A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study

Introduction: As bone traces tooth movement during orthodontic treatment, leading to biological response of the surrounding tissues of the teeth resulting in remodelling of the socket, favourable bone response is expected after incisor retraction. Orthodontic treatment causing changes in alveolar bo...

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Main Authors: Unnati Parekh, Shraddha Shetti, Someshwar Golgire, Lalita Nannajanawar, Sangamesh Fulari
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/17479/59511_CE(Vi)_F(IS)_PF1(PS_SHU_OM)_PN(SHU).pdf
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author Unnati Parekh
Shraddha Shetti
Someshwar Golgire
Lalita Nannajanawar
Sangamesh Fulari
author_facet Unnati Parekh
Shraddha Shetti
Someshwar Golgire
Lalita Nannajanawar
Sangamesh Fulari
author_sort Unnati Parekh
collection DOAJ
description Introduction: As bone traces tooth movement during orthodontic treatment, leading to biological response of the surrounding tissues of the teeth resulting in remodelling of the socket, favourable bone response is expected after incisor retraction. Orthodontic treatment causing changes in alveolar bone can be evaluated using Fractal dimension (FD) analysis, a mathematical method of information processing, where the input data is in the form of an image and generated information is displayed as numbers. Aim: To evaluate changes in the trabecular structure of alveolar bone after incisor retraction in the mandibular symphysis region in adult patients using fractal analysis. Materials and Methods: This retrospective study was conducted with digital Orthopantomogram (OPG) of 30 patients with class I and class II malocclusion with mandibular incisor protrusion treated with extraction and retraction of anterior teeth were taken with standard protocols at the three different periods, before orthodontic treatment (T0), before retraction (T1) and after retraction of anterior teeth (T2) included in the study. Regions of interest were located between the apices of mandibular incisors. FD was calculated using ImageJ software. Statistical Analysis was carried out by repeated Analysis of Variance (ANOVA) test and post-hoc test. Results: Total of 30 cases were selected, out of which 15 were males and 15 females with the mean age of 21±2 years. FD values of the alveolar bone of mandibular incisors at T0 were 1.470±0.09 which reduced to 1.390±0.09 at T1 and to 1.350±0.08 at T2. This overall changes in FD values were significant (p-value=0.001). Conclusion: Fractal dimension analysis demonstrate significant changes in bone trabeculation of the mandibular symphysis region before and after orthodontic treatment. It has valuable impact in the cases of fenestration, dehiscence’s, and osteoporosis.
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spelling doaj.art-ed7e666c4bb64c8ab79b7a19b204ec982023-03-14T11:37:52ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-02-01172ZC33ZC3610.7860/JCDR/2023/59511.17479A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective StudyUnnati Parekh0Shraddha Shetti1Someshwar Golgire2Lalita Nannajanawar3Sangamesh Fulari4Postgraduate, Department of Orthodontics an Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be) Univaersity Dental College and Hospital, Sangli, Maharashtra, India.Associate Professor, Department of Orthodontics an Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be) Univaersity Dental College and Hospital, Sangli, Miraj Kupwad, Maharashtra, India.Associate Professor, Department of Oral Pathology and Microbiology, Bharati Vidyapeeth (Deemed to be) Univaersity Dental College and Hospital, Sangli, Maharashtra, India.Associate Professor, Department of Orthodontics an Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be) Univaersity Dental College and Hospital, Sangli, Maharashtra, India.Associate Professor, Department of Orthodontics an Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be) Univaersity Dental College and Hospital, Sangli, Maharashtra, India.Introduction: As bone traces tooth movement during orthodontic treatment, leading to biological response of the surrounding tissues of the teeth resulting in remodelling of the socket, favourable bone response is expected after incisor retraction. Orthodontic treatment causing changes in alveolar bone can be evaluated using Fractal dimension (FD) analysis, a mathematical method of information processing, where the input data is in the form of an image and generated information is displayed as numbers. Aim: To evaluate changes in the trabecular structure of alveolar bone after incisor retraction in the mandibular symphysis region in adult patients using fractal analysis. Materials and Methods: This retrospective study was conducted with digital Orthopantomogram (OPG) of 30 patients with class I and class II malocclusion with mandibular incisor protrusion treated with extraction and retraction of anterior teeth were taken with standard protocols at the three different periods, before orthodontic treatment (T0), before retraction (T1) and after retraction of anterior teeth (T2) included in the study. Regions of interest were located between the apices of mandibular incisors. FD was calculated using ImageJ software. Statistical Analysis was carried out by repeated Analysis of Variance (ANOVA) test and post-hoc test. Results: Total of 30 cases were selected, out of which 15 were males and 15 females with the mean age of 21±2 years. FD values of the alveolar bone of mandibular incisors at T0 were 1.470±0.09 which reduced to 1.390±0.09 at T1 and to 1.350±0.08 at T2. This overall changes in FD values were significant (p-value=0.001). Conclusion: Fractal dimension analysis demonstrate significant changes in bone trabeculation of the mandibular symphysis region before and after orthodontic treatment. It has valuable impact in the cases of fenestration, dehiscence’s, and osteoporosis.https://jcdr.net/articles/PDF/17479/59511_CE(Vi)_F(IS)_PF1(PS_SHU_OM)_PN(SHU).pdfdigital panoromic radiographsfractal geometryorthodontic tooth movement
spellingShingle Unnati Parekh
Shraddha Shetti
Someshwar Golgire
Lalita Nannajanawar
Sangamesh Fulari
A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
Journal of Clinical and Diagnostic Research
digital panoromic radiographs
fractal geometry
orthodontic tooth movement
title A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
title_full A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
title_fullStr A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
title_full_unstemmed A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
title_short A Fractal Dimension Analysis to Evaluate the Change in the Alveolar Osseous Structure of Mandibular Incisors after Orthodontic Treatment: A Retrospective Study
title_sort fractal dimension analysis to evaluate the change in the alveolar osseous structure of mandibular incisors after orthodontic treatment a retrospective study
topic digital panoromic radiographs
fractal geometry
orthodontic tooth movement
url https://jcdr.net/articles/PDF/17479/59511_CE(Vi)_F(IS)_PF1(PS_SHU_OM)_PN(SHU).pdf
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