PMID- 31990412 OWN - NLM STAT- MEDLINE DCOM- 20200506 LR - 20200506 IS - 1600-0501 (Electronic) IS - 0905-7161 (Linking) VI - 31 IP - 5 DP - 2020 May TI - Facial alveolar bone alterations and gray value changes based on cone beam computed tomography around maxillary anterior implants: A clinical retrospective study of 1-3 years. PG - 476-487 LID - 10.1111/clr.13583 [doi] AB - OBJECTIVES: The purpose of this cone beam computed tomography (CBCT) study was to describe facial alveolar bone alterations and gray value (GV) changes around implants in aesthetic anterior maxilla with simultaneous guided bone regeneration (GBR) and to investigate potential influence of factors related to vertical alveolar bone stability, such as particle sizes of the deproteinized bovine bone mineral (DBBM) used. MATERIALS AND METHODS: A retrospective study design was adopted. Four facio-palatal cross-sectional CBCT images of 166 implants from 124 patients who had maxillary anterior implants were obtained. Measurements of the vertical facial alveolar bone level (VFBL), horizontal facial alveolar bone thickness (HFBT), and GV were identified of 1-3 years. Then, correlation coefficients for those parameters were calculated. Finally, linear mixed models were established to investigate potential factors influencing vertical alveolar bone resorption. RESULTS: Facial alveolar bone underwent fast bone modeling and remodeling during the first 6 months, with decreases of 1.00 +/- 1.19 and 0.74 +/- 0.86 mm in VFBL and HFBT in implant shoulder, respectively, and there was positive and significant correlation between the alterations in VFBL and HFBT1 (r(s) = .516, p = .000). Linear mixed models identified particle size of DBBM as a critical factor associated with vertical bone resorption (p = .000). The GV gradually increased during the follow-up period. CONCLUSIONS: Rapid and unavoidable peri-implant bone resorption usually happened during the first 6 months after implant placement. GBR is a predictable treatment for maxillary anterior implants, since GV has an increasing trend. Large bone particles of DBBM help maintain vertical alveolar bone stability. CI - (c) 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Zhou, Yi AU - Zhou Y AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. FAU - Gao, Jiayu AU - Gao J AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. FAU - Sheng, Min AU - Sheng M AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. FAU - Qi, Wenting AU - Qi W AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. FAU - Jin, Jiali AU - Jin J AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. FAU - He, Fuming AU - He F AUID- ORCID: 0000-0002-5155-8851 AD - The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China. LA - eng GR - LY19H140003/Zhejiang Provincial Natural Science Foundation of China/ GR - 2019C03081/Key Research and Development Program of Science and Technology Department of Zhejiang Province/ GR - 31670970/National Natural Science Foundation of China/ PT - Journal Article DEP - 20200212 PL - Denmark TA - Clin Oral Implants Res JT - Clinical oral implants research JID - 9105713 RN - 0 (Dental Implants) MH - Animals MH - Cattle MH - Cone-Beam Computed Tomography MH - Cross-Sectional Studies MH - Dental Implantation, Endosseous MH - *Dental Implants MH - Esthetics, Dental MH - Humans MH - *Maxilla MH - Retrospective Studies OTO - NOTNLM OT - CT imaging OT - bone regeneration OT - bone substitutes OT - clinical research OT - radiology OT - statistics EDAT- 2020/01/29 06:00 MHDA- 2020/05/07 06:00 CRDT- 2020/01/29 06:00 PHST- 2019/04/10 00:00 [received] PHST- 2019/11/14 00:00 [revised] PHST- 2020/01/08 00:00 [accepted] PHST- 2020/01/29 06:00 [pubmed] PHST- 2020/05/07 06:00 [medline] PHST- 2020/01/29 06:00 [entrez] AID - 10.1111/clr.13583 [doi] PST - ppublish SO - Clin Oral Implants Res. 2020 May;31(5):476-487. doi: 10.1111/clr.13583. Epub 2020 Feb 12.