PURPOSE: To correlate torque forces during insertion of screw-type dental implants with bone mineral density (BMD) values determined preoperatively. MATERIALS AND METHODS: Dental quantitative computed tomography (CT) was performed with simultaneous imaging of five postmortem mandibles and a calibration standard containing defined concentrations of calcium hydroxyapatite. CT numbers were converted to local BMD values by assuming a linear relationship (BMD = a x HU + b), where a and b are calibration coefficients. The a, b, P, and t values, correlation coefficients, and standard errors were calculated. Dental implants (n = 25) were set, and insertion torques were recorded. BMD was determined at the implantation site and correlated with torque forces recorded during implant insertion. Calibration coefficients derived for specimens were compared with those derived for actual patients. RESULTS: Calibration coefficients (at 120 kV) for the postmortem specimens were a = 0.760 +/- 0.03 (mean +/- SD) and b = 2.8 +/- 3.7 and for the patients were a = 0.804 +/- 0.06 and b = 5.2 +/- 4.2. Calibrated BMD values at the location of dental implants exhibit a significant correlation (R(2) = 0.83, P <.001) with insertion torques on the basis of a second-order model, which yields torque = (0.0055 x BMD + 0.73)(2) for the implants used and the surgical technique applied. CONCLUSION: Correlation exists between BMD measured with dental quantitative CT and the insertion torque of dental implants.
PURPOSE: To correlate torque forces during insertion of screw-type dental implants with bone mineral density (BMD) values determined preoperatively. MATERIALS AND METHODS: Dental quantitative computed tomography (CT) was performed with simultaneous imaging of five postmortem mandibles and a calibration standard containing defined concentrations of calcium hydroxyapatite. CT numbers were converted to local BMD values by assuming a linear relationship (BMD = a x HU + b), where a and b are calibration coefficients. The a, b, P, and t values, correlation coefficients, and standard errors were calculated. Dental implants (n = 25) were set, and insertion torques were recorded. BMD was determined at the implantation site and correlated with torque forces recorded during implant insertion. Calibration coefficients derived for specimens were compared with those derived for actual patients. RESULTS: Calibration coefficients (at 120 kV) for the postmortem specimens were a = 0.760 +/- 0.03 (mean +/- SD) and b = 2.8 +/- 3.7 and for the patients were a = 0.804 +/- 0.06 and b = 5.2 +/- 4.2. Calibrated BMD values at the location of dental implants exhibit a significant correlation (R(2) = 0.83, P <.001) with insertion torques on the basis of a second-order model, which yields torque = (0.0055 x BMD + 0.73)(2) for the implants used and the surgical technique applied. CONCLUSION: Correlation exists between BMD measured with dental quantitative CT and the insertion torque of dental implants.
Authors: Marcio José da Silva Campos; Thainara Salgueiro de Souza; Sergio Luiz Mota Júnior; Marcelo Reis Fraga; Robert Willer Farinazzo Vitral Journal: World J Radiol Date: 2014-08-28
Authors: Y Sun; B De Dobbelaer; O Nackaerts; M Loubele; B Yan; P Suetens; C Politis; L Vrielinck; S Schepers; I Lambrichts; K Horner; H Devlin; R Jacobs Journal: Int J Comput Assist Radiol Surg Date: 2008-12-03 Impact factor: 2.924