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Cervical thickness of the mandibular alveolar process and skeletal bone mineral density.

Much effort has been devoted to finding methods for detecting individuals with low bone mass and risk of osteoporotic fractures. The aim of the present study was to investigate whether there is a relationship between the thickness of the alveolar process and the bone mineral density (BMD) of the distal forearm. In 24 women (38-65 years), the BMD of the distal forearm, obtained by dual X-ray absorptiometry, was correlated to the difference between two measures of the thickness of the mandibular alveolar process in the region of the first premolar. A highly significant correlation (r = 0.95, P< 0.001) was found. The method was cross-validated by using the equation obtained from the linear regression analysis above to predict BMD in two other groups. In both groups, the correlation between the measured BMD of the forearm and the predicted BMD was highly significant (r = 0.91, P< 0.001). The interdental thickness between the canine and the second incisor was also correlated to BMD, but with lower predictive value (r = 0.67, P<0.001). Measurements of the mandibular alveolar process can be used as one of several parameters to predict skeletal bone density.

Absorptiometry, Photon↗

[Fractures of the alveolar process].

Fractures of the alveolar bone plate or processus alveolaris can easily be diagnosed by clinical examination and radiological check-up. These fractures require repositioning and rigid fixation. Pulp degeneration and resorption can be avoided when endodontic treatment is carried out early on.

Alveolar Process↗

[A comparison of growth and development of the dental arch, alveolar process, and palate in the lateral segment determined with reference to dental age and chronological age, particularly on the period of premolar eruption].

The purpose of this study is to observe and compare growth and development in the dental arch, the alveolar process, and the palate in reference to dental age, which is based on tooth emergence, and chronological age. Subjects consisted of serial dental casts taken at two-month intervals from 40 children (20 males and 20 females) with normal occlusion in permanent dentition. In terms of dental age, observations were made for a total of two years, one year before and one year after the tooth emergence of first premolar and second premolar. In terms of chronological age, observations were made for a total of two years, one year before and one year after the average age of tooth emergence of first premolars and second premolars in this sample of children. Results and Conclusions. Comparisons between growth changes in the dental arch, the alveolar process, and the palate on dental and chronological age showed some regions in which growth patterns were similar and others in which growth patterns were different. The differences between both growth patterns from two ages were classified into two groups according to the tooth which caused the difference: those produced by the tooth used as a standard for dental age and those produced by teeth other than that used as a dental-age standard. 1) Differences resulting from the influence of the tooth used as a dental-age standard In regions of the tooth used as a dental-age standard, differences occurred in growth patterns on both kinds of age in practically all measured items. In regions adjacent to that of the tooth used as a dental-age standard, the differences were observed in growth patterns of the alveolar process and the palate but not in those of the dental arch. The differences were the most pronounced in the regions of dental-age-standard teeth than in the adjacent regions. The majority of the differences caused by teeth used as standards for dental age were thought to have been the results from the influence of eruption. No growth-pattern differences were observable in regions more than two teeth away from the tooth used as a dental-age standard. 2) Differences resulting from the influences of teeth other than that used as a dental-age standard Using the emergence time of a certain tooth as a dental-age standard, the emergence times of other teeth lead to be come together in some degree.(ABSTRACT TRUNCATED AT 400 WORDS)

Alveolar Process↗

[Vertical distraction osteogenesis of the alveolar process using a tooth-borne device].

Since the communication of McCarthy et al. in 1992, applications for distraction osteogenesis in the maxillofacial complex have increased enormously. The advantages as compared to conventional reconstructive procedures are missing donor-site morbidity for bone graft harvesting, reduced blood loss and also a gradual gain in the soft tissue envelope. Meanwhile, even the vertical lengthening of the alveolar process has become a clinically reliable method. The case presented illustrates the treatment of a 16-year-old patient who suffered a sporting accident at the age of 7 years, leading to ankylosis of the upper middle incisors with subsequent underdevelopment of the frontal alveolar process. After fabrication of a custom-made distraction device, an osteotomy of the tooth-bearing segment in the upper front was performed and the segment was attached to the distraction device. Bone lengthening was started on the seventh postoperative day at a daily rate of 0.5 mm. The distraction was maintained until closure of the open bite was achieved. On the 22nd day, the segment was fixed using an orthodontic arch wire and the distraction device was removed. A retention period of 6 weeks was maintained until sufficient stability was detectable. Now, 1.5 years after the treatment, the situation is stable with a good consolidation of the bone fragments and a physiologically shaped gingivobuccal sulcus. Lengthening of the alveolar process by vertical distraction osteogenesis using a tooth-borne device may be indicated in certain cases. With this technique a second operation can be avoided and there is less risk of laceration of dental roots by fixation screws.

Adolescent↗

Implant treatment in combination with lateral augmentation of the alveolar process: a 3-year prospective study.

BACKGROUND: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes. PURPOSE: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio-Oss) and autogenous bone. METHODS: Thirty patients (14 males and 16 females) with a mean age of 41.6 years fulfilled the inclusion criteria. Twenty-nine augmentation sites with a total of 74 implants could be followed for 3 years. RESULTS: Three implants were lost; these were lost before loading (at the abutment operation). The survival rate was 95.9%. The mean marginal bone loss during the 3-year observation period was 0.3 +/- 0.2 mm. CONCLUSIONS: A 50/50 combination of Bio-Oss and autogenous bone chips stabilized with Tisseel (Baxter AG/Duo Quick AG, Vienna, Austria) was useful for lateral augmentation of the alveolar crest. Lateral grafts with Bio-Oss, autogenous bone, and Tisseel made it possible to achieve good implant stability and high implant survival results. The bone level changes adjacent to the implants were the same as in nongrafted cases.

Adolescent↗

Intra-oral temperatures in man with special reference to involvement of the central incisors and premaxillary alveolar process in lepromatous leprosy.

The predilection of lepromatous leprosy for body sites substantially below core temperature is well known, and within the oral cavity the premaxillary alveolar process and upper central incisor teeth are especially affected. In this study, intra-oral temperatures were recorded by means of a series of thermistor probes applied to the teeth and labial surfaces of the gums of normal subjects. The temperature distribution established showed a close correlation with the known pattern of involvement of teeth and supporting structures derived from clinical, pathological and archeological data. Relatively low temperature of the premaxillary alveolar process was demonstrated, a factor which may be of prime importance for the localization of disease in this region, as it is for other tissues in the lepromatous patient.

Adolescent↗

[Three-dimensional analysis of maxillary alveolar process in bilateral cleft lip and palate patients].

The collapsed maxillary alveolar arch in bilateral cleft lip and palate (BCLP) patients was quantitatively evaluated by three dimensional analysis. Materials were consisted of alveolar models taken from 15 Japanese boys (11 years old) with BCLP. The findings obtained were as follows: 1. Examination of the alveolar displacement in individual BCLP patients disclosed a marked tendency of inward and upward displacement of the lateral segments. On the other hand, premaxilla showed an upward displacement in the vertical dimension with a great deal of variation in the amount and direction of horizontal displacement. 2. Concerning the average amount of horizontal displacement, the premaxilla showed relatively little, but the lateral segment, especially the left one, showed a considerably large amount. In the vertical dimension, both the premaxilla and lateral segment were displaced markedly upward. 3. Patterns of collapsed alveolar arch in BCLP patients were classified according to the amount of horizontal displacement of the premaxilla into the following 4 types; type A (larger displacement towards the inside), type B (moderate or smaller displacement towards the inside), type C (moderate or smaller displacement towards the outside) and type D (larger displacement towards the outside). The order of prevalence of these 4 types was B,C,A,D in order. On the other hand, in the vertical dimension, the direction of displacement of the premaxilla was upward in all patients. 4. The anterior edge of the lateral segments showed the largest amount of displacement both in the horizontal and vertical dimensions. In a comparison of these results with those of Unilateral Cleft Lip and Palate (UCLP), the total amount of horizontal displacement of the maxillary alveolar process was larger in UCLP, while the vertical one was larger in BCLP. A remarkable difference between BCLP and UCLP was found in the displacement of the anterior region due to the premaxilla in BCLP.

Alveolar Process↗

[Secondary early osteoplasty of the maxillary alveolar process in the combined treatment of patients with bilateral congenital clefts of the upper lip and palate].

Gnathometric and roentgenocephalometric studies helped reveal the pathogenesis of abnormal maxillary growth in children with bilateral clefts of the upper lip and palate. In order to improve the results of treatment of such patients, the authors propose a method of secondary early osteoplasty of the alveolar process, which may be carried out simultaneously with uranoplasty or separately. Thirty-six patients were operated on using this technique. Complete repair of the alveolar process was attained in 58.3%, partial in 30.6% patients.

Alveolar Process↗

[Late results of treatment of deep periodontopathies with plastic operations of the gingiva and alveolar process].

The effect was assessed of plastic operations on the gingiva and alveolar process by a method similar to the Cieszyński-Widman-Neumann technique on the condition of the parodontium in 133 patients aged from 13 to 58 years. For evaluation of the condition of parodontium Kötzschke's index and Engelberger's et al. radiological index were used and the oral vestibule was measured. Control examinations were done 2-15 years after the treatment. After surgical treatment reduction of the pathological gingival pouches was observed in 88.7% of the patients, while gingivitis was alleviated in 85.1% of cases. Kötzschke's periodontopathy index was improved in 86.5% of cases, and dental mobility decreased in 64.6% of cases. The radiological index demonstrated regeneration of bone in 60.1% of the surgically treated cases in the range from 1.0 to 3.5%, and in 4.5% of cases bone atrophy was stopped. However, denudation of dental roots increased in 66.1% of cases. After surgical treatment narrowing of the width of the alveolar gingiva was by 0.4 mm in 77.5%, the depth of the vestibule was reduced by 0.3 mm in 57.5% of cases, and the "pull syndrome" manifested itself in only 9.8% of cases.

Adolescent↗

Nutrient canals of the alveolar process as an anatomic feature for dental identifications.

Nutrient canals are anatomic structures of the alveolar bone through which neurovascular elements transit to supply teeth and supporting structures. A dental identification using a nutrient canal of the mandibular alveolar process as the most compelling anatomic feature for antemortem-postmortem radiographic comparison is described. Nutrient canals as a potential marker for clinical disease is also discussed.

Aged↗