What is the radiographic diagnosis of periodontal disease?

Published by Anaya Cole on

What is the radiographic diagnosis of periodontal disease?

Abstract. Radiographs are commonly used in the diagnosis of periodontal diseases. They can be used to assess bone loss and the pattern of loss as well as in the identification of other periodontally relevant features, such as overhanging restoration margins, calculus deposits and furcation lesions.

What are the radiographic features of periodontitis?

The earliest radiographic change is the loss of the crestal bone, the triangle of bone that is normally seen between neighboring teeth. Bone loss around the teeth can be horizontal or vertical (adjacent and parallel to the tooth root). Bone loss may also be seen in the space between the roots of a molar tooth 4.

What are some of the characteristics of chronic periodontitis?

Common symptoms of chronic periodontitis include: Gum redness or bleeding when brushing the teeth, flossing or eating hard food. Reoccurring gum swelling. Halitosis, bad breath or a persistent metallic taste.

Does periodontitis show up on xray?

X-rays in Periodontal Evaluation Since the bone is what keeps your teeth secure, bone loss is an indication of periodontitis, which is a serious oral infection. By utilizing x-rays, your dentist can spot bone loss early and refer you to a periodontist who can diagnose your stage of gum disease.

How is chronic periodontitis diagnosed?

Measure the pocket depth of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis.

What is the radiograph of choice for evaluating periodontal bone levels?

Periapical or bitewing radiographs are the most common types of radiographs used for evaluation of periodontal bone loss. Periapical radiographs utilize two different types of projection techniques [6]; the parallel-projection technique (or right angle-long cone technique), or the bisecting angle technique.

Can periodontal pockets be seen in radiograph?

A range of findings of relevance to clinically evident periodontal conditions can become apparent on radiographs. Radiographs can provide key information of relevance to periodontal decision making which is not capable of being captured by clinical examination, such as length of root(s) with remaining bony support.

What are different categories of chronic periodontitis?

Chronic periodontitis can be further classified into:

  • Extent (can be either localised affecting < 30% of sites; or generalised if > 30% of sites are affected)
  • Severity (slight = 1–2 mm CAL; moderate = 3–4 mm CAL; severe ≥5 mm CAL)

How is the radiographic evidence of bone loss determined?

Radiographs are an indirect method for determining the amount of bone loss in periodontal disease; they image the amount of remaining bone rather than the amount lost. The amount of bone lost is estimated to be the difference between the physiologic bone level and the height of the remaining bone.

How is periodontitis diagnosed?

An examination by the dentist is the only way to correctly assess the condition of the gums. In addition to the clinical assessment with a gum probe, X-rays must also be taken to assess the condition of the bone.

What is the chronic periodontitis?

Chronic periodontitis is a common disease of the gums consisting of chronic inflammation of the periodontal tissues which is caused by the accumulation of large amounts of dental plaque.

What causes chronic periodontitis?

It’s typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden. In advanced stages, periodontal disease can lead to sore, bleeding gums; painful chewing problems; and even tooth loss.

How is periodontal disease detected in the oral cavity?

Getting a diagnosis Examine the mouth for plaque and calculus accumulation and check for bleeding. Check the pocket depth of the gums using a dental probe, place beside the tooth under the gum line at different points in the oral cavity. The pocket should be between one and three millimeters in a healthy mouth.

What is the difference between acute and chronic periodontitis?

In chronic periodontitis, there is no well-defined pattern of bone loss. In generalized aggressive periodontitis, most permanent teeth are affected. In localized aggressive periodontitis, there is no agreement on the number of teeth included, but in one case series, about three to six teeth were included.

How is periodontitis determined?

Can an xray show gum disease?

Dental X-rays can show diseases of the mouth, including the teeth and gums, that would otherwise go undetected. These diseases include potentially serious conditions such as the following: An abscess, or infection at the root of a tooth or between the gum and a tooth.

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