Assessment of Alveolar Bone Status in Middle Aged Chinese (40-59 Years) with Chronic Periodontitis--Using CBCT

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2015 Oct 3

PMID 26431206

Citations 9

Authors

Haijiao Zhao

Chen Li

Li Lin

Yaping Pan

Hongyan Wang

Jian Zhao

Lisi Tan

Chunling Pan

Jia Song

Dongmei Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: This study used con-beam computed tomography (CBCT) to investigate the prevalence and severity of alveolar bone loss in middle-aged (40-59 years) Chinese with chronic periodontitis.

Materials And Methods: The study group comprised 145 dentate individuals aged 40 to 59 years residing in China who suffered from chronic periodontitis. CBCT and the application of NNT software were used to examine the level and location of alveolar bone loss.

Results: The study revealed that 40-59 year old patients with chronic periodontitis had severe bone loss. At 5,286 sites (34.7%), alveolar bone loss was mild; severe alveolar bone loss was found at 5,978 sites (39.2%). A comparison of bone loss in different jaws revealed that the area with the highest degree of bone loss was on the lingual side of the maxillary molar (56.3 ± 7.2%), and that the area with the lowest degree was primarily on the lingual side of the mandibular canine (27.5 ± 6.3%). There was a lower degree of alveolar bone loss in males than females. Differences were observed when comparing the incidence of bone loss between males and females (P < 0.05). Menopause in females and smoking in both genders may affect the level of bone loss. Male smokers experienced a greater degree of bone loss (41.67 ± 5.76%) than male non-smokers (32.95 ± 4.31%). A 42.23 ± 6.34% bone loss was found in menopausal females versus 31.35 ± 3.62% in non-menopausal females.

Conclusions: The study revealed that different sites and teeth exhibited a diverse degree of bone loss. In middle-aged patients with chronic periodontitis, the highest degrees of bone loss in the incisors, premolars, and molars were on the lingual side, mesial side and lingual side, respectively. Menopause in females and smoking may affect the level of bone loss.

Citing Articles

A pilot study examining periodontally healthy middle-aged humans and monkeys display different levels of alveolar bone resorption, gingival inflammatory infiltrate, and salivary microbiota profile.

Lin B, Pathak J, Gao H, Zhou Z, Ser H, Wu L PLoS One. 2024; 19(10):e0311282.

PMID: 39413077 PMC: 11482700. DOI: 10.1371/journal.pone.0311282.

Prevalence and Severity of Circumferential Alveolar Bone Loss Using CBCT Images: A Retrospective Study of 20,620 Surfaces of 5155 Teeth.

Gul S Diagnostics (Basel). 2024; 14(5).

PMID: 38472979 PMC: 10930885. DOI: 10.3390/diagnostics14050507.

Multidimensional 3D-Printed Scaffolds and Regeneration of Intrabony Periodontal Defects: A Systematic Review.

Davidopoulou S, Karakostas P, Batas L, Barmpalexis P, Assimopoulou A, Angelopoulos C J Funct Biomater. 2024; 15(2).

PMID: 38391897 PMC: 10889986. DOI: 10.3390/jfb15020044.

Clinical and radiographic study of the use of cross-linked gelfoam matrix in the treatment of dehiscence-like defects in Stage III periodontitis.

Elboraey M, Gamal S J Indian Soc Periodontol. 2023; 27(3):295-300.

PMID: 37346846 PMC: 10281305. DOI: 10.4103/jisp.jisp_312_22.

Association of periodontitis with menopause and hormone replacement therapy: a hospital cohort study using a common data model.

Park K, Kim M, Choi S, Pang E J Periodontal Implant Sci. 2022; 53(3):184-193.

PMID: 36468484 PMC: 10315258. DOI: 10.5051/jpis.2202480124.

References

Bouchard P, Boutouyrie P, Mattout C, Bourgeois D . Risk assessment for severe clinical attachment loss in an adult population. J Periodontol. 2006; 77(3):479-89. DOI: 10.1902/jop.2006.050128. View

Hou G, Hung C, Yang Y, Shieh T, Tsai C . Radiographic alveolar bone loss in untreated Taiwan Chinese subjects with adult periodontitis measured by the digital scanning radiographic image analysis method. Dentomaxillofac Radiol. 2003; 32(2):104-8. DOI: 10.1259/dmfr/67162332. View

Misch K, Yi E, Sarment D . Accuracy of cone beam computed tomography for periodontal defect measurements. J Periodontol. 2006; 77(7):1261-6. DOI: 10.1902/jop.2006.050367. View

Pinsky H, Dyda S, Pinsky R, Misch K, Sarment D . Accuracy of three-dimensional measurements using cone-beam CT. Dentomaxillofac Radiol. 2006; 35(6):410-6. DOI: 10.1259/dmfr/20987648. View

Muller H, Ulbrich M, Heinecke A . Alveolar bone loss in adults as assessed on panoramic radiographs. (II) Multilevel models. Clin Oral Investig. 2005; 9(2):105-10. DOI: 10.1007/s00784-005-0304-9. View

Papapanou P, Lindhe J, Sterrett J, Eneroth L . Considerations on the contribution of ageing to loss of periodontal tissue support. J Clin Periodontol. 1991; 18(8):611-5. DOI: 10.1111/j.1600-051x.1991.tb00098.x. View

Mol A, Balasundaram A . In vitro cone beam computed tomography imaging of periodontal bone. Dentomaxillofac Radiol. 2008; 37(6):319-24. DOI: 10.1259/dmfr/26475758. View

Armitage G . The complete periodontal examination. Periodontol 2000. 2004; 34:22-33. DOI: 10.1046/j.0906-6713.2002.003422.x. View

Susin C, Oppermann R, Haugejorden O, Albandar J . Tooth loss and associated risk indicators in an adult urban population from south Brazil. Acta Odontol Scand. 2005; 63(2):85-93. DOI: 10.1080/00016350510019694. View

10.

SILNESS J, Loe H . PERIODONTAL DISEASE IN PREGNANCY. II. CORRELATION BETWEEN ORAL HYGIENE AND PERIODONTAL CONDTION. Acta Odontol Scand. 1964; 22:121-35. DOI: 10.3109/00016356408993968. View

11.

Wu X, Offenbacher S, Lopez N, Chen D, Wang H, Rogus J . Association of interleukin-1 gene variations with moderate to severe chronic periodontitis in multiple ethnicities. J Periodontal Res. 2014; 50(1):52-61. PMC: 4183738. DOI: 10.1111/jre.12181. View

12.

Choel L, Duboeuf F, Bourgeois D, Briguet A, Lissac M . Trabecular alveolar bone in the human mandible: a dual-energy x-ray absorptiometry study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(3):364-70. DOI: 10.1067/moe.2003.119. View

13.

Sarajlic N, Topic B, Brkic H, Alajbeg I . Aging quantification on alveolar bone loss. Coll Antropol. 2010; 33(4):1165-70. View

14.

Susin C, Dalla Vecchia C, Oppermann R, Haugejorden O, Albandar J . Periodontal attachment loss in an urban population of Brazilian adults: effect of demographic, behavioral, and environmental risk indicators. J Periodontol. 2004; 75(7):1033-41. DOI: 10.1902/jop.2004.75.7.1033. View

15.

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

16.

Bragger U . Radiographic parameters: biological significance and clinical use. Periodontol 2000. 2005; 39:73-90. DOI: 10.1111/j.1600-0757.2005.00128.x. View

17.

Anand P, Kamath K, Nair B . Trends in extraction of permanent teeth in private dental practices in Kerala state, India. J Contemp Dent Pract. 2010; 11(3):041-8. View

18.

Tyndall D, Rathore S . Cone-beam CT diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am. 2008; 52(4):825-41, vii. DOI: 10.1016/j.cden.2008.05.002. View

19.

Jervoe-Storm P, Hagner M, Neugebauer J, Ritter L, Zoller J, Jepsen S . Comparison of cone-beam 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):e95-101. DOI: 10.1016/j.tripleo.2009.10.023. View

20.

Teeuw W, Coelho L, Silva A, van der Palen C, Lessmann F, Van der Velden U . Validation of a dental image analyzer tool to measure alveolar bone loss in periodontitis patients. J Periodontal Res. 2008; 44(1):94-102. DOI: 10.1111/j.1600-0765.2008.01111.x. View