2018 Volume 10 Issue 1 Pages 1-15
Purpose: The aim of this review article was to present the current concept of “bone quality” which was stated to be important parameters for bone diagnosis other than BMD by the National Institute of Health (NIH), based on collagen fibers, biological apatite, and bone cells.
Results: The term “bone quality” has been considered to be synonymous with bone mineral density (BMD) based on radiographic and sensible evaluations in prosthetic dentistry. However, the concept of bone quality, which is comprised from bone architecture, bone turnover, bone mineralization, and micro-damage accumulation, was proposed by the NIH in 2000. The current concept of bone quality is completely independent of BMD. Moreover, our investigations have shown that collagen fibers, biological apatite (BAp), and bone cells such play important roles in regulating the current concept of bone quality in bone around hip and dental implants.
Conclusions: The current concept of bone quality plays crucial roles in understanding bone mechanical functions. Collagen fibers, BAp and bone cells are the main factors affecting bone quality under loaded conditions. Our findings strongly suggest that understanding and accepting the current concept of bone quality is required in prosthetic dentistry.
