Bone Types

There are four types of bone in the human face and the length of treatment for placing
Bone Types and Locations
There are four types
with of bone in and
the human face and on
thewhich
lengthtype
of treatment
and restoring implants a "tooth" crown depends of bone the Lekholm and Zarb explain the classification system of bone as follows4:
implantfor placingin.
is placed and restoring
Implants implants
have with a “tooth”
to integrate with theand crown depends
surrounding on
bone before a
which
tooth and type
crown is of bone on
placed theit.implant is placed in. Implants have to integrate with Based on its radiographic appearance and the resistance at drilling, bone
the surrounding bone before a tooth and crown is placed on it.
quality has been classified in four categories: Type 1 bone in which
almost the entire bone is composed of homogenous compact bone; Type
2 bone in which a thick layer of compact bone surrounds a core of dense
trabecular bone; Type 3 bone in which a thin layer of cortical bone sur-
rounds a core of dense trabecular bone; and Type 4 bone characterized as
a thin layer of cortical bone surrounding a core of low density trabecular
bone of poor strength. These differences in bone quaility can be associated
with different areas of anatomy in the upper and lower jaw. Mandibles
generally are more densely corticated than maxillas and both jaws tend to
decrease in their cortical thickness and increase in their trabecular porosity
as they move posteriorly. It has been shown, although there are have been
some studies that argue the point that there is a decrease in success rates
Type I bone is comparable to oak wood, which is very hard and dense. This
type of bone has less blood supply than all of the rest of the types of bone. as the bone type increase. There have been a range of statistics that have
been reported from a 2% difference from type 1 (98% in 36 months) to
Type The blood
I bone supply is required
is comparable to oak for the which
wood, bone toisharden or calcify
very hard the bone
and dense. Thisnext
type of
bone has
to the implant. Therefore, it takes approximately 5 months for this type tosupply is
less blood supply than all of the rest of the types of bone. The blood
required for the bone to harden or calcify the bone next to the implant. Therefore, it
integrate with an implant as opposed to 4 months for type II bone. type 4 (96% in 36 months) and a 14% difference in another group (90%
takes approximately 5 months
for this type to integrate with an implant as opposed to 4 months for type II bone. type 1 vs. 76% type 4 in 36 months). These are important statistics as it
Type II bone is comparable to pine wood, which isn’t as hard as type I. This
Type type of bone
II bone usually takes
is comparable 4 months
to pine wood, to integrate
which with
isn't as an implant.
hard as type I. This type of indicates firstly that the bone quality is significant when considering an
implant placement site, and secondly that there appears to be other factors
bone usually takes 4 months to integrate with an implant.
Type III bone is like balsa wood, which isn’t as dense as type II. Since the
Type density
III bone isn’t
is likeasbalsa
great wood,
as typewhich
II, it takes
isn't more timeas
as dense to type
“fill in”
II. and integrate
Since the density isn't in the success rates of implants as one considers the vast discrepancy
as greatwith
as type
an implant. 6 months time is suggested before loading an implant 6 months
II, it takes more time to "fill in" and integrate with an implant.
time is suggested
placed in this before
typeloading
of bone.an implant placed
Extended gradualinloading
this type of bone.
of the Extended
implant can, between the results.
gradual loading of the implant can, however, improve the bone density.
however, improve the bone density.
Type IV bone is comparable to styrofoam, which is the least dense of all of the bone 4
Typetype
types. This IV bone
takesisthe
comparable to styrofoam,
longest length which
of time to is thewith
integrate leastthe
dense of allafter
implant of Lekholm U, Zarb GA, Albrektsson T. Patient selectino and preparation. Tissue
the bone
placement, whichtypes. This type
is usually takes the
8 months. longestimplants
Additional length of should
time to be
integrate
placedwithto improve integrated prostheses. Chicago: Quintessence Publishing Co. Inc., 1985;199-209.
the implant
implant/bone after
loading placement,Incremental
distribution. which is usually 8 months.
loading Additional
of the implants implants
over time will
improveshould be placed
bone density. to improve
Bone graftingimplant/bone loading
or augmentation distribution.
of bone are often Incremental
required. Bone
loading
expansion and of
or the
boneimplants over time
manipulation canwill improve
improve boneimplant
initial density.fixation.
Bone grafting
or augmentation of bone are often required. Bone expansion and or bone
manipulation can improve initial implant fixation.

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