Alveolar Bone Plate Measurements of Maxillary Anterior Teeth: A Cone Beam Computed Tomography Study

Madiha  Saba; Saad  Khan; Syeda Sameen Zahra Rizvi; Wajeeha  Parveen; Surriya Sherazi; Seema  Khattak

doi:10.51253/pafmj.v76iSUPPL-3.13397

Authors

Madiha Saba Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Saad Khan Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Syeda Sameen Zahra Rizvi Department of Prosthodontics, Dental College HITEC, Taxila Pakistan
Wajeeha Parveen Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Surriya Sherazi Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Seema Khattak Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-3.13397

Keywords:

Aesthetic Zone, CBCT Analysis, Dental Implant Planning, Facial Plate Measurement, Maxillary Bone Thickness

Abstract

Objective: To evaluate the crest height and facial alveolar bone thickness of the maxillary anterior teeth within the aesthetic zone among dentate adults in Pakistan.

Study Design: Cross-sectional Analytical study.

Place and Duration of Study: Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from Sep 2024 to Feb 2025.

Methodology: The assessment of alveolar bone thickness was done in 43 patients with use of cone beam computed tomography (CBCT). The thickness of the alveolar bone facial plate was determined for each tooth type (at three different points i.e., A, B, and C) using a CBCT image and an integrated digital caliper. The analysis included bilateral upper canines (UC), upper lateral incisors (UL), and upper central incisors (UCI). Comparative analysis at 0.05 significance level was done using SPSS software (version 20).

Results: Out of the 258 teeth measured, 86 were canines, 86 were lateral incisors and 86 were central incisors. The mean thickness of the alveolar bone facial plates in upper anterior teeth was 1.04±0.09 mm for the lateral incisors, 1.29±0.04 mm for the canines, and 0.98±0.04 mm for the central incisors. These values differed significantly (p<0.001). No significant correlation was observed between age and facial bone plate thickness (p>0.05).

Conclusion: There were significant differences in alveolar bone thickness in maxillary anterior region among Pakistani population. Facial plate thickness is an essential factor in determining optimal strategies for early implant placement in the aesthetic zone.

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References

1. Khader A, Jain S, Sarah, Mishra S, Saleem S, Vijayan A. Comparing radiation doses in CBCT and medical CT imaging for dental applications. J Pharm Bioallied Sci 2024; 16(Suppl 2): S1795–S1797. https://doi.org/10.4103/jpbs.jpbs_1145_23

2. AlAli F, Atieh MA, Hannawi H, Jamal M, Harbi NA, Alsabeeha NHM. Anterior Maxillary Labial Bone Thickness on Cone Beam Computed Tomography. Int Dent J 2023; 73(2): 219–227.

https://doi.org/10.1016/j.identj.2022.03.007

3. Bado FMR, Barbosa TS, Soares GH, Mialhe FL. Oral Health Literacy and Periodontal Disease in Primary Health Care Users. Int Dent J. https://doi.org/10.1016/j.identj.2021.12.004

4. Grassi R, Silva FFVE, Musella G, Pettini F, Camolesi GCV, Coppini M, et al. Bone Remodeling Around Implants with Different Macro-Design Placed in Post-Extraction Sockets: A Cone-Beam Computed Tomography (CBCT) Randomized Controlled Clinical Trial (RCT). Dent J 2025; 13(2): 78.

https://doi.org/10.3390/dj13020078

5. Shrestha B, Kurtzman GM, Basnet BB, Adhikari G, Rokaya D. Assessment of buccal bone thickness of aesthetic maxillary region in Nepalese adults: A Cone Beam Computed Tomography (CBCT) Study. J Nepal Prosthodont Soc 2019; 2(2): 63–72. https://doi.org/10.3126/jnprossoc.v2i2.31192

6. Avila-Ortiz G, Elangovan S, Kramer KW, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res. 2014 Oct; 93(10): 950–958. https://doi.org/10.1177/0022034514541127

7. Yaseen TA, Younis H, Aghayants S, Yin M, Cheng B. Impact of vertical facial type on alveolar bone thickness and tooth morphology: a retrospective CBCT-based clinical study. J Oral Maxillofac Res 2024; 102: 102128.

https://doi.org/10.1016/j.jormas.2024.102128

8. Dalaie K, Hajimiresmail YS, Safi Y, Akbarzadeh Baghban A, Behnaz M, Talebi Rafsanjan K. Correlation of alveolar bone thickness and central incisor inclination in skeletal Class I and II malocclusions with different vertical skeletal patterns: a CBCT study. Am J Orthod Dentofacial Orthop 2023; 163(5): e11–e22.

https://doi.org/10.1016/j.ajodo.2023.02.021

9. Zekry A, Wang R, Chau ACM, Lang NP. Facial alveolar bone wall width - a cone-beam computed tomography study in Asians. Clin Oral Implants Res 2013; 25(2): 194–206.

https://doi.org/10.1111/clr.12096

10. Zhang Y, Yan J, Zhang Y, Liu H, Han B, Li W. Age-related alveolar bone maladaptation in adult orthodontics: finding new ways out. Int J Oral Sci 2024; 16(1): 52.

https://doi.org/10.1038/s41368-024-00319-7

11. Aljabr AA, Almas K, Aljofi FE, Aljabr AA, Alzaben B, Alqanas S. A CBCT study of labial alveolar bone thickness in the maxillary anterior region in a teaching hospital population in the Eastern Province of Saudi Arabia. Biomedicines 2023; 11(6): 1571.

https://doi.org/10.3390/biomedicines11061571

12. Pop SI, Cerghizan D, Mițariu L, Jánosi KM, D’Andrea A. CBCT Evaluation of Alveolar Bone Change and Root Resorption after Orthodontic Treatment: A Retrospective Study. Diagnostics 2024; 14(16): 1757.

https://doi.org/10.3390/diagnostics14161757

13. Januário 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 Implants Res 2011; 22(10): 1168–1171.

https://doi.org/10.1111/j.1600-0501.2010.02086.x

14. Sun W, Yang Y, Liu C, Li H, Lei L. Influence of alveolar bone thickness and bucco-palatal inclination on root resorption of lateral incisors in unilateral maxillary impacted canines: a retrospective observational study. BMC Oral Health 2024; 24(1): 76. https://doi.org/10.1186/s12903-024-04076-1

15. Ghassemian M, Nowzari H, Lajolo C, Verdugo F, Pirronti T, D’Addona A. The Thickness of Facial Alveolar Bone Overlying Healthy Maxillary Anterior Teeth. J Periodontol 2012; 83(2): 187–197. https://doi.org/10.1902/jop.2011.110172

16. Pradhan S, Shrestha R, Gorkhali RS, Koirala PK. Assessment of Labial Alveolar Bone Thickness in Maxillary Central Incisor using Cone Beam Computed Tomography. J Nepal Soc Periodontol Oral Implantol 2021; 5(1): 2–6.

https://doi.org/10.3126/jnspoi.v5i1.38175

17. Sheerah H, Othman B, Jaafar A, Alsharif A. Alveolar bone plate measurements of maxillary anterior teeth: A retrospective Cone Beam Computed Tomography study, AlMadianh, Saudi Arabia. Saudi Dent J 2019; 31(4): 437–444.

https://doi.org/10.1016/j.sdentj.2019.04.007

18. Zhao. Age-related changes of alveolar bone in maxillary posterior based on cone-beam CT. J Shanghai Jiao Tong Univ 2024; 44(10): 1273.

https://doi.org/10.3969/j.issn.1674-8115.2024.10.009

19. Li B, Li J, Wang H, Xie X, Wen J, Li H. Relationship between different skeletal facial types and anterior alveolar bone thickness with cone-beam computed tomography in an Asian population. Ann Transl Med 2022; 10(18): 956.

https://doi.org/10.21037/atm-22-935

20. Ahmad SN, Ahmad A, Ullah S, Kayani H, Khattak R, Ullah S. Comparative Analysis of Incisor Positioning and Alveolar Bone Thickness using Lateral Cephalograms. Pak J Med Health Sci 2022; 16(2): 370–371.

https://doi.org/10.53350/pjmhs22162370

21. Arbab S. Assessment of the Labial Alveolar Bone Thickness Overlying Maxillary Anterior Teeth in Different Age Groups, Genders, and Sides of the Arch: A Cone Beam Computed Tomographic Study. Med Forum Mon 2024; 35(1).