DENT1050 Dental Practice I

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DENT1050 Dental Practice I

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DENT1050 Dental Practice I

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Course Code: DENT1050
University: The University Of Queensland

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Country: Australia

Question:

Clinical Relevance of Bone Density Values from CT Related to Dental Implant Stability.

Answer:

Primary implant stability may be described as the biometric stability after an instant insertion of the implant. The primary implant stability hinders the fibrous scar tissue from forming and micro-movement during implant loading. However, it is hard to predict the efficiency of the primary implant stability in preventing errors when using an instant loading method without valuing the HU determined on CT images (Bruno et al., 2018). This prospective study’s principal aim is to analyze the bone density before surgery to provide recommendations to clinicians about appropriate surgical techniques from the different implanting techniques. Methodology and Materials used include; a 75 Patient enrollment with 269 implants, a baseline measurement for diagnostic casts and alginate impressions development, surgical procedures before the implantation and data collection techniques when implanting. Also, final steps such as measurements of the Cortical Thickness and Bone Density and statistical analysis of the implant are performed. Results from the 75 patients were recorded. The major bottom-line patient features focused on the patients’ ISQ, mandible, maxilla, mandible’s torque and the bone characteristics (Safi et al., 2018). These results are then discussed looking into the several published bone quality assessment published methods detecting the deficiency in objectivity. Manual stability and percussions are the widely used testing techniques that test the implant’s stability but lack enough literature to support their methodology. Another technique is the radiographic examination that monitors perifixtural radiolucencies and bone loss but has a poor diagnostic ability other than showing less preferred two-dimensional images. The insertion torque notes the local bone quality and required implantation torque. The removal torque technique involves peak torque needed for breaking interface between the implant and the bone. Other applicable tests include the Periotest whose application is limited as a diagnostic tool in clinics (Bruno et al., 2018). Analysis of the Resonance Frequency Analysis is for the stability testing objectivity. Thereby, analyzing the transducer’s resonance frequency testing once connected to the implant’s abutment or fixture, making the procedure non-invasive and consistent at any stage of the implant-bone interface examinations or treatment. CBCT method is preferred since it has lower radiation cost and dose. The study finds out that the cortical bone thickness indicates lower values in the posterior maxilla and the greatest in the posterior mandible with a negative correlation between torque in the mandible and the age among other realizations (Shahidi, Zamiri, Abolvardi, Akhlaghian, & Paknahad, 2018). Finally, the study concludes with the outcome of this research indicating that the values of the bone density acquired from CT can be employed as portending parameters before surgical assessment about primary implant stability. Additionally, the outcome shows that the thickness of the cortical especially at the center of the ridge whose measurement was obtained from CT can be employed as portending parameters before surgical assessment if connected with the insertion torque (Sun, Lan, Pan, & Lee, 2018).
References
Bruno, V., Berti, C., Barausse, C., Badino, M., Gasparo, R., Ippolito, D. R., & Felice, P. (2018, MAY 31). Clinical Relevance of Bone Density Values from CT Related to Dental Implant Stability: A Retrospective Study. BioMed Research International, pp. 1-8.
Safi, A. F., Kauke, M., Grandoch, A., Nickenig, H. J., Zöller, J. E., & Kreppel, M. (2018). Age-Related Volumetric Changes in Mandibular Condyles. Journal of Craniofacial Surgery, 510-513.
Shahidi, S., Zamiri, B., Abolvardi, M., Akhlaghian, M., & Paknahad, M. (2018). Comparison of Dental Panoramic Radiography and CBCT for Measuring Vertical Bone Height in Different Horizontal Locations of Posterior Mandibular Alveolar Process. Journal of Dentistry, 1-83.
Sun, T. M., Lan, T. H., Pan, C. Y., & Lee, H. E. (2018). Dental implant navigation system guide the surgery future. The Kaohsiung journal of medical sciences, 56-64.

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