Research Article

Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study

Volume: 9 Number: 4 July 20, 2026
Journal of Health Sciences and Medicine Cover
Journal of Health Sciences and Medicine
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Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study

Abstract

Aims: The aim of this retrospective study was to evaluate temporal changes in the alveolar bone density surrounding abutment teeth in fixed prosthetic restorations designed according to prosthetic principles, using normalized gray values obtained from cone-beam computed tomography (CBCT). Methods: Among 211 patients who had undergone at least two CBCT scans within the last decade (2016-2025), 15 patients who met the inclusion criteria were selected. A total of 22 fixed dental bridges and 55 abutment teeth were evaluated, with a mean actual follow-up duration of 15.9\pm 6.3 months (range: 8.3-31.5 months). For each abutment, a 2-mm circumferential peri-radicular bone zone was segmented using 3D Slicer software. To minimize variability arising from different imaging parameters, gray values were normalized based on the theoretical -1000 HU reference of the maxillary sinus air cavity. To account for intra-subject clustering, data were analyzed using a linear mixed-effects model (LMM) and Pearson correlation analysis. A significance level of p<0.05 was adopted. Results: No statistically significant difference was detected between the normalized bone density values at T1 and T2 according to the LMM (F=0.217, p=0.642). Examination of the measurements from both time points revealed a strong positive correlation, indicating that baseline and follow-up normalized gray values remained statistically unchanged throughout the observation period (p<0.001). Conclusion: In fixed prosthetic restorations planned in accordance with established prosthetic principles, the alveolar bone density surrounding abutment teeth did not exhibit a significant change over the follow-up period. Normalization-based CBCT analysis enhances comparability among scans taken with differing imaging parameters and provides a useful method for detecting longitudinal variations in peri-abutment bone density.

Keywords

Supporting Institution

None

Ethical Statement

This study was approved by the local Non-Interventional Clinical Research Ethics Committee (decision no. 2025/06-50, dated April 24, 2025). The study was conducted in accordance with the Declaration of Helsinki and its subsequent amendments.

References

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  8. Rehmann P, Podhorsky A, Schaaf D, Rudel K, Wöstmann B. Long-span fixed dental prostheses not meeting Ante’s law: a retrospective analysis. Quintessence Int. 2015;46(1):51-57. doi:10.3290/j.qi.a32816

Details

Primary Language

English

Subjects

Prosthodontics

Journal Section

Research Article

Authors

Publication Date

July 20, 2026

Submission Date

April 2, 2026

Acceptance Date

July 2, 2026

Published in Issue

Year 2026 Volume: 9 Number: 4

DOI

https://doi.org/10.32322/jhsm.1921927

IZ

https://izlik.org/JA34ZR73TL

Cite

RIS / Bibtex
APA
Tartuk, B. K., Akgül, M. C., & Altıntaş, E. (2026). Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study. Journal of Health Sciences and Medicine, 9(4), 1112-1118. https://doi.org/10.32322/jhsm.1921927
AMA
1.Tartuk BK, Akgül MC, Altıntaş E. Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study. J Health Sci Med / JHSM. 2026;9(4):1112-1118. doi:10.32322/jhsm.1921927
Chicago
Tartuk, Bülent Kadir, Mustafa Caner Akgül, and Eyyüp Altıntaş. 2026. “Evaluation of Alveolar Bone Density Around Abutments in Fixed Prostheses Designed According to Prosthetic Principles Using CBCT: A Retrospective Study”. Journal of Health Sciences and Medicine 9 (4): 1112-18. https://doi.org/10.32322/jhsm.1921927.
EndNote
Tartuk BK, Akgül MC, Altıntaş E (July 1, 2026) Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study. Journal of Health Sciences and Medicine 9 4 1112–1118.
IEEE
[1]B. K. Tartuk, M. C. Akgül, and E. Altıntaş, “Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study”, J Health Sci Med / JHSM, vol. 9, no. 4, pp. 1112–1118, July 2026, doi: 10.32322/jhsm.1921927.
ISNAD
Tartuk, Bülent Kadir - Akgül, Mustafa Caner - Altıntaş, Eyyüp. “Evaluation of Alveolar Bone Density Around Abutments in Fixed Prostheses Designed According to Prosthetic Principles Using CBCT: A Retrospective Study”. Journal of Health Sciences and Medicine 9/4 (July 1, 2026): 1112-1118. https://doi.org/10.32322/jhsm.1921927.
JAMA
1.Tartuk BK, Akgül MC, Altıntaş E. Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study. J Health Sci Med / JHSM. 2026;9:1112–1118.
MLA
Tartuk, Bülent Kadir, et al. “Evaluation of Alveolar Bone Density Around Abutments in Fixed Prostheses Designed According to Prosthetic Principles Using CBCT: A Retrospective Study”. Journal of Health Sciences and Medicine, vol. 9, no. 4, July 2026, pp. 1112-8, doi:10.32322/jhsm.1921927.
Vancouver
1.Bülent Kadir Tartuk, Mustafa Caner Akgül, Eyyüp Altıntaş. Evaluation of alveolar bone density around abutments in fixed prostheses designed according to prosthetic principles using CBCT: a retrospective study. J Health Sci Med / JHSM. 2026 Jul. 1;9(4):1112-8. doi:10.32322/jhsm.1921927

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