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

Hattan A.M. Zaki, Kenneth R. Hoffmann, Ernest Hausmann, Frank A. Scannapieco
2015 Dental Clinics of North America  
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
more » ... ology to objectively assess loss of alveolar crest from standardized and nonstandardized 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.
doi:10.1016/j.cden.2015.06.009 pmid:26427571 pmcid:PMC4592518 fatcat:2jtarwykizav5pi7l6ggqk3md4