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Alveolar Bone Architecture: A Systematic Review and Meta-Analysis
Alberto Monje1, Hsun-Liang Chan1, Pablo Galindo-Moreno1,2
1Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.
Journal of Periodontology
|July 17, 2015
Summary
This systematic review analyzed alveolar bone microarchitecture for dental implant therapy. Total bone volume (TBV) was lower in atrophic sites, suggesting bone condition influences implant outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomaterials Science
- Dental Implantology
Background:
- Systematic evaluation of alveolar bone microarchitecture is crucial for optimizing dental implant therapy planning and outcomes.
- Understanding bone characteristics aids in determining appropriate timing for implant placement and loading.
- Alveolar bone microarchitecture and its modifiers are key factors in implant success.
Purpose of the Study:
- To systematically review and evaluate alveolar bone microarchitecture.
- To identify factors that modify alveolar bone characteristics relevant to implant therapy.
- To assess the impact of anatomic location and bone atrophy on bone volume.
Main Methods:
- Conducted comprehensive literature searches in multiple databases (MEDLINE, EMBASE, Cochrane) up to February 2015.
- Included 24 articles after rigorous abstract and full-text review for the systematic review.
- Applied a random-effect model to calculate weighted mean (WM) of total bone volume (TBV) and analyzed correlations.
Main Results:
- The weighted mean total bone volume (TBV) was 0.365.
- TBV was found to be lower in atrophic alveolar bone sites compared to non-atrophic sites.
- A negative correlation was observed between TBV and trabecular spacing.
Conclusions:
- Alveolar bone atrophy status appears to influence total bone volume (TBV).
- While variations exist, TBV may not significantly differ across defined anatomical locations.
- Further research into bone modifiers is warranted for improved implant therapy planning.
Keywords:
Alveolar bone graftingbone and bonesdental implantationdental implantsendosseousevidence-based dentistryMore Related Videos
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