Chinese Journal of Tissue Engineering Research

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Labial and lingual alveolar bone thickness of adult tooth root

Ding Ji-qun1, Fang Jian-qiang2, Yuan Chang-qing1, Chen Jie1   

  1. 1 Department of Stomatology, Affiliated Hospital of Qingdao University Medical College, Qingdao  266003, Shandong Province, China
    2 Department of Orthodontics, Hangzhou Stomatological Hospital, Hangzhou  310006, Zhejiang Province, China
  • Received:2012-11-04 Revised:2012-11-05 Online:2013-04-09 Published:2013-04-09
  • Contact: Yuan Chang-qing, Master, Associate chief physician, Department of Stomatology, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, Shandong Province, China chenfjq2010@163.com
  • About author:Ding Ji-qun★, Master, Department of Stomatology, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, Shandong Province, China chenfjq2010@163.com

Abstract:

BACKGROUND: Oral treatment is affected by the root position and the surrounding bone plate thickness of the alveolar bone, and the improper teeth control can cause iatrogenic complications. The scholars have conducted the research about the jaw, such as anatomical observation, bone thickness or bone density. However, the research regarding the spatial position of the root within the alveolar bone and its relationship with the surrounding bone is less of a concern.
OBJECTIVE: To establish a digital three-dimensional computer model of the jaw, and then to measure the thickness of labial and lingual alveolar bone around the tooth root, providing a reference for orthodontic tooth movement design and tooth extraction.
METHODS: A total of 70 young adult orthodontic patients were selected with complete dentition and with no bone absorption shown on panoramic radiographs. The maxillofacial region was scanned using dental cone beam CT machine. Collected data were input into a computer workstation to implement coronal or sagittal multi-planar reconstruction with high-resolution three-dimensional images, and then raw data at DICOM format were outputted to the integrated three-dimensional design software, Invivo5 software, for measurement.
RESULTS AND CONCLUSION: The digital and virtual reconstruction model of the jaw could be observed and measured from the multi-plane, and the mean alveolar thickness was measured with every root in 70 patients. The mean lingual alveolar bone thickness of anterior tooth was thicker than the labial (P < 0.05). Besides the dental cervix of upper premolars, the mean lingual alveolar bone thickness of premolars was thicker than the labial (P < 0.05). There were no differences when the bilateral measurements were compared for upper molars and mandibular first molar (P > 0.05), but a significant difference between labial alveolar bone and lingual alveolar bone was noted in the mandibular second molar (P < 0.01). The results confirmed that the significant difference exists between lingual and labial alveolar bone thickness of the young adults at different tooth positions.

Key words: tissue construction, oral tissue construction, cone-beam CT, root of tooth, alveolar bone, lingual, buccal, thickness, orthodontics, tooth movement, tooth extraction, tooth fracture

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