Year: 2024 | Month: September | Volume: 14 | Issue: 9 | Pages: 146-153
DOI: https://doi.org/10.52403/ijhsr.20240919
A Comparative Evaluation of Changes in Alveolar Bone Around Upper Central Incisors in Extraction and Non-Extraction Patients Using Cone-Beam Computed Tomography
Dr. Manisha Solanki1, Dr. Vijay Agarwal2, Dr. Karamdeep Singh Ahluwalia3, Dr. Hari Narayan Choudhary4, Dr. Rekha Sharma5, Dr. Heena Parveen6
1Post-Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
2 Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
3Professor, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
4Reader, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
5Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
6Post-Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, Jaipur Dental College, Jaipur, Rajasthan, India.
Corresponding Author: Dr. Manisha Solanki
ABSTRACT
Background: In this study, individuals undergoing orthodontic therapy with and without extractions were compared and evaluated for changes in alveolar bone thickness and vertical height at the crest area surrounding upper central incisors using cone beam computed tomography (CBCT).
Method: In cooperation with the Oral Radiology Department, the Department of Orthodontics and Dentofacial Orthopaedics at Jaipur Dental College performed this retrospective CBCT study. Pre-treatment CBCT records from 15 non-extraction patients whose initial spacing was greater than 3 mm and 15 extraction patients whose initial crowding was greater than 5 mm were included in the study. Post-treatment CBCT scans were taken after alignment and leveling to assess and compare vertical bone loss and alveolar bone length on the labial and palatal sides of the maxillary central incisors.
Results: Following extraction cases after alignment and leveling, there was a statistically significant difference (p0.05) in the vertical bone loss on the palatal side of central incisor between the extraction and non-extraction groups. For every other measure, however the differences between the groups were statistically not significant (p>0.05)
Conclusion: While there was a greater loss of vertical bone on the palatal side, there was no appreciable difference in the amount of alveolar bone lost in extraction cases compared to non-extraction instances.
Key words: cone beam computed tomography, alignment and leveling, vertical bone height, alveolar bone height.