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Updated: May 5, 2026

In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
Published on: March 7, 2014
Changes in the fractal dimension of peri-implant trabecular bone after loading: a retrospective study
Teh-Jing Mu1, Dong-Won Lee, Kwang-Ho Park
1Department of Periodontology, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea.
Purpose:
To assess bony trabecular changes potentially caused by loading stress around dental implants using fractal dimension analysis.
Methods:
Fractal dimensions were measured in 48 subjects by comparing radiographs taken immediately after prosthesis delivery with those taken 1 year after functional loading. Regions of interest were isolated, and fractal analysis was performed using the box-counting method with Image J 1.42 software. Wilcoxon signed-rank test was used to analyze the difference in fractal dimension before and after implant loading.
Results:
The mean fractal dimension before loading (1.4213±0.0525) increased significantly to 1.4329±0.0479 at 12 months after loading (P<0.05).
Conclusions:
Fractal dimension analysis might be helpful in detecting changes in peri-implant alveolar trabecular bone patterns in clinical situations.

