Assessment of alveolar bone height in adolescents utilizing Cone Beam Computed Tomography: a retrospective radiographic analysis

Main Article Content

Zaid R Atarchi
D Douglas Miley
Ahmed R Atarchi

Abstract

Background: To assess the alveolar bone crest level (ABCL) by Cone Beam Computed To-mography (CBCT) and to investigate several variables as predictors for the height of the alveolar bone in adolescents. Materials and methods: Age, sex, and ethnic groups were rec-orded for each patient. CBCT images were used to obtain measurements of the interproximal alveolar bone level from the cementoenamel junction (CEJ) to the alveolar crest. The highest measurement in each sextant was recorded along with any presence of a vertical bone defect or calculus. Results: Total of 720 measurements were recorded for 120 subjects. No vertical bony defects or calculus were observed radiographically. Statistically significant (P< 0.05) differences were observed between ABCL measurements of males as compared to females, posterior teeth compared to anterior teeth and maxillary sextants in comparison to man-dibular ones. Additionally, value of ABCL significantly increased in relation to sex (r=0.309), maxillary posterior (r=0.509) and mandibular posterior sextants (r=0.506). Linear regression analysis indicated that the latter variables can predict the height of marginal bone, other independent variables were considered redundant. Conclusions: There was a low-profile of marginal bone loss among adolescents. Male sex, posterior teeth, and maxillary teeth have higher tendency for decreasing alveolar bone height.

Downloads

Download data is not yet available.

Article Details

Section

Research Articles

How to Cite

1.
Atarchi ZR, Miley DD, Atarchi AR. Assessment of alveolar bone height in adolescents utilizing Cone Beam Computed Tomography: a retrospective radiographic analysis . J Bagh Coll Dent [Internet]. 2022 Mar. 15 [cited 2024 Dec. 22];34(1):1-11. Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3086

References

Califano JV. Position paper: periodontal diseases of children and adolescents. J Periodontol. 2003;74:1696-704.

Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R and Tonetti MS. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018;45:S162-S170.

Clerehugh V and Tugnait A. Diagnosis and management of periodontal diseases in children and adolescents. Periodontol 2000. 2001;26:146-68.

Darby IB, Lu J and Calache H. Radiographic study of the prevalence of periodontal bone loss in Australian school-aged children attending the Royal Dental Hospital of Melbourne. J Clin Periodontol. 2005;32:959-965.

Botero JE, Rösing CK, Duque A, Jaramillo A and Contreras A. Periodontal disease in children and adolescents of Latin America. Periodontol 2000. 2015;67:34-57.

Bimstein E and Soskolne AW. A radiographic study of interproximal alveolar bone crest between the primary molars in children. ASDC J Dent Child. 1988;55:348-50.

Albandar JM, Buischi YA and Barbosa MF. Destructive forms of periodontal disease in adolescents. A 3-year longitudinal study. J Periodontol. 1991;62:370-6.

Mol A and Balasundaram A. In vitro cone beam computed tomography imaging of periodontal bone. Dentomaxillofac Radiol. 2008;37:319-24.

de Faria Vasconcelos K, Evangelista KM, Rodrigues CD, Estrela C, de Sousa TO and Silva MA. Detection of periodontal bone loss using cone beam CT and intraoral radiography. Dentomaxillofac Radiol. 2012;41:64-9.

Lund H, Gröndahl K and Gröndahl HG. Cone beam computed tomography for assessment of root length and marginal bone level during orthodontic treatment. Angle Orthod. 2010;80:466-73.

Leung CC, Palomo L, Griffith R and Hans MG. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2010;137:S109-19.

Hausmann E, Allen K and Clerehugh V. What alveolar crest level on a bite-wing radiograph represents bone loss? J Periodontol. 1991;62:570-2.

Aass AM, Albandar J, Aasenden R, Tollefsen T and Gjermo P. Variation in prevalence of radiographic alveolar bone loss in subgroups of 14-year-old schoolchildren in Oslo. J Clin Periodontol. 1988;15:130-3.

Källestål C and Matsson L. Criteria for assessment of interproximal bone loss on bite-wing radiographs in adolescents. J Clin Periodontol. 1989;16:300-4.

Kim TS, Obst C, Zehaczek S and Geenen C. Detection of bone loss with different X-ray techniques in periodontal patients. J Periodontol. 2008;79:1141-9.

Oliver RC, Brown LJ and Löe H. Periodontal diseases in the United States population. J Periodontol. 1998;69:269-78.

Pepelassi EA and Diamanti-Kipioti A. Selection of the most accurate method of conventional radiography for the assessment of periodontal osseous destruction. J Clin Periodontol. 1997;24:557-67.

Bagis N, Kolsuz ME, Kursun S and Orhan K. Comparison of intraoral radiography and cone-beam computed tomography for the detection of periodontal defects: an in vitro study. BMC Oral Health. 2015;15:64.

Dong T, Yuan L, Liu L, Qian Y, Xia L, Ye N and Fang B. Detection of alveolar bone defects with three different voxel sizes of cone-beam computed tomography: an in vitro study. Sci Rep. 2019;9:8146.

Zhou Z, Chen W, Shen M, Sun C, Li J and Chen N. Cone beam computed tomographic analyses of alveolar bone anatomy at the maxillary anterior region in Chinese adults. J Biomed Res. 2014;28:498-505.

Wong BK, Leichter JW, Chandler NP, Cullinan MP and Holborow DW. Radiographic study of ethnic variation in alveolar bone height among New Zealand dental students. J Periodontol. 2007;78:1070-4.

Persson RE, Hollender LG and Persson GR. Assessment of alveolar bone levels from intraoral radiographs in subjects between ages 15 and 94 years seeking dental care. J Clin Periodontol. 1998;25:647-54.

Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4:1-6.

Reed BE and Polson AM. Relationships between bitewing and periapical radiographs in assessing crestal alveolar bone levels. J Periodontol. 1984;55:22-7.

Whittaker DK, Parker JH and Jenkins C. Tooth attrition and continuing eruption in a Romano-British population. Arch Oral Biol. 1982;27:405-9.

Wolfe MD and Carlos JP. Periodontal disease in adolescents: epidemiologic findings in Navajo Indians. Community Dent Oral Epidemiol. 1987;15:33-40.

Hansen BF, Gjermo P and Bergwitz-Larsen KR. Periodontal bone loss in 15-year-old Norwegians. J Clin Periodontol. 1984;11:125-31.

Dummer PM, Jenkins SM, Newcombe RG, Addy M and Kingdon A. An assessment of approximal bone height in the posterior segments of 15-16-year-old children using bitewing radiographs. J Oral Rehabil. 1995;22:249-55.

Sarajlić N, Topić B, Brkić H and Alajbeg IZ. Aging quantification on alveolar bone loss. Coll Antropol. 2009;33:1165-70.

Boyle WD, Jr., Via WF, Jr. and McFall WT, Jr. Radiographic analysis of alveolar crest height and age. J Periodontol. 1973;44:236-43.

Corbet EF and Leung WK. Epidemiology of periodontitis in the Asia and Oceania regions. Periodontol 2000. 2011;56:25-64.

Craig RG, Boylan R, Yip J, Bamgboye P, Koutsoukos J, Mijares D, Ferrer J, Imam M, Socransky SS and Haffajee AD. Prevalence and risk indicators for destructive periodontal diseases in 3 urban American minority populations. J Clin Periodontol. 2001;28:524-35.

Dye BA and Selwitz RH. The relationship between selected measures of periodontal status and demographic and behavioural risk factors. J Clin Periodontol. 2005;32:798-808.

Zhang X, Li Y, Ge Z, Zhao H, Miao L and Pan Y. The dimension and morphology of alveolar bone at maxillary anterior teeth in periodontitis: a retrospective analysis—using CBCT. Int J Oral Sci. 2020;12:4.

Similar Articles

You may also start an advanced similarity search for this article.