Comparison of mandibular bone mineral density in osteoporotic, osteopenic and normal elderly edentulous subjects measured by the dual-energy X-ray absorptiometry technique

doi: 10.1111/j.1741‐2358.2012.00625.x Comparison of mandibular bone mineral density in osteoporotic, osteopenic and normal elderly edentulous subjects measured by the dual‐energy X‐ray absorptiometry technique Objective: The aim of this study was to compare the mandibular body bone mineral density according to bone mineral density status of spine and femur measured by dual‐energy X‐ray absorptiometry (DXA) technique in elderly edentulous individuals. Background: One of the factors that affect the survival rate of implants is bone mineral density (BMD) of the jaws. Materials and methods: Fifty edentulous elderly patients’ (27 women and 23 men) spine, femur and the mandibular body BMDs were measured using DXA technique. BMD scans of the AP lumbar spine (L2–L3) and femur were classified using World Health Organisation criteria for bone mass. Results: There was a statistically significant difference between the normal femur group’s–osteoporosis group’s mandibular body BMD (p = 0.001) and femoral osteopaenia group’s–osteoporosis group’s mandibular body BMD (p < 0.001). The femoral osteoporosis group’s mandibular body BMDs were lower than those of both the normal femoral and the femoral osteopaenia group subjects’. Conclusion: Classification of edentulous mandibles according to low and high bone mineral densities is a problem in implant dentistry. The results of this study demonstrated that femoral bone mineral density status may be used to provide preliminary information about the bone mineral density of the mandibular body region in elderly edentulous subjects.     

Bone mineral density in chimpanzees,humans, and Japanese macaques

We performed a comparative study of bone mechanical properties in the radii of chimpanzees (Pan troglodytes), humans (Homo sapiens), and Japanese macaques (Macaca fuscata) using peripheral quantitative computed tomography. We investigated: (1)cortical bone area relative to the total periosteal area (PrA); (2) trabecular bone area relative to PrA; (3) cortical bone density; and (4) trabecular bone density. The cortical bone area index for chimpanzees was almost the same as that of Japanese macaques, whereas the equivalent value in humans was about the two-fifths that of the others. Values for the other three properties were constant among these three catarrhine species. Chimpanzees do not particularly resemble humans, but are more similar to digitigrade macaques in terms of bone properties. The constant trabecular bone area index and trabecular density value in these species may suggest that a certain amount of trabecular bone (20–30% of total bone area at the distal 4% level of the forearm) is necessary to achieve normal bone turnover. The physiological metabolism of bone, including cortical bone density, might be conserved in these catarrhines. Electronic Publication     

Trap‐jaws revisited: the mandible mechanism of the ant Acanthognathus

Abstract.Ants of the genus Acanthognathus stalk small insects and catch their prey by a strike with their long, thin mandibles. The mandibles close in less than 2.5 ms and this movement is controlled by a specialized closer muscle. In Acanthognathus , unlike other insects, the mandible closer muscle is subdivided into two distinct parts: as in a catapult, a large slow closer muscle contracts in advance and provides the power for the strike while the mandibles are locked open. When the prey touches specialized trigger hairs, a small fast closer muscle rapidly unlocks the mandibles and thus releases the strike. The fast movement is steadied by large specialized surfaces in the mandible joint and the sensory‐motor reflex is controlled by neurones with particularly large, and thus fast‐conducting, axons.     

Technical note: CT determination of the mineral density of dry bone specimens using the dipotassium phosphate phantom

Recent studies have demonstrated the potential application of computed tomography (CT) in research into bone density. Clinical studies of bone density using CT commonly employ a dipotassium phosphate phantom to calibrate measurements of mineral density. Designed for in vivo studies, the use of this phantom requires that bones be scanned while immersed in and permeated by fluids or soft tissues similar to water in X-ray attenuation coefficient. However, this condition may not always be met in anthropological applications, which often involve rare and fragile specimens. This study compares mineral density values calculated for a sample of bones scanned—at the same sites—in air and in water. The results indicate that, when scanned in air, the mineral density of trabecular bone is dramatically underestimated, while that of cortical bone is slightly overestimated. We present a linear regression equation to correct this error but recommend that, when possible, researchers calculate their own regressions based on their specific scanning conditions. Am J Phys Anthropol 103:557–560, 1997. © 1997 Wiley-Liss, Inc.     

Relationships between bone mass and micro-architecture at the mandible and iliac bone in edentulous subjects: a dual X-ray absorptiometry, computerised tomography and microcomputed tomography study

doi: 10.1111/j.1741‐2358.2011.00527.x Relationships between bone mass and micro‐architecture at the mandible and iliac bone in edentulous subjects: a dual X‐ray absorptiometry, computerised tomography and microcomputed tomography study Objectives: To compare bone volume, bone mineral density, cortical thickness and bone micro‐architecture in a series of paired mandibular and iliac bone samples analysed by various imagery techniques to see whether relationships exist between the various techniques and between mandibular and iliac bone. Materials and methods: Bone samples from the mandible and ilium were harvested in 20 cadavers and analysed by dual energy X‐ray absorptiometry (DXA), computerised tomography (CT) on a conventional hospital machine and microCT. Results: Significant correlations were found between Hounsfield density obtained by CT, and bone mass determined by microCT but not with DXA values. Cortical thickness measurements were well correlated between CT and microCT. No relationships were found between mandibular and iliac bone, when considering mineral density, cortical thickness, bone volume or micro‐architecture. Conclusion: In clinical practice, CT remains the most appropriate routine means for bone qualitative and quantitative evaluation at the mandible. In this ex vivo study, these results confirm that mandibular bone status does not reflect the axial skeletal one and assist in the placement of implants with dental prostheses in old or osteoporotic patients.     

A note on functional implications of morphological variation in the human mandible

This study was carried out on 56 mandibles belonging to skeletal remains recovered from archaeological excavations in Israel dated to 6.000 BP. or less, 2 Neandertal mandibles dating between 50.000–60.000 BP. and 2 early H. sapiens sapiens mandibles both dating to circa 92.000 yr BP. Mandibular body length, the distance from the anterior border of the symphysis to a line bisecting the first molar (distance 1), and the distance from the line bisecting the first molar to the mandibular angle (distance 2) were measured. Distance 1, showed little variation between specimens. However, distance 2 showed a significant difference between sexes and between early and late specimens. For all specimens examined there was a low nonsignificant correlation, between the length of the mandible and distance 1, while there was a high correlation between the length of the mandibular body and distance 2. There was little or no correlation between distance 1 and 2. We propose that the human mandible, as a lever arm, can be divided into two functional parts; an anterior part which shows little change over the last 90000 years, and a posterior part which differs in accordance with the length of the mandibular corpus. These changes in distance 2 appear to correlate to changes in body size and diet, suggesting that as proposed by Hylander (1988) chewing rather than incision has played the main role in evolutionary trends of the hominid mandible. This is also in accordance with mandibular growth during development where the lengthening of the jaw takes place mostly in the posterior part by remodeling in the ramus area (Enlow, 1990) both during individual development (ontogenesis) and through evolutionary changes (phylogenesis).     

Bone mineral density and survival of elements and element portions in the bones of the Crow Creek massacre victims

The interpretation of archaeologically-derived skeletal series is dependent on the elements and portions of elements preserved for examination. Bone and bone portion survival is affected by factors, both intrinsic and extrinsic to the elements themselves, that influence deterioration and preservation. Among the intrinsic variables, the density of the element and element portion are particularly important with respect to the degree of preservation. Recently reported bone mineral density values from a contemporary human sample are compared to the survival of prehistoric limb bones of the Crow Creek specimens, a fourteenth-century massacre skeletal series. The contemporary density values are positively correlated with Crow Creek element and element portion survival. Two calculations of bone mineral density, however, are more closely related to preservation than a third. Such density information has implications for assessing minimum number of elements and individuals and documenting taphonomic processes. Am J Phys Anthropol 104:513–528, 1997. © 1997 Wiley-Liss, Inc.     

Age-related changes of bone mineral density in human calcaneus, talus, and scaphoid bone

To examine whether the bone mineral density (BMD) decreases uniformly with aging in any spongy bones, the authors investigated age-related changes of BMD in the calcaneus, talus, and scaphoid bone. After the ordinary dissection by medical students was finished, calcanei, tali, and scaphoid bones were resected from the subjects, and BMDs were measured by dual-energy X-ray absorptiometry. Their BMDs seemed to decrease gradually with aging in the calcanei, tali, and scaphoid bones. It was found that there were statistically significant relationships between age and BMD in the men’s and women’s scaphoid bones, women’s tali, and women’s calcanei, but not in the men’s tali and calcanei. It should be noted that there were significant relationships between age and BMD in both men’s and women’s scaphoid bones. In regard to relationship in BMD between the bones of the upper and lower limbs in individuals, it was found that the relationship between the calcaneus and talus was higher than that between the calcaneus and scaphoid bone. This suggests that there is a higher relationship in BMD between the two tarsal bones compared with that between the tarsal and carpal bones.     

强度不同的间歇跑台训练对生长期大鼠骨代谢及相关激素的影响

目的:探讨强度不同的间歇跑台训练对生长期大鼠骨代谢的影响,以期为青少年训练强度的制定提供理论支持。方法:选取4周龄雄性wistar大鼠70只,根据体重随机搭配分成7组(n=10):即对照组和运动组。运动组按照大鼠摄氧量分为:65%组,70%组,75%组,80%组,85%组和90%组。跑台训练9周,每周训练6 d,每组训练分3次,每次不低于10 min,中间间隔30 min。最后一次运动后24 h,取股骨和血进行骨密度(BMD)、骨量(BMC)和血清中的碱性磷酸酶(AKP),抗酒石酸酸性磷酸酶(Str-ACP)的测定。结果:①70%组股骨的BMD(0.1393±0.0031)、BMC(0.4525±0.0335)显著高于对照组(BMD:0.1200±0.0095,BMC:0.3238±0.0485)和其他各运动组(65%组BMD:0.1339±0.0062、BMC:0.4058±0.0492,75%组BMD:0.1296±0.0015、BMC:0.3869±0.0254,80%组BMD:0.1223±0.0082、BMC:0.3454±0.0483,85%组BMD:0.1250±0.0044、BMC:0.3731±0.0381,90%组BMD:0.1171±0.0047、BMC:0.3051±0.0286)(P<0.05),90%组的BMD、BMC低于对照组但未达到显著水平,其他各运动组均高于对照组;②各运动组血清AKP均显著高于对照组,其中65%组(41.015±2.114)、70%组(46.035±2.611)、75%组(43.834±3.155)、80%组(38.043±4.073)血清AKP非常显著高于对照组(26.875±1.188)(P<0.01),70%组和75%组血清AKP显著高于80%组、85%组、90%组(P<0.05),同时70%组血清AKP显著高于65%组(P<0.05),这说明70%VO2max的训练强度成骨细胞最活跃。各运动组血清StrACP均显著高于对照组,随着训练强度的增加,血清StrACP水平呈上升趋势,80%组(22.430±1.591)、85%组(23.990±1.870)、90%组(28.009±1.839)血清StrACP显著高于65%组(18.503±2.429)、70%组(16.447±2.120)和75%组(17.769±1.642)(P<0.05),90%组血清StrACP均显著高于80%组和85%组(P<0.05)。结论:70%VO2max的中等强度间歇跑台训练使生长期大鼠骨量、骨密度增加最明显。     

Influence of mastication and edentulism on mandibular bone density

The aim of this study was to demonstrate that external loading due to daily activities, including mastication, speech and involuntary open–close cycles of the jaw contributes to the internal architecture of the mandible. A bone remodelling algorithm that regulates the bone density as a function of stress and loading cycles is incorporated into finite element analysis. A three-dimensional computational model is constructed on the basis of computerised tomography (CT) images of a human mandible. Masticatory muscle activation involved during clenching is modelled by static analysis using linear optimisation. Other loading conditions are approximated by imposing mandibular flexure. The simulations predict that mandibular bone density distribution results in a tubular structure similar to what is observed in the CT images. Such bone architecture is known to provide the bone optimum strength to resist bending and torsion during mastication while reducing the bone mass. The remodelling algorithm is used to simulate the influence of edentulism on mandibular bone loss. It is shown that depending on the location and number of missing teeth, up to one-third of the mandibular bone mass can be lost due to lack of adequate mechanical stimulation.     

Arterial vascularization of the mandible and maxilla of neotropical primates

The objective of the present investigation was to conduct a comparative macroscopic study of the arterial vascularization of the mandible and maxilla of neotropical primates of the genera Cebus, Alouatta, Callithrix, and Leontopithecus. After vinyl was injected into the arterial system of the head of each specimen, the pieces were macerated and corroded. The level of the bifurcation of the common carotid artery into the internal and external carotids varied between the first and third cervical vertebrae. The external carotid artery accounts for most of the vascularization of the facial structures. The actual vessels responsible for the supply of this region are the sublingual, facial, angular, lingual, submandibular, submental, inferior and superior labial, maxillary, inferior alveolar, infraorbital, superior posterior alveolar, palatine major, and sphenopalatine arteries. We conclude that although the arterial vascular pattern was similar in all the genera studied, and resembles the human pattern, there are notable variations in the vasculature of the mandible and maxilla among these four neotropical genera.     

Low bone mineral density in men with chronic obstructive pulmonary disease

Background

Osteoporosis is common in patients with COPD but the likely multi-factorial causes contributing to this condition (e.g. sex, age, smoking, therapy) mask the potential contribution from elements related to COPD. In order to study osteoporosis and bone mineral density (BMD) related to COPD, we studied a well-defined group of patients and controls.

Methods

BMD, forced expiratory volume in one second (FEV₁), circulating bone biomarkers and biochemistry were determined in 30 clinically stable male ex-smokers with confirmed COPD and 15 age matched "ex-smoker" male controls. None of the patients were on inhaled corticosteroids or received more than one short course of steroids.

Results

Mean (SD) FEV₁% predicted of patients was 64(6)%, the majority having Global Initiative for Chronic Obstructive Lung Disease (GOLD) II airflow obstruction. There were 5/30 patients and 1/15 controls who were osteoporotic, while a further 17 patients and 5 controls were osteopenic. The BMD at the hip was lower in patients than controls, but not at the lumbar spine. Mean values of procollagen type 1 amino-terminal propeptide and osteocalcin, both markers of bone formation, and Type 1 collagen β C-telopeptide, a marker of bone resorption, were similar between patients and controls. However, all bone biomarkers were inversely related to hip BMD in patients (r = -0.51, r = -0.67, r = -0.57, p < 0.05) but did not relate to lumbar spine BMD. 25-OH Vitamin D was lower in patients.

Conclusions

Men with COPD had a greater prevalence of osteoporosis and osteopenia than age matched male controls, with a marked difference in BMD at the hip. Bone biomarkers suggest increased bone turnover.     

Sexual dimorphism of the human mandible and its association with dental development

The present study investigates whether the human mandible is sexually dimorphic during early postnatal development and whether early dimorphic features persist during subsequent ontogeny. We also examine whether mandibular dimorphism is linked to dimorphism of dental development. Dense CT-derived mandibular meshes of 84 females and 75 males, ranging from birth to adulthood, were analyzed using geometric morphometric methods. On the basis of the specimen's chronological ages and mineralization stages of the deciduous and permanent teeth, we compute dental age as proxy for dental development by the additive conjoint measurement method. By birth, males have, on average, more advanced age-specific shapes than females. However, sex differences decrease quickly as females catch up via a different association between shape and size. This leads to an almost complete reduction of sexual dimorphism between the ages of 4 and 14. From puberty to adulthood, males are characterized by allometric shape changes while the shape of the female mandible continues to change even after size has ceased to increase. Dimorphism of dental maturation becomes visible only at puberty. Sexual dimorphism, concentrated at the ramus and the mental region during the earliest ontogenetic stages and again at adulthood, is not associated with the development of the teeth. At puberty there is a simultaneous peak in size increase, shape development, and dental maturation likely controlled by the surge of sex hormones with a dimorphic onset age. We argue that the infant and adult dimorphism of the mental region may be associated with the development of supralaryngeal structures.     

Metabolism of Collagen and Muscle Protein of Young Rats in Protein Depletion

The effect of protein depletion on the metabolism of body collagen and muscle protein has been investigated in young male rats fed with a protein-free diet for 14 and 28 days.

During the protein depletion, the protein content of the liver, intestine and skin decreased significantly, but the decrease of proteins was very little in the carcass, tail and bone (ossa cruris). An increase of tissue collagen in protein depletion was found in the carcass, bone, tail, skin and liver, while muscle protein in the carcass was evidently lost at a later stage of protein depletion. The increase of calcium in the bone was parallel to the increase of collagen, indicating continuous growth of the bones in spite of protein depletion. These results may indicate that the young animals continuously synthesize collagens of their special tissues from other tissue proteins even with severe protein deficiency. The metabolic responses of body collagens to dietary protein depletion in young rats have been discussed and compared with those in adult rats reported previously.     

The assessment of trabecular bone parameters and cortical bone strength: A comparison of micro-CT and dental cone-beam CT

This study compared the capabilities of micro-computed tomography (micro-CT) and dental cone-beam computed tomography (CBCT) in assessing trabecular bone parameters and cortical bone strength. Micro-CT and CBCT scans were applied to 28 femurs from 14 rats to obtain independent measurements of the volumetric cancellous bone mineral density (vCanBMD) in the femoral head, volumetric cortical bone mineral density (vCtBMD) in the femoral diaphysis, cross-sectional moment of inertia (CSMI), and bone strength index (BSI) (=CSMI×vCtBMD). Five structural parameters of the trabecular bone of the femoral head were calculated from micro-CT images. A three-point bending test was then conducted to measure the fracture load of each femur. Bivariate linear Pearson analysis was conducted to calculate the correlation coefficients (r values) of the micro-CT, dental CBCT, and three-point bending measurements. The statistical analyses showed a strong correlation between vCanBMD values obtained using micro-CT and dental CBCT (r=0.830). There were strong or moderate correlation between vCanBMD measured using dental CBCT and five parameters of trabecular structure measured using micro-CT. Additionally, the results were satisfactory regardless of whether micro-CT or dental CBCT was used to measure the femoral diaphysis vCtBMD (r=0.733 and 0.680, respectively), CSMI (r=0.756 and 0.726, respectively), or BSI (r=0.846 and 0.847, respectively) to predict fracture loads. This study has yielded a new method for using dental CBCT to evaluate bone parameters and bone strength; however, further studies are necessary to validate the use of dental CBCT on humans.     

Relationship of strain magnitude to morphological variation in the primate skull

In a comparative study of variation in primate skulls, Wood and Lieberman ([ 2001 ] Am. J. Phys. Anthropol. 116:13–25) proposed that a predictable relationship exists between in vivo bone‐strain magnitudes and the extent of morphological variation in skeletal structures. They hypothesized that regions subject to high strains are prone to enhanced levels of variation. Three questions are posed with respect to the plausibility of this hypothesis. First, does the proposed relationship hold at different levels of analysis (e.g., for more restricted anatomical regions in which large strain gradients are present)? Second, is the biomechanical rationale for the hypothesis sound, given the current understanding of bone biology? Third, is the hypothesis obviated by consideration of the functional matrix concept of skull development, in which osseous growth is posited to be governed by surrounding soft tissues (e.g., muscle and tendon) and developing spaces (e.g., the nasal capsule)? The different perspectives explored by these questions suggest that the validity of the hypothesis, despite having a defensible theoretical rationale, is likely to be context‐specific. A direct role for strain magnitude in conditioning morphological variation is difficult to demonstrate either comparatively or theoretically, and it is unlikely that a single strain threshold or interval can be directly associated with elevated variation in the skeleton. The conceptual framework of the functional matrix (which allows for independent growth among different regions of the skull) conceivably contravenes the premise of a uniform relationship of strain magnitude to morphological variability. Am J Phys Anthropol, 2003. © 2003 Wiley‐Liss, Inc.