lee CW, Heo MS, et al. A clinical study of alveolar bone quality using the fractal dimension and the implant stability quotient. Journal of periodontal & implant science. 2010;40(1):19-24.35. Rothe LE, Bollen AM, Little RM, Herring SW, Chaison JB, Chen CS, et al. Trabecular and cortical bone as risk factors for orthodontic relapse. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2006;130(4):476-84.36. Jung YH. Evaluation of peri-implant bone using fractal analysis. Korean Journal of Oral and Maxillofacial Radiology. 2005;35(3):121-5.37. Mu TJ, Lee DW, Park KH, Moon IS. Changes in the fractal dimension of peri-implant trabecular bone after loading: a retrospective study. Journal of periodontal & implant science. 2013;43(5):209-14.38. Arsan B, Kose TE, Cene E, Ozcan I. Assessment of the trabecular structure of mandibular condyles in patients with temporomandibular disorders using fractal analysis. Oral surgery, oral medicine, oral pathology and oral radiology. 2017;123(3):382-91.