A radiographic study of bone density using different aluminum stepwedges


  • Giovanna Andraus Kirsten
  • Soraya de Azambuja Berti
  • João Armando Brancher
  • Fernando Henrique Westphalen
  • Sergio Aparecido Ignácio
  • Paulo Henrique Couto Souza


bone density, aluminum stepwedge, pixels, digital radiography


This research aimed to compare the relative density of swine’s mandible bone ships with aluminum stepwedge and to compare the density of two different stepwedges. It was used two aluminum stepwedges on different manufacturers, P1 and P2, and 5 fragments from bucal cortical of the dry swine’s mandible. The bone chips and the stepwedges were radiographed using Ultra-speed films, with an exposure time of 0.32s and a focus-film distance of 25 cm. The films were processed manually by the time/temperature method. After that, they were digitalized and analyzed using the histogram tool, from Image Tool software. The data were analyzed by statistics tests of ANOVA and Tukey (5%). The results showed that there was no estatistical differences between the densities of the bone chips and the step number 3 (3,6 mmEq/Al) of the P1 stepwedge (p > 0.05). There were statistical differences between the densities of the bone chips and the steps number 1 (3,0 mmEq/Al), number 2 (3,3 mmEq/Al) and number 3 (3,6 mmEq/Al) of the P2 stepwedge (p < 0.05). Finally, there were statistical differences of densities of the steps number 1, 2 and 3 between both stepwedges (p < 0.05). It was concluded that it is possible to attribute values in aluminum equivalent millimeters to the relative density of bone chips and that there is difference of density in pixels between stepwedges composed with the same metal, although they are from different manufacturers. It is very important to standardize the type of stepwedge when it is used as reference material in bone density studies. UNITERMS: bone density; aluminum stepwedge; pixels; digital radiography.




Original Article