scholarly journals Comparison of Cone Beam Computed Tomography-Derived Alveolar Bone Density Between Subjects with and without Aggressive Periodontitis

Author(s):  
Mohammad S Al-Zahrani
2012 ◽  
Vol 24 (2) ◽  
Author(s):  
Shaliha Shaliha ◽  
Ria Noerianingsih Firman ◽  
Yanti Rusyanti

Introduction: Periodontitis is an inflamatory process in supporting tissues of the teeth including the gingiva, cementum, periodontal ligament and alveolar bone. Perioditis ntitis begins with migration of junctional ephithelium toward the apical side and form a pocket on gingiva. Aggressive periodontitis is one of the classifications of periodontitis with characteristics of attacking teens to young adults in relatively fast can lead to severe alveolar bone loss and it is not comparable with local factors that there. Trabeculae are part of the alveolar bone covered by compact bone and cortical bone harder . On radiographs, trabeculae only seen as a radiolucent surrounded by a radiopaque. The purpose of this research was to know the description of alveolar trabecular bone in patients with aggressive periodontitis using Cone Beam Computed Tomography imaging. Methods: This study is descriptive on 72 samples of aggressive periodontitis alveolar travecular bon e by CBCT imaging, taken from 6 archival aggressive periodontitis patients as research subjects, obtained from secondary data in the Radiology Department of RSGM FKG UNPAD. Results: The results of this study from the 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis. Conclusion: The 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis.


2012 ◽  
Vol 24 (1) ◽  
Author(s):  
Astia Dwiputri Lestari ◽  
Azhari Azhari ◽  
Sri Wendari

The normal alveolar bone crest located at a distance of 1 to 2 mm from CEJ towards the apical. If there is a bone loss, the alveolar bone crest located at 2 mm more to the apical from CEJ. The alveolar bone loss is one characteristic of aggressive periodontitis and the onset of the disease at the age of puberty. The purpose of this research was to know and to assess the height of alveolar bone crest using Cone Beam Computed Tomography (CBCT) in patients with aggressive periodontitis. The type of this research was descriptive. A total of 317 sample CBCT imagery from 6 aggressive periodontitis patients. The result of this research showed that average height of alveolar bone crest second premolar distal, the first molar mesial, first molar distal and second molar mesial on the first region were 3 mm, 4.2 mm, 6.1 mm, and 4.8 mm respectively. On the second region were 3.2 mm, 3.6 mm, 3.6 mm, and 3.4 mm respectively, and in the third region were 2.4 mm, 2.8 mm, 2.5 mm dan 1.4 mm consecutively. While in the fourth region were 2.9 mm, 3 mm, 2.8 mm, and 2.3 mm respectively. The average height of alveolar bone crest of aggressive periodontitis was 3.8 mm. Slicing CBCT imagery on coronal view for the anterior region and sagittal view for the posterior region, showed the characteristic of height alveolar bone crest was arch-shaped which showed the different height of alveolar bone crest of the second premolar distal until second molar mesial.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyungmin Lee ◽  
Gyu-Hyoung Lee

Abstract Background Radiographs are integral in evaluating implant space and inter-root distance. The purpose of this report is to introduce a method for evaluating the 3D root position with minimal radiation using a 3D tooth model composed of an intraoral-scanned crown and a cone-beam computed tomography (CBCT)-scanned root. Materials and methods Intraoral scan and CBCT scan of the patient were obtained before treatment. In the CBCT image, tooth segmentation was performed by isolating individual teeth from the maxillary and mandibular alveolar bone using software program. The 3D tooth model was fabricated by combining segmented individual teeth with the intraoral scan. Results A post-treatment intraoral scan was integrated into the tooth model, and the resulting position of the root could be predicted without additional radiographs. It is possible to monitor the root position after a pretreatment CBCT scan using a 3D tooth model without additional radiographs. Conclusion The application of the 3D tooth model benefits the patient by reducing repeated radiation exposure while providing the clinician with a precise treatment evaluation to monitor tooth movement.


Author(s):  
Marcin Stasiak ◽  
Anna Wojtaszek-Słomińska ◽  
Bogna Racka-Pilszak

Abstract Purpose The aims of this retrospective cross-sectional study were to measure and compare labial and palatal alveolar bone heights of maxillary central incisors in unilateral cleft lip and palate patients, following STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Patients and methods The study group consisted of 21 patients with a mean age of 16 years. High-resolution cone-beam computed tomography was performed at least one year after secondary alveolar bone grafting. The experimental side was the cleft side and the contralateral side without congenital cleft was the control. Measurements were performed on incisors’ midsagittal cross-sections. The Wilcoxon signed-rank test was used for intergroup comparisons. Results The labial and palatal distances between alveolar bone crests and cementoenamel junctions were significantly greater on the cleft side than on the noncleft side. Mean differences were 0.75 and 1.41 mm, respectively. The prevalence of dehiscences at the cleft side maxillary central incisors was 52% on the labial surface and 43% on the palatal surface. In the controls, it was 19% and 14%, respectively. Conclusion The cleft-adjacent maxillary central incisors had more apically displaced alveolar bone crests on the labial and palatal sides of the roots than the controls. Higher prevalence of dehiscences was found on the cleft side. Bone margin differences predispose to gingival height differences of the central incisors. These differences could increase the demands of patients to obtain more esthetic treatment results with orthodontic extrusion and periodontal intervention on the cleft side.


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