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  • Teeth with crestal...

Teeth with crestal bone loss more likely to be associated with Periapical disease

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-05-24T20:00:27+05:30  |  Updated On 25 May 2023 2:25 PM IST
Teeth with crestal bone loss more likely to be associated with Periapical disease
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Researchers have found in a new study that Teeth with crestal bone loss were significantly more likely to be associated with a higher rate of periapical disease. Further Teeth with crestal bone loss were more likely to be root treated than teeth with healthy crestal bone levels.

The findings of the study have been published in the Journal of Clinical Medicine.

The aim of this study was to determine whether the degree of bone loss around teeth can be linked to the loss of vitality of adjacent teeth and periapical disease, which necessitates root canal treatments. Three hundred and twenty-one full maxilla cone-beam computed tomography scans were examined. The parameters investigated included the degree of crestal bone loss in relation to the cementoenamel junction, the presence/absence of apical periodontitis, and the presence/absence of root canal treatments. Out of the 2001 teeth examined, 696 (34.8%) showed evidence of crestal bone loss. The degree of crestal bone loss was classified as mild, moderate, or severe. A significant association (p < 0.001) was found between the presence of crestal bone loss around a tooth and root canal treatment of that tooth. It was found that it is more likely for teeth with crestal bone loss to be root canal treated compared to teeth with existing root canal treatment and healthy crestal bone levels. Furthermore, teeth with buccal or lingual crestal bone loss were significantly associated with a higher rate of periapical disease than teeth without crestal bone loss (p < 0.001). CBCT identified the severity of bone loss on all surfaces of the teeth, and the most common presentation was bone loss to the mid-root level. Teeth with crestal bone loss were significantly more likely to be associated with a higher rate of periapical disease. Teeth with crestal bone loss were more likely to be root treated than teeth with healthy crestal bone levels

Reference:

Mahasneh SA, Al-Hadidi A, Kadim Wahab F, Sawair FA, AL-Rabab’ah MA, Al-Nazer S, Bakain Y, Nardi C, Cunliffe J. A Cone Beam CT Study on the Correlation between Crestal Bone Loss and Periapical Disease. Journal of Clinical Medicine. 2023; 12(6):2423. https://doi.org/10.3390/jcm12062423



Teethcrystal bonepronePeriapical disease
Source : Journal of Clinical Medicine
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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