Open AccessPredictability of bone density at posterior mandibular implant sites using cone-beam computed tomography intensity values
Author(s) -
Mustafa Alkhader,
Malik Hudieb,
Yousef Khader
Publication year - 2017
Publication title -
the european journal of dentistry/the european journal of dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.625
H-Index - 31
eISSN - 1305-7464
pISSN - 1305-7456
DOI - 10.4103/ejd.ejd_14_17
Subject(s) - cone beam computed tomography , bone density , receiver operating characteristic , intensity (physics) , medicine , implant , computed tomography , nuclear medicine , tomography , dentistry , radiology , osteoporosis , surgery , physics , optics , pathology
Objective: The aim of this study was to investigate the predictability of bone density at posterior mandibular implant sites using cone-beam computed tomography (CBCT) intensity values. Materials and Methods: CBCT cross-sectional images for 436 posterior mandibular implant sites were selected for the study. Using Invivo software (Anatomage, San Jose, California, USA), two observers classified the bone density into three categories: low, intermediate, and high, and CBCT intensity values were generated. Results: Based on the consensus of the two observers, 15.6% of sites were of low bone density, 47.9% were of intermediate density, and 36.5% were of high density. Receiver-operating characteristic analysis showed that CBCT intensity values had a high predictive power for predicting high density sites (area under the curve [AUC] =0.94, P < 0.005) and intermediate density sites (AUC = 0.81, P < 0.005). The best cut-off value for intensity to predict intermediate density sites was 218 (sensitivity = 0.77 and specificity = 0.76) and the best cut-off value for intensity to predict high density sites was 403 (sensitivity = 0.93 and specificity = 0.77). Conclusions: CBCT intensity values are considered useful for predicting bone density at posterior mandibular implant sites.