Clinical usefulness of dental X-ray computed tomography for postoperative assessment of secondary alveolar bone grafting

In this study, the clinical usefulness of dental X-ray computed tomography (CT) for postoperative assessment of secondary alveolar bone grafting was investigated. Nineteen bone-grafted alveolar clefts in 15 patients with cleft lip and palate were studied. All bone bridges were examined by dental thr...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 49; no. 10; pp. 559 - 565
Main Authors NOGUCHI, Kazuhide, SONOYAMA, Tomoo, SETO, Kanichi, ISHII, Hiroaki, KAWARADA, Takashi, IINO, Mitsuyoshi, HAMADA, Yoshiki, NIITSU, Kouta, KONDOH, Toshirou
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LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 2003
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ISSN0021-5163
2186-1579
2186-1579
DOI10.5794/jjoms.49.559

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Abstract In this study, the clinical usefulness of dental X-ray computed tomography (CT) for postoperative assessment of secondary alveolar bone grafting was investigated. Nineteen bone-grafted alveolar clefts in 15 patients with cleft lip and palate were studied. All bone bridges were examined by dental three-dimensional (3D)-CT (PSR 9000: Asahi Roentgen, Kyoto, Japan). The postoperative three-dimensional morphology of the bone bridges was easily recognized. Dental 3 DCT images were suggested to be useful for assessment before installation of dental implants in bone bridges. In addition, the status of bone surrounding the installed dental implants and the periodontal space of teeth adjacent to the cleft could be clearly evaluated. In conclusion, Dental 3 D-CT provides clinically valuable information for the postoperative assessment of secondary alveolar bone grafting.
AbstractList In this study, the clinical usefulness of dental X-ray computed tomography (CT) for postoperative assessment of secondary alveolar bone grafting was investigated. Nineteen bone-grafted alveolar clefts in 15 patients with cleft lip and palate were studied. All bone bridges were examined by dental three-dimensional (3D)-CT (PSR 9000: Asahi Roentgen, Kyoto, Japan). The postoperative three-dimensional morphology of the bone bridges was easily recognized. Dental 3 DCT images were suggested to be useful for assessment before installation of dental implants in bone bridges. In addition, the status of bone surrounding the installed dental implants and the periodontal space of teeth adjacent to the cleft could be clearly evaluated. In conclusion, Dental 3 D-CT provides clinically valuable information for the postoperative assessment of secondary alveolar bone grafting.
Author SETO, Kanichi
NOGUCHI, Kazuhide
KAWARADA, Takashi
KONDOH, Toshirou
IINO, Mitsuyoshi
ISHII, Hiroaki
NIITSU, Kouta
SONOYAMA, Tomoo
HAMADA, Yoshiki
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References 15) Boyne, P. J., Christiansen, E. L., et al.: Advanced imaging of osseous maxillary clefts. Radiol Clin North Am 31: 195-207 1993.
26) 小宮山彌太郎: 局部歯牙欠如顎に対する補綴法としてのBranemarkインプラント. 歯科ジャーナル 36: 103-181 1988.
1) Boyne, P.J., Sand, N.R., et al.: Secondary bone grafting of residual alveolar and palatal clefts.J Oral Surg 30: 87-92 1972.
20) Honda, K., Tore, A., et al.: Ortho cubic superhigh resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol 91: 239-243 2001.
25) 上條雍彦: 日本人永久歯解剖学. アナトーム社, 東京, 1962, 9-57頁.
6) Abyholm, F. E., Bergland, O., et al.: Secondary bone grafting of alveolar clefts. Scand. J Plast Reconstr Surg 15: 127-140 1981.
16) Dado, D. V., Rosenstein, S. W., et al.: Long-tern assessment of early alveolar bone grafts usingthree-dimensional computer-assisted tomography: a pilot study. Plast Reconstr Surg 99: 1840-1845 1996.
5) 飯野光喜, 幸地省子, 他: 永久歯咬合形からみた顎裂に対する骨移植術の手術時期に関する検討. 日口蓋誌 19: 249-256 1994.
22) 三島章, 小林馨, 他: 歯科用X線CTの被曝線量の算定. 鶴見歯学 29: 7-12 2003.
2) 濱田良樹, 飯野光喜, 他: 二次的顎裂部骨移植に関する臨床統計的観察. 日口蓋誌 25: 286-291 2000.
14) Tai, C. E., Sutherland, I.S., et al.: Prospective analysis of secondary alveolar bone grafting using computed tomography. J Oral Maxillofac Surg 58: 1241-1249 2000.
19) Arai, Y., Tammisalo, E., et al.: Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 28: 245-248 1999.
27) Lee, C., Crepeau, R. J., et al: Alveolar cleft bone grafts: results and imprecisions of the dental radiograph. Plast Reconstr Surg 96: 1534-1538 1995.
10) 幸地省子, 東福寺直道, 他: 顎裂への新鮮自家腸骨海綿骨細片移植-歯槽頂の高さの評価-. 日口外誌 39: 735-741 1993.
23) Verdi, F. J., Lanzi, G.L., et al.: Used of the Branemark implant in the cleft palate patient. Cleft Palate Craniofac J 28: 301-304 1991.
29) 高橋哲, 福田雅幸, 他: 口唇裂口蓋裂患者へのosseointegrated implantの応用-顎裂骨移植部へのimplant植立における術前診査-. 東北大歯誌 14: 103-110 1996.
7) Enemark, H., Sindet-Pederson, S., et al.: Longtern results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 45: 913-918 1987.
21) Nakagawa, Y., Kobayashi, K., et al.: Preoperative application of limited cone beam computerized tomography as an assessment tool before minor oral surgery. Int J Oral Maxillofac Surg 31: 322-327 2002.
24) Buser, D., Schroeder, A., et al.: The new concept of ITI Hollow-Cylinder and Hollow-Screw implants: Int J Oral Maxillofac Implants 3: 173-181 1988.
8) Opitz, C., Meier, B., et al.: Radiographic evaluation of the transplant bone height in patients with clefts of the lip/alveolus/palate after bone grafting. J Orofac Orthop 60: 383-391 1999.
30) 蟹谷英生, 市川哲雄: 歯科インプラント治療のための画像診査とその読影. Dental Implant 16: 71-82 2000.
28) 高橋哲, 福田雅幸, 他: 口唇・口蓋裂患者の顎裂部へのOsseointegrated Implantの応用-Implant 植立のための顎裂部骨架橋の評価-.口科誌 45: 470-478 1996.
4) 石井宏昭, 飯野光喜, 他: 骨移植で得られた骨架橋の組織学的検討と同部へのインプラント. 日口蓋誌 22: 47-52 1997.
18) 内藤浩, 山脇吉朗, 他: 二次顎裂部骨移植術における3D-CT評価. 日形会誌 22: 491-499 2002.
3) 飯野光喜, 佐藤淳一, 他: 顎裂部骨架橋ヘインプラントを行った1症例. 日口蓋誌 21: 49-54 1996.
9) 幸地省子, 越後成志, 他: 顎裂部に対する自家腸骨海綿骨細片移植-第2報骨架橋形成について-.日口外誌 33: 2152-2158 1987.
11) 幸地省子, 松井桂子, 他: 顎裂への新鮮自家腸骨海綿骨細片移植一垂直的な骨架橋幅の評価-.日口外誌 39: 972-983 1993.
13) Honma, K., Kobayashi, T., et al.: Computed tomographic evaluation of bone formation after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 57: 1209-1213 1999.
12) 飯野光喜, 幸地省子, 他: 顎裂部に対する自家腸骨海綿骨細片移植術-X線CTによる骨架橋の評価-.日口蓋誌 19: 22-31 1994.
17) 大久保文雄, 赤井秀実, 他: 二次顎裂骨移植と3DCTによる術後評価. 形成外科44: 327-340 2001.
References_xml – reference: 16) Dado, D. V., Rosenstein, S. W., et al.: Long-tern assessment of early alveolar bone grafts usingthree-dimensional computer-assisted tomography: a pilot study. Plast Reconstr Surg 99: 1840-1845 1996.
– reference: 20) Honda, K., Tore, A., et al.: Ortho cubic superhigh resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol 91: 239-243 2001.
– reference: 17) 大久保文雄, 赤井秀実, 他: 二次顎裂骨移植と3DCTによる術後評価. 形成外科44: 327-340 2001.
– reference: 29) 高橋哲, 福田雅幸, 他: 口唇裂口蓋裂患者へのosseointegrated implantの応用-顎裂骨移植部へのimplant植立における術前診査-. 東北大歯誌 14: 103-110 1996.
– reference: 30) 蟹谷英生, 市川哲雄: 歯科インプラント治療のための画像診査とその読影. Dental Implant 16: 71-82 2000.
– reference: 5) 飯野光喜, 幸地省子, 他: 永久歯咬合形からみた顎裂に対する骨移植術の手術時期に関する検討. 日口蓋誌 19: 249-256 1994.
– reference: 19) Arai, Y., Tammisalo, E., et al.: Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 28: 245-248 1999.
– reference: 3) 飯野光喜, 佐藤淳一, 他: 顎裂部骨架橋ヘインプラントを行った1症例. 日口蓋誌 21: 49-54 1996.
– reference: 22) 三島章, 小林馨, 他: 歯科用X線CTの被曝線量の算定. 鶴見歯学 29: 7-12 2003.
– reference: 10) 幸地省子, 東福寺直道, 他: 顎裂への新鮮自家腸骨海綿骨細片移植-歯槽頂の高さの評価-. 日口外誌 39: 735-741 1993.
– reference: 21) Nakagawa, Y., Kobayashi, K., et al.: Preoperative application of limited cone beam computerized tomography as an assessment tool before minor oral surgery. Int J Oral Maxillofac Surg 31: 322-327 2002.
– reference: 11) 幸地省子, 松井桂子, 他: 顎裂への新鮮自家腸骨海綿骨細片移植一垂直的な骨架橋幅の評価-.日口外誌 39: 972-983 1993.
– reference: 6) Abyholm, F. E., Bergland, O., et al.: Secondary bone grafting of alveolar clefts. Scand. J Plast Reconstr Surg 15: 127-140 1981.
– reference: 8) Opitz, C., Meier, B., et al.: Radiographic evaluation of the transplant bone height in patients with clefts of the lip/alveolus/palate after bone grafting. J Orofac Orthop 60: 383-391 1999.
– reference: 2) 濱田良樹, 飯野光喜, 他: 二次的顎裂部骨移植に関する臨床統計的観察. 日口蓋誌 25: 286-291 2000.
– reference: 13) Honma, K., Kobayashi, T., et al.: Computed tomographic evaluation of bone formation after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 57: 1209-1213 1999.
– reference: 12) 飯野光喜, 幸地省子, 他: 顎裂部に対する自家腸骨海綿骨細片移植術-X線CTによる骨架橋の評価-.日口蓋誌 19: 22-31 1994.
– reference: 28) 高橋哲, 福田雅幸, 他: 口唇・口蓋裂患者の顎裂部へのOsseointegrated Implantの応用-Implant 植立のための顎裂部骨架橋の評価-.口科誌 45: 470-478 1996.
– reference: 18) 内藤浩, 山脇吉朗, 他: 二次顎裂部骨移植術における3D-CT評価. 日形会誌 22: 491-499 2002.
– reference: 14) Tai, C. E., Sutherland, I.S., et al.: Prospective analysis of secondary alveolar bone grafting using computed tomography. J Oral Maxillofac Surg 58: 1241-1249 2000.
– reference: 1) Boyne, P.J., Sand, N.R., et al.: Secondary bone grafting of residual alveolar and palatal clefts.J Oral Surg 30: 87-92 1972.
– reference: 15) Boyne, P. J., Christiansen, E. L., et al.: Advanced imaging of osseous maxillary clefts. Radiol Clin North Am 31: 195-207 1993.
– reference: 26) 小宮山彌太郎: 局部歯牙欠如顎に対する補綴法としてのBranemarkインプラント. 歯科ジャーナル 36: 103-181 1988.
– reference: 7) Enemark, H., Sindet-Pederson, S., et al.: Longtern results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 45: 913-918 1987.
– reference: 25) 上條雍彦: 日本人永久歯解剖学. アナトーム社, 東京, 1962, 9-57頁.
– reference: 23) Verdi, F. J., Lanzi, G.L., et al.: Used of the Branemark implant in the cleft palate patient. Cleft Palate Craniofac J 28: 301-304 1991.
– reference: 27) Lee, C., Crepeau, R. J., et al: Alveolar cleft bone grafts: results and imprecisions of the dental radiograph. Plast Reconstr Surg 96: 1534-1538 1995.
– reference: 4) 石井宏昭, 飯野光喜, 他: 骨移植で得られた骨架橋の組織学的検討と同部へのインプラント. 日口蓋誌 22: 47-52 1997.
– reference: 9) 幸地省子, 越後成志, 他: 顎裂部に対する自家腸骨海綿骨細片移植-第2報骨架橋形成について-.日口外誌 33: 2152-2158 1987.
– reference: 24) Buser, D., Schroeder, A., et al.: The new concept of ITI Hollow-Cylinder and Hollow-Screw implants: Int J Oral Maxillofac Implants 3: 173-181 1988.
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SubjectTerms bone bridge
dental X-ray computed tomography
secondary alveolar bone grafting
Title Clinical usefulness of dental X-ray computed tomography for postoperative assessment of secondary alveolar bone grafting
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