Ridge bone resorption is a common event that occurs in tooth loss areas and that can happen in different degrees. The harvesting of autogenous bone can significantly increase treatment time and costs, and poses some risks, including postoperative pain, or possibly nerve or arterial injury. The aim of this article is to demonstrate and analyze the use of bone expansion in order to circumvent problems related to bone harvesting. This is done with screws, followed by immediate implant placement. Twenty-one cases are used to define management solutions for this type of technique to enable the later implant rehabilitation of sites affected by poor bone width.

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Objective: To Assess the correlation between different quality analysis parameters of trabecular pattern in digital panoramic radiographies and relations with forearm bone mass density (BMD) performed by DXA. Methods: The study was developed using panoramic and peripheral bone densitometry dual energy X-ray absorptiometry (DXA) of 68 patients, 9 males and 59 females (19-73 years old). In the panoramic radiographs, evaluation of the trabecular bone morphology through assessment of fractal dimension (FD), connectivity (C) and total number of "bright" pixels (ET) was performed. In DXA, the exam determines the bone mineral density of the forearm to identify who has a high risk of osteoporosis. Statistics analyzed the relationship of these exams and the contribution of dental radiographs in detecting patients at risk for osteoporosis. Results: The average age of subjects was 43.85. In the analysis of trabecular pattern, a significant correlation between the FD, ET and C factors in level of 5% (Pearson correlation test) was found. Correlation tests showed no significant correlation between DF and BMD. Conclusions: The analysis showed correlations with each other, detecting alterations in the trabecular pattern. It cannot be related to BMD with FD but should be taken into account that examining the bone or trabecular alveolar process, when, for example, diagnostic analysis of pre-implant bone quality, is required.