sdj-10135

A Retrospective CBCT Survey on Severity and Pattern of Alveolar Bone Loss Among a Selected Sample in the City of Sulaimani,Kurdistan Region of Iraq

Ayob O. Mohammed*, Faraedon M.Zardawi**, Sarhang S. Gul2**

 

*Kurdistan Board for Medical Specialties, Shorish Teaching Dental Center, Sulaimani, Iraq.

**Department of Periodontics, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

 

 

Submitted: March 5, 2021, Accepted: July 12, 2021, Published: December 1, 2021.

 

DOI: https://doi.org/10.17656/sdj.10135

Objective: To evaluate the prevalence, distribution, and pattern of bone loss by using Cone beam Computed Tomographyin relation to age and sex.  

Methods: The severity and pattern of bone loss were evaluated on four sites of teeth. The severity and pattern weremeasured on proximal aspects, estimated by measuring the distance from the cementoenamel junction to the remaining alveolar bone crest subtract 2mm. Furcation defect was determined and recorded as presenceand absence,and the sample was divided into sevenage groups from (18 –70 years).      

Results:  212 well-defined CBCT for 76 males, 136 females with a mean population age of 40.4 ±13.3. Height of bone inspected on 20620 sites;the study sample included 781 missing teeth with amean of 3.68 ±4.53. The total population bone loss prevalencewas 7.6 %,with a mean amount of 1.54 ± 1.48 mm.The highest frequency of bone loss was at distal surfaces and mesial surfaces for lower-mid sextant with higher frequency forhorizontal rather than vertical patterns. A highly significant difference in the severity of bone loss was recorded between younger and older age groups. The highest amount of bone loss was for the buccal aspects of mandibular left sextant followed by midand right sextant, 4.27± mm, 3.92± mm and 3.75± mm respectively,with no significant differences between male and female (P>0.05) (1.65±1.57 mm and1.48±1.44 mm).  

Conclusions: CBCT can be utilized as a helpful radiographic tool to interpretthe amount, pattern, and distribution of periodontal bone loss and detection of furcation defects.                                                                                     

Keywords:  Prevalence, Alveolar bone loss, Cone beam computedtomography.                                                                                                                                                                                                                                                Full Article - PDF           

                                                                                                                                                                                                                                                                                                                                                   

References:

1. Hajishengallis G. Periodontitis: from microbial immune subversion to systemic inflammation. Nat. Rev. Immunol. 2015;15(1):30– 44.

2. Corbet EF, Ho DKL, Lai SML. Radiographs in periodontal disease diagnosis and management. Aust Dent J. 2009;54:(1):S27–S43.

3. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89 Suppl 1:S159- S172.

4. Formmer HH. Radiology for dental auxiliaries. Mosby;2001. Severity and pattern of alveolar bone loss Sulaimani Dental J. December 2021 17

5. Manja, Cek, Fransiari M. A comparative assessment of alveolar bone loss using bitewing, periapical, and panoramic radiography. Bali Med J. 2018;7(3):636-8.

6. Mol A, Balasundaram A. In vitro cone-beam computed tomography imaging of periodontal bone. Dentomaxillofac Radiol.2008;37:319–24. 7. Eickholz P, Hausmann E. Accuracy of radiographic assessment of interproximal bone loss in intrabony defects using linear measurements.

Eur J Oral Sci.2000;108(1):70-3.

8. Misch KA, Yi ES, Sarment DP. Accuracy of conebeam computed Tomography for periodontal defect measurements. J Periodontol. 2006;77(7):1261-6.

9. Benn DK. A review of the reliability of radiographic measurements in estimating alveolar bone changes. J Clin Periodontol. 1990;17(1):14– 21.

10. Eickholz P, Hausmann E. Accuracy of radiographic assessment of interproximal bone loss in intrabony defects using linear measurements. Eur J Oral Sci. 2000;108(1):70–3.

11. Neilsen IM, Glavind L, Karring T. Interproximal periodontal intrabony defects: prevalence, localization and etiological factors. J Clin Periodontol. 1980;7(3):187-98.

12. Fukuda CT, Carneiro SR, Alves VT, Pustiglioni FE, De Micheli G. Radiographic alveolar bone loss in patients undergoing periodontal maintenance. Bull Tokyo Dent Coll. 2008;49(3):99–106.

13. Sarajlić N, Topić B, Brkić H, Alajbeg IZ. Aging quantification on alveolar bone loss. Coll Antropol. 2009;33(4):1165–70.

14. Kasaj A, Vasiliu Ch, Willershausen B. Assessment of alveolar bone loss and angular bony defects on panoramic radiographs. Eur J Med Res. 2008;13(1):26–30.

15. Kadovic J., Novakovic N., Jovanovic M. et al. Anatomical characteristics of the furcation area and root surfaces of multirooted teeth: epidemiological study,” Vojnosanitetski Pregled, 2019;76(8):761–71.

16. Wang HL, Burgett FG, Shyr Y, Ramfjord S. The influence of molar furcation involvement and mobility on future clinical periodontal attachment loss. J Periodontol. 1994;65(1):25-9.

17. Misch KA, Yi ES, Sarment DP. Accuracy of conebeam computed tomography for periodontal defect measurements. J Periodontol 2006;77(7):1261‑6.

18. Ozcan G, Sekerci AE. Classification of alveolar bone destruction patterns on maxillary molars by using cone-beam computed Tomography. Niger J Clin Pract 2017;20(8):1010-9.

19. Papapanou PN, Tonetti MS. Diagnosis and epidemiology of periodontal osseous lesions. Periodontol 2000. 2000;22:8-21.

20. Easley JR, Drennan GA. Morphological classification of the furca.. J Can Dent Assoc. 1969;35(2):104‑7.

21. Wouters FR, Salonen LE, Helldén LB, Frithiof L. Prevalence of interproximal periodontal intrabony defects in an adult population in Sweden. A radiographic study. J Clin Periodontol. 1989;16(3):144‑9. 22. Zhao J, et al. Assessment of Alveolar Bone Status in Middle Aged Chinese

(40-59 Years) with Chronic Periodontitis--Using CBCT. PLoS One. 2015;10(10):e0139553.

23. MF Helmi, H Huang, JM Goodson, H Hasturk. Prevalence of periodontitis and alveolar bone loss in a patient population at Harvard School of Dental Medicine. BMC Oral Health. 2019; 19(1):254.

24. Jervøe-Storm PM, et al. Comparison of conebeam computerized tomography and intraoral radiographs for determination of the periodontal ligament in a variable phantom. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(2):95–101.

25. Pinsky HM, Dyda S, Pinsky RW, Misch KA, Sarment DP. Accuracy of three dimensional measurements using cone beam CT. Dentomaxillofac Radiol. 2006;35(6):410–6.

 

Abstract

 

 

 

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