Association between Age of Menopause and Thickness of Crestal Cortical Bone at Dental Implant Site: A Cross-Sectional Observational Study

Yi-Chun Ko, Ming-Tzu Tsai, Lih-Jyh Fuh, Min-Jia Tsai, Xuan-Hui Wang, Heng-Li Huang and Jui-Ting Hsu
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Yi-Chun Ko: School of Dentistry, China Medical University, Taichung 404, Taiwan
Ming-Tzu Tsai: Department of Biomedical Engineering, Hungkuang University, Taichung 433, Taiwan
Lih-Jyh Fuh: School of Dentistry, China Medical University, Taichung 404, Taiwan
Min-Jia Tsai: Department of Dentistry, China Medical University and Hospital, Taichung 404, Taiwan
Xuan-Hui Wang: Master Program for Biomedical Engineering, China Medical University, Taichung 404, Taiwan
Heng-Li Huang: School of Dentistry, China Medical University, Taichung 404, Taiwan
Jui-Ting Hsu: School of Dentistry, China Medical University, Taichung 404, Taiwan

IJERPH, 2020, vol. 17, issue 16, 1-9

Abstract: Satisfactory host bone quality and quantity promote greater primary stability and better osseointegration, leading to a high success rate in the use of dental implants. However, the increase in life expectancy as a result of medical advancements has led to an aging population, suggesting that osteoporosis may become a problem in clinical dental implant surgery. Notably, relative to the general population, bone insufficiency is more common in women with post-menopausal osteoporosis. The objective of this study was to compare the thickness of the crestal cortical bone at prospective dental implant sites between menopausal and non-menopausal women. Prospective dental implant sites in the jawbone were evaluated in two groups of women: a younger group (<50 years old), with 149 sites in 48 women, and an older group (>50 years old) with 191 sites, in 37 women. The thickness of the crestal cortical bone at the dental implant site was measured based on each patient’s dental cone-beam computed tomography images. For both groups, one-way analysis of variance and Tukey’s post-test were used to assess the correlation between cortical bone thickness and the presence of implants in the four jawbone regions. Student’s t -test was further used to compare differences between the older and younger groups. From the retrospective study results, for both groups, thickness of the crestal cortical bone was the highest in the posterior mandible, followed by anterior mandible, anterior maxilla, and posterior maxilla. Compared with the younger group, the older group had a lower mean thickness of the crestal cortical bone. Among the four regions, however, only in the posterior maxilla was the crestal cortical bone significantly thinner in the older group than in the younger group.

Keywords: dental implants; dental cone-beam computed tomography; cortical bone thickness; menopause; fertility (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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