What alveolar crest level on a bite-wing radiograph represents bone loss?
In advanced periodontal disease alveolar bone crestal loss is readily apparent on radiographs. However, in incipient disease there is a lack of consensus regarding what constitutes crestal bone loss on a radiograph. To properly assess crestal bone loss radiographically requires an appropriate base of reference indicative of the absence of destructive periodontal disease. In this study the radiographic CEJ-crest distance as a measure of crest height was determined for sites at which clinical attachment measurements indicate no attachment loss. From these measurements it is concluded that no crestal bone loss is consistent with a range of radiographic CEJ-crest distance between 0.4 and 1.9 mm (95% confidence limits) as evidenced on bite-wings.
Department of Oral Biology, School of Dental Medicine, State University of New York, Buffalo.
E
E
Hausmann
K
K
Allen
V
V
Clerehugh
D000293:Adolescent; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging* / Q000473:pathology; D000539:Alveolar Process / Q000000981:diagnostic imaging* / Q000473:pathology; D003238:Connective Tissue / Q000000981:diagnostic imaging / Q000473:pathology; D003739:Dental Cementum / Q000000981:diagnostic imaging / Q000473:pathology; D003743:Dental Enamel / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008963:Molar; D010514:Periodontal Pocket / Q000000981:diagnostic imaging / Q000473:pathology; D011856:Radiographic Image Enhancement; D016300:Radiography, Bitewing