How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?

Objectives. The aim of this study was to review the bone density assessment techniques and evaluate the macroscopic structure of bone specimens scored by Hounsfield Units (HUs) and decide if they are always in congruence. Methods. The mandible of a formalin-fixed human cadaver was scanned by dental...

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Main Authors: Hakan Bilhan, Selda Arat, Onur Geckili
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/348908
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author Hakan Bilhan
Selda Arat
Onur Geckili
author_facet Hakan Bilhan
Selda Arat
Onur Geckili
author_sort Hakan Bilhan
collection DOAJ
description Objectives. The aim of this study was to review the bone density assessment techniques and evaluate the macroscopic structure of bone specimens scored by Hounsfield Units (HUs) and decide if they are always in congruence. Methods. The mandible of a formalin-fixed human cadaver was scanned by dental volumetric tomography (DVT) for planning of the specimen positions and fabrication of a surgical guide and a surgical stent was fabricated afterwards. Bone cylinders of 3.5 mm diameter and 5 mm length, were excised from the mandible using the surgical stent with a slow speed trephine drill. After removal of the cylinders two more scans were performed and the images of the first scan were used for the determination of the HU values. The removed bone cylinder was inspected macroscopically as well by micro-CT scan. Results. The highest HU values were recorded in the interforaminal region, especially in the midline (408–742). Posterior regions showed lower HU values, especially the first molar regions (22–61 for the right; 14–66 for the left first molar regions). Conclusion. Within the limitations of this pilot study, it can be concluded that HU values alone could be a misleading diagnostic tool for the determination of bone density.
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spelling doaj-art-3e1455bb15724e76a7e2e3fda4d704412025-02-03T05:49:45ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/348908348908How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?Hakan Bilhan0Selda Arat1Onur Geckili2Department of Prosthodontics, Faculty of Dentistry, Istanbul University, 34093 Çapa Istanbul, TurkeyDepartment of Prosthodontics, Faculty of Dentistry, Istanbul University, 34093 Çapa Istanbul, TurkeyDepartment of Prosthodontics, Faculty of Dentistry, Istanbul University, 34093 Çapa Istanbul, TurkeyObjectives. The aim of this study was to review the bone density assessment techniques and evaluate the macroscopic structure of bone specimens scored by Hounsfield Units (HUs) and decide if they are always in congruence. Methods. The mandible of a formalin-fixed human cadaver was scanned by dental volumetric tomography (DVT) for planning of the specimen positions and fabrication of a surgical guide and a surgical stent was fabricated afterwards. Bone cylinders of 3.5 mm diameter and 5 mm length, were excised from the mandible using the surgical stent with a slow speed trephine drill. After removal of the cylinders two more scans were performed and the images of the first scan were used for the determination of the HU values. The removed bone cylinder was inspected macroscopically as well by micro-CT scan. Results. The highest HU values were recorded in the interforaminal region, especially in the midline (408–742). Posterior regions showed lower HU values, especially the first molar regions (22–61 for the right; 14–66 for the left first molar regions). Conclusion. Within the limitations of this pilot study, it can be concluded that HU values alone could be a misleading diagnostic tool for the determination of bone density.http://dx.doi.org/10.1155/2012/348908
spellingShingle Hakan Bilhan
Selda Arat
Onur Geckili
How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
International Journal of Dentistry
title How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
title_full How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
title_fullStr How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
title_full_unstemmed How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
title_short How Precise Is Dental Volumetric Tomography in the Prediction of Bone Density?
title_sort how precise is dental volumetric tomography in the prediction of bone density
url http://dx.doi.org/10.1155/2012/348908
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