Evaluation of the bone structure surrounding photofunctionalized implants using the fractal analysis method: a split-mouth randomized clinical study

Farsiani H., BAĞIŞ N., Balkan E. P., KARACAOĞLU F., Guner Z. D., ORHAN K.

BMC ORAL HEALTH, cilt.25, sa.1, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1186/s12903-025-06330-6
  • Dergi Adı: BMC ORAL HEALTH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Ankara Üniversitesi Adresli: Evet

Özet

BackgroundImplant 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).MethodsA 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 x 25 pixels) were analyzed using ImageJ. Statistical analysis used SPSS 26 with a 95% confidence level. Shapiro-Wilk test confirmed non-normal distribution.ResultsA 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).ConclusionsPF 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 registrationCurrent Controlled Trials NCT06821932 (Retrospectively registered) (https://clinicaltrials.gov/study/NCT06821932 /2025-02-11).