Buccal Bone Plate Thickness of the Asian People

Abstract

Distances from the apex to the buccal bone plate were measured on the computed tomography (CT) images of 1806 teeth from 66 patients, using an image analyzer program (Image-Pro Plus, Ver. 4.0, Media Cybernetics). In the mandible, the mean distance from the distal apex of the mandibular second molar to the buccal bone plate was the largest distance measured, at 8.51 mm, followed by distance from the mesial root to the buccal bone (7.34 mm). In the mandibular first molar, the mean distal and mesial bone thicknesses were 5.18 mm and 4.09 mm, respectively. However, when there were two distal roots, the distance of the disto-lingual root to the buccal plate was found to be 9.52 mm, which constitutes the greatest measured thickness. In the maxillary buccal roots, the distances from the mesio-buccal and disto-buccal root of the second molar to the buccal bone plate were the largest, at 4.63 mm and 3.61 mm, respectively. The average distances from the palatal apex of the maxillary first and second molars to the buccal bone plate were 10.69 mm and 10.17 mm, respectively, while, from the palatal bone plate, average distances of 3.15 mm and 3.08 mm were measured. Special considerations, such as bony lid approach, lingual approach, or intentional replantation may be required, especially when a patient has a surgical need in the second molars and the disto-lingual root of the mandibular first molar, or in the palatal root of the maxillary molars.

Effectiveness of Dental Computed Tomography in Diagnostic Imaging of Periradicular Lesion of Each Root of a Multirooted Tooth: A Case Report

“…In daily clinical practice, there are some cases where the conventional intraoral radiography and/or panoramic radiography alone does not provide enough information on the pathologic conditions, anatomical forms and structures, and positional relationships. Computed tomography (CT) allows detailed three-dimensional (3D) observation of those forms and shapes, and its usefulness in endodontic therapy has been reported (2)(3)(4)(5)(6)(7)(8)(9). The conventional medical CT, however, exposes the patient to a dozens of times higher radiation dose than does intraoral radiography or panoramic radiography; and, therefore, its application may be limited in dentistry.…”

Intentional Replantation: A Case Report

“…buccal plate thickness, proximity to anatomical structures such as the mandibular nerve or inoperable sites such as lingual surfaces of mandibular molars) or financial factors preclude conventional implant placement. Buccal plate thickness may preclude surgical endodontic treatment in mandibular molars and the palatal root of maxillary molars (2). Although post removal is frequently possible in the hands of a skilled clinician, occasionally posts or separated instrument removal may pose risks greater than the potential benefits as compared with other options including extraction (3).…”

Mandibular Buccal Bone Thickness In Southeastern Anatolian People: A Cone-Beam Computed Tomography Study

“…However, a lack of knowledge about the buccolingual thickness of the jaw bone due to image magnification and distortion can hinder (27). In Jin et al, these values were reported from 66 patients as 4.09 mm and 7.34 mm (28). In our study, we measured thicknesses at the first and second molar mesial roots as 4.58 mm and 6.93 mm, respectively.…”