Morphologic characteristics of bony edentulous jaws. 2007

Jaime Pietrokovski, and Ruth Starinsky, and Baruch Arensburg, and Israel Kaffe
Department of Oral Rehabilitation, Faculty of Dental Medicine, Hebrew University, Hadassah Jerusalem and Dental Services, Assaf Harofe Medical Center, Zrifin, Israel. pietro@netvision.net.il

OBJECTIVE The objective of this study was to examine bone tissue characteristics of edentulous arches and residual ridges in different regions of the human jaws. METHODS For the study, 24 maxillary and 99 mandibular completely edentulous dry specimens were examined macroscopically and by linear and caliper measurements. Width and length of the edentulous arches were registered from the molar regions to the crest of the incisor zone. Residual ridges were quantified at the incisor, premolar, and molar regions. RESULTS Arches and ridges varied in size and shape. A trabecular bone track was present at the edentulous surface. In the maxillary arch, trabecular tissue was external to the cortical palatal vault, and in the mandible, the trabecular bony stretch was inside the cortical plates along the entire edentulous surface of the jaw. Of the ridges, 38% were thin knife-edged. In the maxilla, bone resorption was centripetal, and the crest of the edentulous arch was external to the osseous base of the cranium. In the mandible, resorption was centrifugal, forming an edentulous crest lingual to the mental protuberance anteriorly and to the mandibular base posteriorly. This discrepancy produced a reverse horizontal overlap of the residual crests, where the edentulous maxilla was at the same level or internal to the facing edentulous mandible. CONCLUSIONS This study, performed on 123 human edentulous dry bone specimens, indicates that the edentulous arch and the residual ridge take many forms. At the occlusal surface of the edentulous jaw a trabecular track is the remaining scar after tooth extraction. To accommodate an entire metal osseointegrated implant within the residual bone volume, crest reduction and bone grafts may be required as preprosthetic surgical measures. After tooth loss, maxillary resorption was centripetal and apical, whereas mandibular resorption was centrifugal and also apical, resulting in a reversed horizontal relationship in fully edentulous subjects.

UI MeSH Term Description Entries
D007575 Jaw, Edentulous The total absence of teeth from either the mandible or the maxilla, but not both. Total absence of teeth from both is MOUTH, EDENTULOUS. Partial absence of teeth in either is JAW, EDENTULOUS, PARTIALLY. Edentulous Jaw,Edentulous Jaws,Jaws, Edentulous
D008297 Male Males
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000539 Alveolar Process The thickest and spongiest part of the maxilla and mandible hollowed out into deep cavities for the teeth. Alveolar Ridge,Alveolar Processes,Process, Alveolar,Processes, Alveolar,Ridge, Alveolar

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