1.Comparison of anterior maxillary and mandibular alveolar parameters in African American and Caucasian women: A retrospective pilot study
Lauren RENAUD ; Vaibhav GANDHI ; Cailynn WEST ; Sudha GUDHIMELLA ; Nandakumar JANAKIRAMAN
Imaging Science in Dentistry 2021;51(2):175-185
Purpose:
The primary objective of this study was to analyze the thickness and height of alveolar bone around the maxillary and mandibular incisors. Additionally, this study aimed to compare bone parameters between Caucasian (CC) and African American (AA) female patients.
Materials and Methods:
In this retrospective pilot study, 50 female subjects (25 CC and 25 AA) were included. The inclusion criteria were AA or CC women between the ages of 18 and 50 with a normo-divergent facial pattern and Angle's class I, end-on class II, or mild class III malocclusion. The distance from the cementoenamel junction (CEJ) to the buccal and lingual alveolar crest; the alveolar ridge thickness at the mid-root and apex; and the buccal and lingual bone thickness at 3, 6, and 9 mm from the CEJ were measured.
Results:
No significant difference was found (P >0.05) in the cortical bone thickness at 3 mm, 6 mm, or 9 mm from the alveolar crest between CC and AA populations for most measurements. A significant difference in bone thickness was found (P<0.05) for the lingual surface of the central incisor, with maxillary bone thickness found to be higher than mandibular bone thickness. The measurements of lingual thickness were larger than those of buccal thickness for both races.
Conclusion
There were no differences in maxillomandibular anterior alveolar bone measurements between normo-divergent adult AA and CC women, except for a few parameters at varying locations. However, future studies can be planned based the current pilot study data, which may provide valuable information.
2.Sex-, growth pattern-, and growth status-related variability in maxillary and mandibular buccal cortical thickness and density
Sydney SCHNEIDER ; Vaibhav GANDHI ; Madhur UPADHYAY ; Veerasathpurush ALLAREDDY ; Aditya TADINADA ; Sumit YADAV
The Korean Journal of Orthodontics 2020;50(2):108-119
OBJECTIVE:
The primary objective of this study was to quantitatively analyze the bone parameters (thickness and density) at four different interdental areas from the distal region of the canine to the mesial region of the second molar in the maxilla and the mandible. The secondary aim was to compare and contrast the bone parameters at these specific locations in terms of sex, growth status, and facial type.
METHODS:
This retrospective cone-beam computed tomography (CBCT) study reviewed 290 CBCT images of patients seeking orthodontic treatment. Cortical bone thickness in millimeters (mm) and density in pixel intensity value were measured for the regions (1) between the canine and first premolar, (2) between the first and second premolars, (3) between the second premolar and first molar, and (4) between the first and second molars. At each location, the bone thickness and density were measured at distances of 2, 6, and 10 mm from the alveolar crest.
RESULTS:
The sex comparison (male vs. female) in cortical bone thickness showed no significant difference (p > 0.001). The bone density in growing subjects was significantly (p < 0.001) lower than that in non-growing subjects for most locations. There was no significant difference (p > 0.001) in bone parameters in relation to facial pattern in the maxilla and mandible for most sites.
CONCLUSIONS
There was no significant sex-related difference in cortical bone thickness. The buccal cortical bone density was higher in females than in males. Bone parameters were similar for subjects with hyperdivergent, hypodivergent, and normodivergent facial patterns.
3.Incidental findings of temporomandibular joint osteoarthritis and its variability based on age and sex
Adel ALZAHRANI ; Sumit YADAV ; Vaibhav GANDHI ; Alan G. LURIE ; Aditya TADINADA
Imaging Science in Dentistry 2020;50(3):245-253
Purpose:
This study investigated the prevalence of temporomandibular joint osteoarthritis (TMJ-OA) using the Research Diagnostic Criteria for Temporomandibular Disorders image analysis criteria, assessed the severity of incidental osteoarthritic changes affecting the TMJ, and evaluated the correlations of sex and age with the prevalence and severity of TMJ-OA.
Materials and Methods:
This retrospective study assessed 145 randomly selected cone-beam computed tomography scans (261 TMJs) from the authors’ institutional maxillofacial radiology archive following the application of inclusion and exclusion criteria. The criteria described by Ahmad et al. were used to determine whether each TMJ was affected by OA, and the severity of the osteoarthritic changes was scored for each joint based on the method described by Alexiou et al. The chi-square, McNemar, Bhapkar chi-square, and Stuart-Maxwell chi-square tests were applied to evaluate the significance of the relationships between variables (age and sex).
Results:
Sixteen TMJs (6.1%) had no OA, 74 (28.6%) were indeterminate for OA, and 171 (65.5%) had OA. Flattening and sclerosis were observed in 86.6% and 12.3% of cases, respectively, while resorption was observed in 7.3% of the joints. Only 21 (8.1%) of the examined TMJs had subchondral cysts. Erosion of the articular eminence was observed in 58 (22.1%) cases, while sclerosis and resorption were found in 68 (25.9%) and 16 (6.1%) TMJs, respectively.
Conclusion
Female patients had a higher prevalence and severity of TMJ-OA than male patients. The prevalence and severity of TMJ-OA increased with age, with peaks in the fifth and seventh decades of life.
4.Three-dimensional evaluation of the mandibular symphyseal region in block graft harvesting for dental implants using cone-beam computed tomography
Vaibhav GANDHI ; Arianna LOWNEY ; Lauren CARDARELLI ; Sumit YADAV ; Aditya TADINADA
Imaging Science in Dentistry 2020;50(3):217-226
Purpose:
The purpose of this study was to analyze the quantity and quality of the mandibular anterior alveolar bone in terms of alveolar width, density, and total alveolar height (TAH) based on dental status, gender, and age. Additionally, this study aimed to quantitatively evaluate the available alveolar height for graft harvesting (AHGH) and examine its variability based on the aforementioned factors.
Materials and Methods:
This retrospective cone-beam computed tomographic study included a total of 100 subjects. On the basis of gender, dental status, and age, the scans were divided into 3 primary groups and 8 subgroups. The mandibular alveolar width and density were measured 5 mm mesial to the mental foramen bilaterally and at the midline. The TAH was measured at the midline, and the AHGH was measured as the midline distance between 5 mm apical to the root of the canines and 5 mm superior to the lower border.
Results:
The mandibular alveolar width was statistically similar between dentulous and edentulous patients (p>0.05). A significantly greater density was observed at the midline in edentulous patients (p<0.05). The TAH was significantly greater in edentulous male patients than in edentulous female patients (p<0.05). Dentulous and male patients had significantly greater AHGH than edentulous and female patients, respectively (p<0.05).
Conclusion
Based on the data evaluated in this study, it can be concluded that the mandibular symphyseal area has adequate bone quality and quantity for bone graft harvesting for dental implant therapy.