Is Radiologic Assessment of Alveolar Crest Height Useful to Monitor Periodontal Disease Activity?

Is Radiologic Assessment of Alveolar Crest Height Useful to Monitor Periodontal Disease Activity?
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牙槽峰高度的放射学评估对监测牙周疾病活动有用吗?

DOI:
10.1016/j.cden.2015.06.009
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发表时间:
2015-10
影响因子:
--
通讯作者:
Scannapieco FA
Scannapieco FA
中科院分区:
其他
文献类型:
--
作者:
Zaki HA;Hoffmann KR;Hausmann E;Scannapieco FA

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虽然牙周评估的主要方法是临床探诊,但放射学评估也经常被采用,并有可能提供关于牙齿支撑骨状态的简单定量信息。本文简要回顾了评估牙周结构的标准方法,包括x线片获取的基本特征、牙槽嵴水平的评估以及牙周患者骨质流失的典型模式。本文回顾了使用计算机技术客观评估标准化和非标准化x线片肺泡嵴损失的研究。本文描述了计算机辅助肺泡嵴高度定量的几个最新进展。虽然探诊测量仍然被认为比放射学测量更实用,但放射学评估可以量化,并且可能比常规牙周病活动性评估更容易和更精确。
While the mainstay of periodontal assessment is clinical probing, radiographic assessment is also commonly employed and has the potential to provide facile quantitative information on the status of tooth-supporting bone. This article provides a brief review of standard methods to assess periodontal structures, including basic tenants of radiograph acquisition, assessment of alveolar crest levels, and typical patterns of bone loss seen in periodontal patients. Studies of the use of computer technology to objectively assess loss of alveolar crest from standardized and non-standardized radiographs are reviewed. Several recent developments in computer-assisted quantitation of alveolar crest height are described. Although probing measurements continue to be viewed as more practical than radiographic measurements, radiographic assessment can be made quantitative and likely easier and more precise than probing for routine assessment of periodontal disease activity.