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Alveolar bone loss in adults as assessed on panoramic radiographs. (II) Multilevel models

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Abstract

The aim of this study was to delineate factors influencing the severity of bone loss in randomly selected orthopantomograms of adult patients seeking treatment by the dental service of the German Armed Forces. A total of 240 panoramic exposures was available for analysis, 60 in each of the age groups <30, 30–39, 40–49, and ≥50. For each tooth, distances between the coronal landmark (CL) cemento-enamel junction or margin of restoration, and alveolar crest (AC), and bone level (BL) were measured with a calliper to the nearest 0.1 mm. Multilevel models revealed that bone levels decreased by 0.05 mm each year of life, on average. Bone loss was more pronounced in the maxilla, especially at molars. Infrabony lesions were strongly associated with deficient restorations and periapical lesions. Periapical pathology was also associated with radiographic evidence for furcation involvement. In this predominantly male population, periodontal bone loss gradually increased with age, but prevalence of infrabony defects was very low. Multilevel modelling indicated strong associations between infrabony defects and insufficient restorations and periapical pathology.

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Acknowledgements

The study was supported in part by Kuwait University Research Administration, Grant DS02/02. 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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Authors and Affiliations

  1. Faculty of Dentistry, Kuwait University, P.O. Box 24923, Safat, 13110, Kuwait

    Hans-Peter Müller

  2. Dental Unit, German Armed Forces’ Medical Centre, Bonn, Germany

    Martin Ulbrich

  3. Institute for Biostatistics and Medical Informatics, University of Münster, Münster, Germany

    Achim Heinecke

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  1. Hans-Peter Müller
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  2. Martin Ulbrich
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  3. Achim Heinecke
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Correspondence to Hans-Peter Müller.

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Müller, HP., Ulbrich, M. & Heinecke, A. Alveolar bone loss in adults as assessed on panoramic radiographs. (II) Multilevel models. Clin Oral Invest 9, 105–110 (2005). https://doi.org/10.1007/s00784-005-0304-9

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  • DOI: https://doi.org/10.1007/s00784-005-0304-9

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