When it comes to dental implants, the success rate is largely dependent on the quality and quantity of available bone. Carl E. Misch classified four types of bone density found in all regions of the jaw, with type 1 being the densest and type 4 being the softest. Type 3 and 4 bone textures have less success when it comes to dental implants.
The trabecular and cortical parts of these types of bones differ at the macroscopic level. Misch classified the mandible regions into four types, with type 1 being a dense cortical bone and type 4 being a thin trabecular bone with almost no cortical bone. Type 2 is a thick trabecular bone surrounded by thick and porous cortical bone, while type 3 is a thin trabecular bone surrounded by thin and porous cortical bone. In terms of dentate sites, the highest bone density was recorded in the buccal cortical plate of the lower incisor teeth, while the lowest bone density was found in the spongy bone around the rear maxillary teeth.
In severe cases, osteonecrosis of the jaw can occur due to an inability of bone tissue to heal after minor trauma, such as tooth extraction or dental implant placement. A study conducted by researchers from the Department of Preventive Dental Sciences and the Department of Dental Biomedical Sciences at the University of Dammam investigated a total of 220 edendular sites and 800 toothed sites around incisors, canines, premolars, and molars. The results showed that there was a significant correlation between bone quality and implant stability parameters. This indicates that doctors can predict primary stability before implant insertion and modify their treatment plans accordingly.
The study also followed 24 postmenopausal women who were receiving dental implants, half of whom had osteoporosis and half who did not. The results showed that there was a higher average bone density value at implant sites in men than in women, which may be related to hormonal peculiarities in women and greater bone mass in men. When it comes to dental implants, it's important to understand which type of bone density is best for successful implantation. Type 1 is considered to be the densest and most suitable for dental implants, while types 3 and 4 are less successful due to their lower density.
Additionally, studies have shown that there is a correlation between bone quality and implant stability parameters, as well as differences in average bone density values between men and women. If you're considering dental implants, it's important to consult with an experienced dentist who can assess your individual situation and determine which type of bone density is best for your needs. At Tribeca Advanced Dentistry in downtown New York, our team of experienced dentists can help you make an informed decision about your oral health. Contact us today to learn more.
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