Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study
Abstract Background Implant failure may necessitate another surgical procedure to improve implant survival. Photofunctionalization(PF) with UV light is a promising method to enhance dental implant osseointegration. The study evaluates the effect of the PF on bone quality around the implants using Fr...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-06330-6 |
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| author | Hamed Farsiani Nilsun Bagis Elif Polat Balkan Fatma Karacaoglu Zülal Deniz Güner Kaan Orhan |
| author_facet | Hamed Farsiani Nilsun Bagis Elif Polat Balkan Fatma Karacaoglu Zülal Deniz Güner Kaan Orhan |
| author_sort | Hamed Farsiani |
| collection | DOAJ |
| description | Abstract Background Implant failure may necessitate another surgical procedure to improve implant survival. Photofunctionalization(PF) with UV light is a promising method to enhance dental implant osseointegration. The study evaluates the effect of the PF on bone quality around the implants using Fractal Dimension Analysis (FDA). Methods A total of 42 implants were placed in a split-mouth design and evaluated using FDA on panoramic radiographs taken pre- and post-operatively. Regions of interest (25 × 25 pixels) were analyzed using ImageJ. Statistical analysis used SPSS 26 with a 95% confidence level. Shapiro-Wilk test confirmed non-normal distribution. Results A statistically significant increase in Fractal dimension(FD) values was observed in the test group between pre- and post-operative images (p = 0.044). The control group showed a non-significant increase (p = 0.794). Conclusions PF appears to enhance osseointegration by improving bone microstructure as shown by increased FD values. FDA is a reliable imaging-based proxy for evaluating implant-related bone changes. Trial registration Current Controlled Trials NCT06821932 (Retrospectively registered) ( https://clinicaltrials.gov/study/NCT06821932 /2025-02-11). |
| format | Article |
| id | doaj-art-54870496cf044121a412b3f0f18953d8 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-54870496cf044121a412b3f0f18953d82025-08-20T03:45:41ZengBMCBMC Oral Health1472-68312025-07-012511910.1186/s12903-025-06330-6Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical studyHamed Farsiani0Nilsun Bagis1Elif Polat Balkan2Fatma Karacaoglu3Zülal Deniz Güner4Kaan Orhan5Faculty of Dentistry, Department of Periodontology, Ankara UnivercistyFaculty of Dentistry, Department of Periodontology, Ankara UnivercistyFaculty of Dentistry, Department of Dento Maxillofacial Radiology, Ankara UnivercistyFaculty of Dentistry, Department of Periodontology, Ankara UnivercistyFaculty of Dentistry, Department of Periodontology, Ankara UnivercistyFaculty of Dentistry, Department of Dento Maxillofacial Radiology, Ankara UnivercistyAbstract Background Implant failure may necessitate another surgical procedure to improve implant survival. Photofunctionalization(PF) with UV light is a promising method to enhance dental implant osseointegration. The study evaluates the effect of the PF on bone quality around the implants using Fractal Dimension Analysis (FDA). Methods A total of 42 implants were placed in a split-mouth design and evaluated using FDA on panoramic radiographs taken pre- and post-operatively. Regions of interest (25 × 25 pixels) were analyzed using ImageJ. Statistical analysis used SPSS 26 with a 95% confidence level. Shapiro-Wilk test confirmed non-normal distribution. Results A statistically significant increase in Fractal dimension(FD) values was observed in the test group between pre- and post-operative images (p = 0.044). The control group showed a non-significant increase (p = 0.794). Conclusions PF appears to enhance osseointegration by improving bone microstructure as shown by increased FD values. FDA is a reliable imaging-based proxy for evaluating implant-related bone changes. Trial registration Current Controlled Trials NCT06821932 (Retrospectively registered) ( https://clinicaltrials.gov/study/NCT06821932 /2025-02-11).https://doi.org/10.1186/s12903-025-06330-6PhotofunctionalizationUltraviyolet lightDental implantHydrophilic surface |
| spellingShingle | Hamed Farsiani Nilsun Bagis Elif Polat Balkan Fatma Karacaoglu Zülal Deniz Güner Kaan Orhan Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study BMC Oral Health Photofunctionalization Ultraviyolet light Dental implant Hydrophilic surface |
| title | Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study |
| title_full | Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study |
| title_fullStr | Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study |
| title_full_unstemmed | Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study |
| title_short | Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study |
| title_sort | evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method a split mouth randomized clinical study |
| topic | Photofunctionalization Ultraviyolet light Dental implant Hydrophilic surface |
| url | https://doi.org/10.1186/s12903-025-06330-6 |
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