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Article . 2015
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Clinical Implant Dentistry and Related Research
Article . 2014 . Peer-reviewed
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Relation between Spongy Bone Density in the Maxilla and Skeletal Bone Density

Authors: Merheb, Joe; Temmerman, Andy; Coucke, Wim; Rasmusson, Lars; Kübler, Alexander; Thor, Andreas; Quirynen, Marc;

Relation between Spongy Bone Density in the Maxilla and Skeletal Bone Density

Abstract

AbstractBackground and PurposeOsteoporosis is a disease affecting more than 300 million people worldwide and is responsible for numerous medical complications. This study aimed to investigate the relation between skeletal and maxillary bone density.Materials and MethodsSeventy‐three patients were recruited and divided between group A (osteoporosis), group B (healthy, control), and group C (osteopenia) on the basis of a dual‐energy x‐ray absorptiomery (DXA) scan. These patients also received a CT scan on which bone density measurements were performed at five sites: maxilla midline, retromolar tuberosities, incisor, premolars, and molar regions.ResultsThe bone density was lower in osteoporotic patients compared with the control patients. The bone mineral density (BMD) of the tuberosities showed the strongest correlations with the BMD of the hip and the spine (respectively, r = 0.50 and r = 0.61). The midline region showed moderate correlations with the hip (r = 0.47) and the spine (r = 0.46). For potential implant sites, the correlations with the BMD of the hip and spine were, however, small to insignificant. Based on measurements of bone density of the maxilla, it was possible to predict if the patient was osteoporotic or not with a sensitivity of 65% and a specificity of 83%.ConclusionsThe maxillary bone density of subjects with osteoporosis is significantly lower than that of healthy patients. Moreover, there is a direct correlation between the density of the skeleton and the density of some sites of the maxilla. Using measurements of maxillary bone density in order to predict skeletal bone density might be a useful tool for the screening of osteoporosis.

Country
Belgium
Keywords

1105 Dentistry, OSTEOPOROSIS, Sensitivity and Specificity, Absorptiometry, Photon, 3203 Dentistry, Bone Density, Dentistry, Oral Surgery & Medicine, Maxilla, Humans, Hounsfield units, Aged, RISK, Science & Technology, dual-energy x-ray absorptiometry, HIP, Hip, QUANTITATIVE COMPUTED-TOMOGRAPHY, bone density, TRABECULAR BONE, HOUNSFIELD UNITS, STANDARDIZATION, Middle Aged, skeletal, FRACTURE, Spine, Bone Diseases, Metabolic, Dentistry, Case-Control Studies, DENTAL PANORAMIC RADIOGRAPHS, maxilla, Osteoporosis, MINERAL DENSITY, Female, bone mineral density, Life Sciences & Biomedicine, Tomography, Spiral Computed

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    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Top 10%
Top 10%
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bronze