Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study

Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel junction (CEJ). Material and methods: Two‐hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present we...

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Published inClinical oral implants research Vol. 22; no. 10; pp. 1168 - 1171
Main Authors Januário, Alessandro Lourenço, Duarte, Wagner Rodrigues, Barriviera, Mauricio, Mesti, Juliana Cristina, Araújo, Mauricio Guimarães, Lindhe, Jan
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.10.2011
Wiley Subscription Services, Inc
Subjects
Online AccessGet full text
ISSN0905-7161
1600-0501
1600-0501
DOI10.1111/j.1600-0501.2010.02086.x

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Abstract Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel junction (CEJ). Material and methods: Two‐hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone‐beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest. Results: The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm. Conclusion: Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla. To cite this article: 
Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study.
Clin. Oral Impl. Res. 22, 2011; 1168–1171
doi: 10.1111/j.1600‐0501.2010.02086.x.
10.1111/j.1600‐0501.2010.02086.x
AbstractList Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction (CEJ). Material and methods: Two-hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone-beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5mm apical to the crest. Results: The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3mm and (ii) the facial bone wall in most locations in all tooth sites examined was less than or equal to 1mm thick and that close to 50% of sites had a bone wall thickness that was less than or equal to 0.5mm. Conclusion: Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla. To cite this article: Januario AL, Duarte WR, Barriviera M, Mesti JC, Araujo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study.Clin. Oral Impl. Res. 22, 2011; 1168-1171doi: 10.1111/j.1600-0501.2010.02086.x.10.1111/j.1600- 0501.2010.02086.x
To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction (CEJ).OBJECTIVETo determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction (CEJ).Two-hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone-beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest.MATERIAL AND METHODSTwo-hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone-beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest.The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm.RESULTSThe measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm.Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla.CONCLUSIONMost tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla.
To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction (CEJ).
Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel junction (CEJ). Material and methods: Two‐hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone‐beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest. Results: The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm. Conclusion: Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla. To cite this article: 
Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study.
 Clin. Oral Impl. Res . 22 , 2011; 1168–1171
doi: 10.1111/j.1600‐0501.2010.02086.x.
10.1111/j.1600‐0501.2010.02086.x
Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel junction (CEJ). Material and methods: Two‐hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone‐beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest. Results: The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm. Conclusion: Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla. To cite this article: 
Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study.
Clin. Oral Impl. Res. 22, 2011; 1168–1171
doi: 10.1111/j.1600‐0501.2010.02086.x.
10.1111/j.1600‐0501.2010.02086.x
Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel junction (CEJ).Material and methods: Two‐hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone‐beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest.Results: The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm.Conclusion: Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla.To cite this article:
Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study.
Clin. Oral Impl. Res. 22, 2011; 1168–1171
doi: 10.1111/j.1600‐0501.2010.02086.x.
10.1111/j.1600‐0501.2010.02086.x
To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction (CEJ). Two-hundred and fifty subjects, aged between 17 and 66 years, with all maxillary front teeth present were included. Written informed consents were obtained. Cone-beam computed tomography scans were performed with the iCAT unit. This examination included all tooth and edentulous sites in the dentition. The images were acquired by means of the iCAT software and processed by a computer. Measurements of the (i) distance between the CEJ and the facial bone crest and (ii) the thickness of the facial bone wall were performed. The bone wall dimensions were assessed at three different positions in relation to the facial bone crest, i.e., at distances of 1, 3, and 5 mm apical to the crest. The measurements demonstrated that (i) the distance between the CEJ and the facial bone crest varied between 1.6 and 3 mm and (ii) the facial bone wall in most locations in all tooth sites examined was ≤1 mm thick and that close to 50% of sites had a bone wall thickness that was ≤0.5 mm. Most tooth sites in the anterior maxilla have a thin facial bone wall. Such a thin bone wall may undergo marked dimensional diminution following tooth extraction. This fact must be considered before tooth removal and the planning of rehabilitation in the anterior segment of the dentition in the maxilla.
Author Januário, Alessandro Lourenço
Mesti, Juliana Cristina
Duarte, Wagner Rodrigues
Lindhe, Jan
Barriviera, Mauricio
Araújo, Mauricio Guimarães
Author_xml – sequence: 1
  givenname: Alessandro Lourenço
  surname: Januário
  fullname: Januário, Alessandro Lourenço
  organization: Private Practice, Brasília, Brazil
– sequence: 2
  givenname: Wagner Rodrigues
  surname: Duarte
  fullname: Duarte, Wagner Rodrigues
  organization: Department of Dentistry, University of Brasilia, Brasilia, Brazil
– sequence: 3
  givenname: Mauricio
  surname: Barriviera
  fullname: Barriviera, Mauricio
  organization: Department of Oral Radiology, Catholic University of Brasilia, Brasilia, Brazil
– sequence: 4
  givenname: Juliana Cristina
  surname: Mesti
  fullname: Mesti, Juliana Cristina
  organization: Private Practice, Maringá, Brazil
– sequence: 5
  givenname: Mauricio Guimarães
  surname: Araújo
  fullname: Araújo, Mauricio Guimarães
  organization: Department of Dentistry, State University of Maringá, Maringá, Brazil
– sequence: 6
  givenname: Jan
  surname: Lindhe
  fullname: Lindhe, Jan
  organization: Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21320168$$D View this record in MEDLINE/PubMed
https://gup.ub.gu.se/publication/149719$$DView record from Swedish Publication Index
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10.1016/0022-3913(67)90046-7
10.1111/j.1532-849X.2007.00165.x
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References Januário, A.L., Barriviera, M. & Duarte, W.R. (2008) Soft tissue cone-beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. Journal of Esthetics Restorative Dentistry 20: 366-373.
Darby, I., Chen, S.T. & Buser, D. (2009) Ridge preservation techniques for implant therapy. The International Journal of Oral & Maxillofacial Implants 24 (Suppl.): 260-271.
Tomasi, C., Sanz, M., Cecchinato, D., Pjetursson, B., Ferrus, J., Lang, N.P. & Lindhe, J. (2010) Bone dimensional variations at implants placed in fresh extraction sockets: a multilevel multivariate analysis. Clinical Oral Implants Research 21: 30-36.
Pietrokovski, J. & Massler, M. (1967) Alveolar ridge resorption following tooth extraction. Journal of Prosthetic Dentistry 17: 21-27.
Huynh-Ba, G., Pjetursson, B.E., Sanz, M., Cecchinato, D., Ferrus, J., Lindhe, J. & Lang, N.P. (2010) Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clinical Oral Implants Research 21: 37-42.
Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J.L. (2005) Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. Journal of Clinical Periodontology 32: 645-652.
Cardaropoli, G., Araújo, M. & Lindhe, J. (2003) Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. Journal of Clinical Periodontology 30: 809-818.
Paolantonio, M., Dolci, M., Scarano, A., d'Archivio, D., Placido, G., Tumini, V. & Piatelli, A. (2001) Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. Journal of Periodontology 72: 1560-1571.
Schropp, L., Wenzel, A., Kostopoulos, L. & Karring, T. (2003) Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. The International Journal of Periodontics and Restorative Dentistry 23: 313-323.
Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J. (2006a) Tissue modeling following implant placement in fresh extraction sockets. Clinical Oral Implants Research 17: 615-624.
Araújo, M.G. & Lindhe, J. (2005) Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology 32: 212-218.
Sanz, M., Cecchinato, D., Ferrus, J., Pjetursson, E.B., Lang, N.P. & Lindhe, J. (2010) A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla. Clinical Oral Implants Research 21: 13-21.
Pietrokovski, J., Starinsky, R., Arensburg, B. & Kaffe, I. (2007) Morphologic characteristics of bony edentulous jaws. Journal of Prosthodontics 16: 141-147.
Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J. (2006b) Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clinical Oral Implants Research 17: 606-614.
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– reference: Januário, A.L., Barriviera, M. & Duarte, W.R. (2008) Soft tissue cone-beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. Journal of Esthetics Restorative Dentistry 20: 366-373.
– reference: Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J. (2006b) Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clinical Oral Implants Research 17: 606-614.
– reference: Pietrokovski, J. & Massler, M. (1967) Alveolar ridge resorption following tooth extraction. Journal of Prosthetic Dentistry 17: 21-27.
– reference: Schropp, L., Wenzel, A., Kostopoulos, L. & Karring, T. (2003) Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. The International Journal of Periodontics and Restorative Dentistry 23: 313-323.
– reference: Darby, I., Chen, S.T. & Buser, D. (2009) Ridge preservation techniques for implant therapy. The International Journal of Oral & Maxillofacial Implants 24 (Suppl.): 260-271.
– reference: Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J.L. (2005) Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. Journal of Clinical Periodontology 32: 645-652.
– reference: Cardaropoli, G., Araújo, M. & Lindhe, J. (2003) Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. Journal of Clinical Periodontology 30: 809-818.
– reference: Sanz, M., Cecchinato, D., Ferrus, J., Pjetursson, E.B., Lang, N.P. & Lindhe, J. (2010) A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla. Clinical Oral Implants Research 21: 13-21.
– reference: Araújo, M.G., Sukekava, F., Wennström, J.L. & Lindhe, J. (2006a) Tissue modeling following implant placement in fresh extraction sockets. Clinical Oral Implants Research 17: 615-624.
– reference: Araújo, M.G. & Lindhe, J. (2005) Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology 32: 212-218.
– reference: Pietrokovski, J., Starinsky, R., Arensburg, B. & Kaffe, I. (2007) Morphologic characteristics of bony edentulous jaws. Journal of Prosthodontics 16: 141-147.
– reference: Paolantonio, M., Dolci, M., Scarano, A., d'Archivio, D., Placido, G., Tumini, V. & Piatelli, A. (2001) Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. Journal of Periodontology 72: 1560-1571.
– reference: Huynh-Ba, G., Pjetursson, B.E., Sanz, M., Cecchinato, D., Ferrus, J., Lindhe, J. & Lang, N.P. (2010) Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clinical Oral Implants Research 21: 37-42.
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  article-title: A prospective, randomized‐controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla
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  article-title: Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man
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  article-title: Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation
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  article-title: Bone dimensional variations at implants placed in fresh extraction sockets
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  article-title: Tissue modeling following implant placement in fresh extraction sockets
  publication-title: Clinical Oral Implants Research
– volume: 21
  start-page: 37
  year: 2010
  end-page: 42
  article-title: Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement
  publication-title: Clinical Oral Implants Research
– volume: 32
  start-page: 212
  year: 2005
  end-page: 218
  article-title: Dimensional ridge alterations following tooth extraction. An experimental study in the dog
  publication-title: Journal of Clinical Periodontology
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  start-page: 809
  year: 2003
  end-page: 818
  article-title: Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs
  publication-title: Journal of Clinical Periodontology
– volume: 20
  start-page: 366
  year: 2008
  end-page: 373
  article-title: Soft tissue cone‐beam computed tomography
  publication-title: Journal of Esthetics Restorative Dentistry
– volume: 32
  start-page: 645
  year: 2005
  end-page: 652
  article-title: Ridge alterations following implant placement in fresh extraction sockets
  publication-title: Journal of Clinical Periodontology
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  start-page: 313
  year: 2003
  end-page: 323
  article-title: Bone healing and soft tissue contour changes following single‐tooth extraction
  publication-title: The International Journal of Periodontics and Restorative Dentistry
– volume: 24
  start-page: 260
  issue: (Suppl.)
  year: 2009
  end-page: 271
  article-title: Ridge preservation techniques for implant therapy
  publication-title: The International Journal of Oral & Maxillofacial Implants
– volume: 17
  start-page: 21
  year: 1967
  end-page: 27
  article-title: Alveolar ridge resorption following tooth extraction
  publication-title: Journal of Prosthetic Dentistry
– volume: 16
  start-page: 141
  year: 2007
  end-page: 147
  article-title: Morphologic characteristics of bony edentulous jaws
  publication-title: Journal of Prosthodontics
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Snippet Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel...
Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento‐enamel...
To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel junction...
Objective: To determine the thickness of the facial bone wall in the anterior dentition of the maxilla and at different locations apical to the cemento-enamel...
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SubjectTerms Adolescent
Adult
Aged
Alveolar Process - diagnostic imaging
Bone
bone wall
Computation
Computed tomography
Cone-Beam Computed Tomography
Consents
Dental enamel
Dentition
dimension
Facial Bones - diagnostic imaging
Female
Humans
Image acquisition
Male
Maxilla
Maxilla - diagnostic imaging
Middle Aged
Odontologi
Odontology
Radiographic Image Interpretation, Computer-Assisted
Rehabilitation
Software
Teeth
Tomography
Tooth Cervix - diagnostic imaging
Tooth extractions
Wall thickness
Title Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study
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