Description

Lekholm and Zarb classified maxillary and mandibular bone in an edentulous person. This can impact the stability of a dental implant.


 

Measures:

(1) bone shape or volume

(2) bone density or quality

 

Alveolar Ridge

Basal Bone

Code for Bone Volume/Shape

no or mild resorption (most remains)

no resorption

A

moderate resorption

no resorption

B

advanced resorption

no resorption

C

none remains

some resorption

D

none remains

extreme resorption

E

 

 

Compact Bone

Trabecular Bone

Code for Bone Density/Quality

homogenous compact bone throughout the entire jaw

small amount of dense trabecular bone

1

thick layer of compact bone

core of dense trabecular bone

2

thin rim of cortical bone

care of dense trabecular bone

3

thin rim of cortical bone

core low density trabecular bone

4

 

The final designation is expressed by combining the two codes:

 

(bone shape code) / (bone quality code)

 


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