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Palatal Bone Density in Adult Subjects: Implications for Mini-Implant Placement

11/6/2009

Journal: The Angle Orthodontist

Citation: Vol. 80, No. 1, pp. 137-144

Authors: Sung Hee Moon, Sun Hyung Park, Won Hee Lim, Youn Sic Chun
Objectives: To evaluate palatal bone density to allow for better selection of palatal implant anchorage sites.

Materials and Methods: Computed tomographic (CT) images were obtained from 15 males and 15 females (mean age, 27 years; range, 23–35 years). Bone density was measured in Hounsfield units (HU) at 80 coordinates at regular mediolateral and anteroposterior intervals along the midpalatal suture.

Results: Bone densities ranged from 805 to 1247 HU. A significant difference between male and female groups was noted, although no difference was found between left and right sides of individual palates. Palatal bone densities showed a tendency to decrease laterally and posteriorly. The midpalatal area within 3 mm of the midsagittal suture had the densest bone in the entire palate.

Conclusion: Results suggest that mini-implants for orthodontic anchorage may be effectively placed in most areas with bone density equivalent to the palatal area if they are placed from 3 mm posterior to the incisive foramen and 1 to 5 mm to the paramedian side.



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