Abstract
There is limited information regarding the prevalence and intraoral distribution of infrabony lesions potentially suitable for regenerative procedures in common patients seeking regular dental care in a dental practice. The aim of the present study was to investigate the prevalence and extent of alveolar bone loss and infrabony defects in randomly selected orthopantomograms of adult patients in different age groups seeking treatment at the dental service of the German Armed Forces. A total of 240 panoramic exposures were available for analysis, 60 in each of the age groups <30, 30–39, 40–49, and ≥50 years of age. At each tooth, distances between the cementoenamel junction or margin of restoration and the alveolar crest as well as the bone level were measured with a calliper to the next 0.1 mm. Whereas virtually no bone loss was present in the youngest age group, a major change in bone level frequency distributions occurred after age 30 years. At age 50 years, about 50% of subjects had considerable bone loss of more than 4 mm at 10% or more sites, and 6 mm or more at about 5% sites. Deep infrabony defects were infrequently found before age 40 years. About 20% of patients at least 50 years of age had radiographic evidence of infrabony pockets of 4 mm or more at not more than 5% of sites. Bone loss was more pronounced in the maxilla, especially at molars. In this predominantly male population, periodontal bone loss gradually increased with age. However, prevalence of infrabony defects was very low.
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Åkesson L, Håkansson J, Rohlin M (1992) Comparison of panoramic and intraoral radiography and pocket probing for the measurement of the marginal bone level. J Clin Periodontol 19:326–332
Albandar JM (1990) A 6-year study on the pattern of periodontal disease progression. J Clin Periodontol 17:467–471
Benn DK (1992) A computer-assisted method for making linear radiographic measurements using stored regions of interest. J Clin Periodontol 19:441–448
Björn H, Halling A, Thyberg H (1969) Radiographic assessment of marginal bone loss. Odontol Revy 20:165–179
Duckworth JE, Judy PE, Goodson JM, Socransky SS (1983) A method for geometric and densitometric standardization of intraoral radiographs. J Periodontol 54:435–440
Eliasson S, Bergström J (1997) Minimum periodontal bone loss in dentally-aware adults. A 10-year prospective study. J Clin Periodontol 24:34–38
Fleiss JL (1986) The design and analysis of clinical experiments. Wiley, New York, pp 1–32
Hausmann E, Allen K, Christersson L, Genco RJ (1989) Effect of x-ray beam vertical angulation on radiographic alveolar crest level measurement. J Periodontal Res 24:8–19
Hausmann E, Allen K, Clerehugh V (1991) What alveolar crest level on a bite-wing radiograph represents bone loss? J Periodontol 62:570–572
Hugosson A, Laurell L, Lundgren D (1992) Frequency distribution of individuals aged 20–70 years according to severity of periodontal disease experience in 1973 and 1983. J Clin Periodontol 19:227–232
Jansson L, Ehnevid L, Lindskog S, Blomlöf L (1993) Relationship between periapical and periodontal status. J Clin Periodontol 20:117–123
Laurell L, Gottlow J, Zybutz M, Persson R (1998) Treatment of intrabony defects by different surgical procedures. A literature review. J Periodontol 69:303–313
Mombelli A, Meier C (2001) On the symmetry of periodontal disease. J Clin Periodontol 28:741–745
Müller HP, Eger T (1997) The overall significance of regenerative procedures in the treatment of furcations. Quintessence Int 28:321–328
Müller HP, Ulbrich M, Heinecke A (2004) Alveolar bone loss in an adult population as assessed on panoramic radiographs. (II) Multilevel models. Clin Oral Investig (submitted)
Nielsen IM, Glavind L, Karring T (1980) Interproximal periodontal intrabony defects. Prevalence, localization and etiological factors. J Clin Periodontol 7:187–198
Nunn ME, Harrel SK (2001) The effect of occlusal discrepancies on periodontitis. I. Relationship of initial occlusal discrepancies to initial clinical parameters. J Periodontol 72:485–494
Papapanou PN, Wennström JL, Gröhndahl K (1989) A 10-year retrospective study of periodontal disease progression. J Clin Periodontol 16:403–411
Persson RE, Hollender LG, Laurell L, Persson GR (1998) Horizontal alveolar bone loss and vertical bone defects in an adult patient population. J Periodontol 69:348–356
Salonen LWE, Frithiof L, Wouters FR, Helldén LB (1991) Marginal bone loss in an adult Swedish population. A radiographic cross-sectional epidemiologic study. J Clin Periodontol 18:223–232
Schei O, Waerhaug J, Lövdal A, Arno A (1959) Alveolar bone loss as related to oral hygiene and age. J Periodontol 30:7–16
Waerhaug J (1979) The infrabony pocket and its relationship to trauma from occlusion and subgingival plaque. J Periodontol 50:355–365
Weinberg MA, Eskow RN (2000) Osseous defects: proper terminology revisited. J Periodontol 71:1928
Wouters FR, Salonen LE, Hellden L, Frithiof L (1989) Prevalence of interproximal intrabony defects in an adult population in Sweden. A radiographic study. J Clin Periodontol 16:144–149
Zambon JJ (1996) Periodontal diseases: microbial factors. Ann Periodontol 1:879–925
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The opinions expressed in this article are those of the authors and cannot be construed as reflecting the views of the German Armed Forces’ Medical Service, the German Armed Forces at large, nor the German Ministry of Defence.
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Müller, HP., Ulbrich, M. Alveolar bone levels in adults as assessed on panoramic radiographs. (I) Prevalence, extent, and severity of even and angular bone loss. Clin Oral Invest 9, 98–104 (2005). https://doi.org/10.1007/s00784-005-0303-x
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DOI: https://doi.org/10.1007/s00784-005-0303-x