[en] AIM: The aim of this retrospective radiographic study in Flemish children was to examine the bone level and bone loss around deciduous molars and factors influencing this. MATERIALS AND METHODS: Two thousand eight hundred ninety six digital intra-oral radiographs of children younger than 18 years old were screened for eligibility. The distance from the cementoenamel junction to the alveolar bone crest was measured, and tooth surfaces were screened for local risk factors that are presumably related to changes in the bone level. A distance >2 mm was defined as bone loss based on previous literature. All measurements were performed by two examiners. RESULTS: One thousand four hundred ninety one radiographs of 796 patients (mean age 6.46 ± 2.38 years) were included. The distance between the cementoenamel junction and the alveolar bone crest ranged from 0.07 to 2.88 mm, and the mean distance was 0.93 ± 0.37 mm. This distance was positively correlated with age (p < .001). In 3.5% of patients, bone loss was diagnosed. Caries, fillings and pulp pathology were associated with bone loss and higher cementoenamel junction-alveolar bone crest distances (p < .05). CONCLUSION: This study found a low prevalence of alveolar bone loss in the primary dentition. Both the bone level and bone loss were strongly correlated with local factors.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège
Disciplines :
Dentistry & oral medicine
Author, co-author :
Wylleman, Astrid ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven, Leuven, ; Dentistry Department, University Hospitals Leuven, Leuven, Belgium.
Van der Veken, Dominique ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven, Leuven, ; Dentistry Department, University Hospitals Leuven, Leuven, Belgium.
Teughels, Wim ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven, Leuven, ; Dentistry Department, University Hospitals Leuven, Leuven, Belgium.
Quirynen, Marc ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven, Leuven, ; Dentistry Department, University Hospitals Leuven, Leuven, Belgium.
Laleman, Isabelle ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven, Leuven, ; Dentistry Department, University Hospitals Leuven, Leuven, Belgium.
Language :
English
Title :
Alveolar bone level at deciduous molars in Flemish children: A retrospective, radiographic study.
Ainamo, J., Barmes, D., Beagrie, G., Cutress, T., Martin, J., & Sardo-Infirri, J. (1982). Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). International Dental Journal, 32, 281–291.
Albandar, J. M. (2014). Aggressive and acute periodontal diseases. Periodontology 2000, 65, 7–12. https://doi.org/10.1111/prd.12013
Albandar, J. M., Baghdady, V. S., & Ghose, L. J. (1991). Periodontal disease progression in teenagers with no preventive dental care provisions. Journal of Clinical Periodontology, 18, 300–304. https://doi.org/10.1111/j.1600-051X.1991.tb00432.x
Bimstein, E. (1995). Radiographic diagnosis of the normal alveolar bone height in the primary dentition. The Journal of Clinical Pediatric Dentistry, 19, 269–271.
Bimstein, E. (2003). Seven-year follow-up of 10 children with periodontitis. Pediatric Dentistry, 25, 389–396.
Bimstein, E. (2018). Radiographic description of the distribution of aggressive periodontitis in primary teeth. The Journal of Clinical Pediatric Dentistry, 42, 91–94. https://doi.org/10.17796/1053-4628-42.2.2
Bimstein, E., Delaney, J. E., & Sweeney, E. A. (1988). Radiographic assessment of the alveolar bone in children and adolescents. Pediatric Dentistry, 10, 199–204.
Bimstein, E., & Garcia-Godoy, F. (1994). The significance of age, proximal caries, gingival inflammation, probing depths and the loss of lamina dura in the diagnosis of alveolar bone loss in the primary molars. ASDC Journal of Dentistry for Children, 61, 125–128.
Bimstein, E., Ranly, D. M., Skjonsby, S., & Soskolne, W. A. (1993a). The effect of facial growth, attrition, and age on the distance from the cementoenamel junction to the alveolar bone crest in the deciduous dentition. American Journal of Orthodontics and Dentofacial Orthopedics, 103, 521–525.
Bimstein, E., Shapira, L., Landau, E., & Sela, M. N. (1993b). The relationship between alveolar bone loss and proximal caries in children: Prevalence and microbiology. ASDC Journal of Dentistry for Children, 60, 99–103.
Bimstein, E., & Soskolne, A. W. (1988). A radiographic study of interproximal alveolar bone crest between the primary molars in children. ASDC Journal of Dentistry for Children, 55, 348–350.
Bimstein, E., Treasure, E. T., Williams, S. M., & Dever, J. G. (1994). Alveolar bone loss in 5-year-old New Zealand children: Its prevalence and relationship to caries prevalence, socio-economic status and ethnic origin. Journal of Clinical Periodontology, 21, 447–450.
Bimstein, E., Zaidenberg, R., & Soskolne, A. W. (1996). Alveolar bone loss and restorative dentistry in the primary molars. The Journal of Clinical Pediatric Dentistry, 21, 51–54.
Brett, P. M., Zygogianni, P., Griffiths, G. S., Tomaz, M., Parkar, M., D'Aiuto, F., & Tonetti, M. (2005). Functional gene polymorphisms in aggressive and chronic periodontitis. Journal of Dental Research, 84, 1149–1153. https://doi.org/10.1177/154405910508401211
Califano, J. V. (2003). Position paper: Periodontal diseases of children and adolescents. Journal of Periodontology, 74, 1696–1704. https://doi.org/10.1902/jop.2003.74.11.1696
Carranza, F., Garcia-Godoy, F., & Bimstein, E. (1998). Prevalence of marginal alveolar bone loss in children. The Journal of Clinical Pediatric Dentistry, 23, 51–53.
Collares, K., Demarco, F. F., Horta, B. L., & Correa, M. B. (2018). Proximal restoration increases the risk of clinical attachment loss. Journal of Clinical Periodontology, 45, 832–840. https://doi.org/10.1111/jcpe.12919
Darby, I. B., Lu, J., & Calache, H. (2005). Radiographic study of the prevalence of periodontal bone loss in Australian school-aged children attending the Royal Dental Hospital of Melbourne. Journal of Clinical Periodontology, 32, 959–965. https://doi.org/10.1111/j.1600-051X.2005.00767.x
Garcia, R. I., Compton, R., & Dietrich, T. (2016). Risk assessment and periodontal prevention in primary care. Periodontology 2000, 71, 10–21. https://doi.org/10.1111/prd.12124
Haritha, A., & Jayakumar, A. (2011). Syndromes as they relate to periodontal disease. Periodontology 2000, 56, 65–86. https://doi.org/10.1111/j.1600-0757.2010.00363.x
Heasman, P. A., & Hughes, F. J. (2014). Drugs, medications and periodontal disease. British Dental Journal, 217, 411–419. https://doi.org/10.1038/sj.bdj.2014.905
Jenkins, W. M., & Papapanou, P. N. (2001). Epidemiology of periodontal disease in children and adolescents. Periodontology 2000, 26, 16–32.
Lalla, E., Cheng, B., Lal, S., Kaplan, S., Softness, B., Greenberg, E., … Lamster, I. B. (2007). Diabetes mellitus promotes periodontal destruction in children. Journal of Clinical Periodontology, 34, 294–298. https://doi.org/10.1111/j.1600-051X.2007.01054.x
Marks, S. C. Jr, & Schroeder, H. E. (1996). Tooth eruption: Theories and facts. Anatomical Record, 245, 374–393. https://doi.org/10.1002/(sici)1097-0185(199606)245:2<374:Aid-ar18>3.0.Co;2-m
Needleman, H. L., Ku, T. C., Nelson, L., Allred, E., & Seow, W. K. (1997). Alveolar bone height of primary and first permanent molars in healthy seven- to nine-year-old children. ASDC Journal of Dentistry for Children, 64, 188–196, 165.
Rasband, W. (1997). ImageJ. University of Wisconsin National Institutes of Health and the Laboratory for Optical and Computational Instrumentation.
Shapira, L., Tarazi, E., Rosen, L., & Bimstein, E. (1995). The relationship between alveolar bone height and age in the primary dentition. A retrospective longitudinal radiographic study. Journal of Clinical Periodontology, 22, 408–412.
Sjödin, B., & Matsson, L. (1992). Marginal bone level in the normal primary dentition. Journal of Clinical Periodontology, 19, 672–678. https://doi.org/10.1111/j.1600-051X.1992.tb01717.x
Sjödin, B., & Matsson, L. (1994). Marginal bone loss in the primary dentition. Journal of Clinical Periodontology, 21, 313–319. https://doi.org/10.1111/j.1600-051X.1994.tb00719.x
Sjodin, B., Matsson, L., Unell, L., & Egelberg, J. (1993). Marginal bone loss in the primary dentition of patients with juvenile periodontitis. Journal of Clinical Periodontology, 20, 32–36. https://doi.org/10.1111/j.1600-051X.1993.tb01756.x
Sweeney, E. A., Alcoforado, G. A. P., Nyman, S., & Slots, J. (1987). Prevalence and microbiology of localized prepubertal periodontitis. Oral Microbiology and Immunology, 2, 65–70. https://doi.org/10.1111/j.1399-302X.1987.tb00292.x
