Measures of Corticalization

After the insertion of dental implants into living bone, the condition of the peri-implant bone changes with time. Implant-loading phenomena can induce bone remodeling in the form of the corticalization of the trabecular bone. The aim of this study was to see how bone index (BI) values behave in are...

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Main Author: Marcin Kozakiewicz
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/18/5463
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author Marcin Kozakiewicz
author_facet Marcin Kozakiewicz
author_sort Marcin Kozakiewicz
collection DOAJ
description After the insertion of dental implants into living bone, the condition of the peri-implant bone changes with time. Implant-loading phenomena can induce bone remodeling in the form of the corticalization of the trabecular bone. The aim of this study was to see how bone index (BI) values behave in areas of bone loss (radiographically translucent non-trabecular areas) and to propose other indices specifically dedicated to detecting corticalization in living bone. Eight measures of corticalization in clinical standardized intraoral radiographs were studied: mean optical density, entropy, differential entropy, long-run emphasis moment, BI, corticalization index ver. 1 and ver. 2 (CI v.1, CI v.2) and corticalization factor (CF). The analysis was conducted on 40 cortical bone image samples, 40 cancellous bone samples and 40 soft tissue samples. It was found that each measure distinguishes corticalization significantly (<i>p</i> < 0.001), but only CI v.1 and CI v.2 do so selectively. CF or the inverse of BI can serve as a measure of peri-implant bone corticalization. However, better measures are CIs as they are dedicated to detecting this phenomenon and allowing clear clinical deduction.
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spelling doaj.art-36bfa8688bc3467f8d220b53826d3f9e2023-11-23T17:01:10ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011118546310.3390/jcm11185463Measures of CorticalizationMarcin Kozakiewicz0Department of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego Str., 90-549 Lodz, PolandAfter the insertion of dental implants into living bone, the condition of the peri-implant bone changes with time. Implant-loading phenomena can induce bone remodeling in the form of the corticalization of the trabecular bone. The aim of this study was to see how bone index (BI) values behave in areas of bone loss (radiographically translucent non-trabecular areas) and to propose other indices specifically dedicated to detecting corticalization in living bone. Eight measures of corticalization in clinical standardized intraoral radiographs were studied: mean optical density, entropy, differential entropy, long-run emphasis moment, BI, corticalization index ver. 1 and ver. 2 (CI v.1, CI v.2) and corticalization factor (CF). The analysis was conducted on 40 cortical bone image samples, 40 cancellous bone samples and 40 soft tissue samples. It was found that each measure distinguishes corticalization significantly (<i>p</i> < 0.001), but only CI v.1 and CI v.2 do so selectively. CF or the inverse of BI can serve as a measure of peri-implant bone corticalization. However, better measures are CIs as they are dedicated to detecting this phenomenon and allowing clear clinical deduction.https://www.mdpi.com/2077-0383/11/18/5463dental implantslong-term resultslong-term successfunctional loadingperi-implant boneintra-oral radiographs
spellingShingle Marcin Kozakiewicz
Measures of Corticalization
Journal of Clinical Medicine
dental implants
long-term results
long-term success
functional loading
peri-implant bone
intra-oral radiographs
title Measures of Corticalization
title_full Measures of Corticalization
title_fullStr Measures of Corticalization
title_full_unstemmed Measures of Corticalization
title_short Measures of Corticalization
title_sort measures of corticalization
topic dental implants
long-term results
long-term success
functional loading
peri-implant bone
intra-oral radiographs
url https://www.mdpi.com/2077-0383/11/18/5463
work_keys_str_mv AT marcinkozakiewicz measuresofcorticalization