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Article: Comparison between panoramic and intra-oral radiographs for the assessment of alveolar bone levels in a periodontal maintenance population

TitleComparison between panoramic and intra-oral radiographs for the assessment of alveolar bone levels in a periodontal maintenance population
Authors
Issue Date2003
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2003, v. 30 n. 9, p. 833-839 How to Cite?
AbstractBackground: Information about the agreement between intra-oral (I-O) and panoramic (OPG) radiographs is limited. Aims: (1) To assess the agreement between I-Os and OPGs for direct measurements of the distance between the cemento-enamel junction (CEJ) and the alveolar bone level (BL) as well as the proportional values in relation to the root length (CEJ-BL/ root length), and (2) to explore the symmetry between the left- and right-side measurements. Material and Methods: I-Os and OPGs were studied in 292 periodontal maintenance subjects (mean age 55.5 years, SD ± 12.6) with on average 22.4 teeth (SD ± 4.1 range: 6-28). The images were measured using a PC software program. Site-based I-O and OPG values for CEJ-BL as well as CEJ-BL/root length were compared. OPG values of CEJ-BL/root length values between the left and right sides were also studied. Results: A total of 11,395 linear distances (CEJ-BL plus CEJ-apex) from the I-Os and 21,462 linear distances from the OPGs were measured. The intra-class correlation coefficients (ICCs) between sets of readings of CEJ-BL varied between 0.80 and 0.89 (p < 0.001), with the best agreement for tooth 22 (ICC: 0.89; 95% CI: 0.83-0.92). The ICCs for CEJ-BL/root length varied between 0.54 and 0.92. Mean differences between I-O and OPG values were in the 0.00-0.04 mm range for the CEJ-BL/root length comparisons. The maxillary anterior sextant demonstrated a 1.4 x enlargement by OPG for the CEJ-BL/root length comparisons. No distortions were observed for mandibular sextants. Left- and right-side symmetry of periodontal bone loss was demonstrated. ICC varied between 0.79 (95.00% CI: 0.71-0.84, p < 0.01) and 0.53 (95.00% CI: 0.36-0.65, p < 0.01). Conclusions: I-O and OPG radiograph readings are in great agreement. Alveolar bone loss appeared to have a symmetrical distribution pattern. Hence for periodontal assessments, OPG radiographic readings may, at least in part, substitute for full-mouth periapical radiographic evaluation.
Persistent Identifierhttp://hdl.handle.net/10722/154264
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPersson, REen_US
dc.contributor.authorTzannetou, Sen_US
dc.contributor.authorFeloutzis, AGen_US
dc.contributor.authorBrägger, Uen_US
dc.contributor.authorPersson, GRen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:24:17Z-
dc.date.available2012-08-08T08:24:17Z-
dc.date.issued2003en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2003, v. 30 n. 9, p. 833-839en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154264-
dc.description.abstractBackground: Information about the agreement between intra-oral (I-O) and panoramic (OPG) radiographs is limited. Aims: (1) To assess the agreement between I-Os and OPGs for direct measurements of the distance between the cemento-enamel junction (CEJ) and the alveolar bone level (BL) as well as the proportional values in relation to the root length (CEJ-BL/ root length), and (2) to explore the symmetry between the left- and right-side measurements. Material and Methods: I-Os and OPGs were studied in 292 periodontal maintenance subjects (mean age 55.5 years, SD ± 12.6) with on average 22.4 teeth (SD ± 4.1 range: 6-28). The images were measured using a PC software program. Site-based I-O and OPG values for CEJ-BL as well as CEJ-BL/root length were compared. OPG values of CEJ-BL/root length values between the left and right sides were also studied. Results: A total of 11,395 linear distances (CEJ-BL plus CEJ-apex) from the I-Os and 21,462 linear distances from the OPGs were measured. The intra-class correlation coefficients (ICCs) between sets of readings of CEJ-BL varied between 0.80 and 0.89 (p < 0.001), with the best agreement for tooth 22 (ICC: 0.89; 95% CI: 0.83-0.92). The ICCs for CEJ-BL/root length varied between 0.54 and 0.92. Mean differences between I-O and OPG values were in the 0.00-0.04 mm range for the CEJ-BL/root length comparisons. The maxillary anterior sextant demonstrated a 1.4 x enlargement by OPG for the CEJ-BL/root length comparisons. No distortions were observed for mandibular sextants. Left- and right-side symmetry of periodontal bone loss was demonstrated. ICC varied between 0.79 (95.00% CI: 0.71-0.84, p < 0.01) and 0.53 (95.00% CI: 0.36-0.65, p < 0.01). Conclusions: I-O and OPG radiograph readings are in great agreement. Alveolar bone loss appeared to have a symmetrical distribution pattern. Hence for periodontal assessments, OPG radiographic readings may, at least in part, substitute for full-mouth periapical radiographic evaluation.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_US
dc.relation.ispartofJournal of Clinical Periodontologyen_US
dc.subject.meshAlveolar Bone Loss - Radiographyen_US
dc.subject.meshAlveolar Process - Radiographyen_US
dc.subject.meshCephalometryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshImage Processing, Computer-Assisted - Methodsen_US
dc.subject.meshLinear Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshObserver Variationen_US
dc.subject.meshPeriodontal Diseases - Prevention & Controlen_US
dc.subject.meshRadiography, Bitewingen_US
dc.subject.meshRadiography, Panoramicen_US
dc.subject.meshTooth Apex - Radiographyen_US
dc.subject.meshTooth Cervix - Radiographyen_US
dc.subject.meshTooth Root - Radiographyen_US
dc.titleComparison between panoramic and intra-oral radiographs for the assessment of alveolar bone levels in a periodontal maintenance populationen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1034/j.1600-051X.2003.00379.xen_US
dc.identifier.pmid12956660en_US
dc.identifier.scopuseid_2-s2.0-0346994704en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0346994704&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume30en_US
dc.identifier.issue9en_US
dc.identifier.spage833en_US
dc.identifier.epage839en_US
dc.identifier.isiWOS:000185114900010-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridPersson, RE=35584452800en_US
dc.identifier.scopusauthoridTzannetou, S=24172912300en_US
dc.identifier.scopusauthoridFeloutzis, AG=6508158601en_US
dc.identifier.scopusauthoridBrägger, U=7005538598en_US
dc.identifier.scopusauthoridPersson, GR=7101853867en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US

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