Citation Information :
Nanditha S, Kumar MS, Kishor KS, Sosroseno W. Digital Radiographic Study on Variations of Alveolar Bone Height among Three Asian Ethnic Groups and its Importance in Periodontal Diagnosis. J Oral Health Comm Dent 2022; 16 (2):83-86.
Purpose: To assess whether anatomical variations exist in the radiographic distance from the cementoenamel junction (CEJ) to the alveolar crest (AC) among various ethnic groups in Malaysia, using digital radiography and if so their relevance in periodontal diagnosis.
Materials and methods: A total of 151 digitized bitewing radiographs of systemically and periodontally healthy students were obtained, after determining their ethnicity by a closed-ended questionnaire. Distances between the CEJ and the alveolar bone crest (CEJ–AC) were measured using a software program (Digora, DfW 2.5) by a single-examiner statistical analysis used: ANOVA and the student t test.
Results: The mean distance of the AC from the CEJ was 0.8147 mm across the entire sample, and the Chinese population exhibited the greatest distances compared to Malays and Indians. Sites that showed increased distances between the CEJ and AC were distal aspects of mandibular second premolars equating the total sample.
Conclusion: Among the three Asian ethnic groups, Chinese had a significantly greater distance between the CEJ and the AC. This finding might be influenced by genetic and environmental factors that entail further research in this direction and needs to be considered while diagnosing periodontal disease.
Tungait A, Clerehugh V, Hirschmann PN. The usefulness of radiographs in the diagnosis and management of periodontal diseases: a review. J Dent 2008;28(4):219–226. DOI: 10.1016/s0300-5712(99) 00062-7.
Mann J, Pettigrew R, Beideman P, et al. Investigation of the relationship between clinically detected loss of attachment and radiographic changes in early periodontal disease. J Clin Periodontol 1985;12(3):247–253. DOI: 10.1111/j.1600-051X.1985.tb00922.x.
Jenkins SM, Dummer PM, Addy M. Radiographic evaluation of early periodontal bone loss in adolescents. An overview. J Clin Periodontol 1991;19(6):363–366. DOI: 10.1111/j.1600-051X.1992.tb00663.x.
Wong BK, Leichter JW, Chandler NP, et al. Radiographic study of ethnic variation in alveolar bone height among New Zealand dental students. J Periodontol 2007;78(6):1070–1074. DOI: 10.1902/jop.2007.060366.
Bimstein E, Treasure ET, Williams SM, et al. Alveolar bone loss in 5-year-old New Zealand children: its prevalence and relationship to caries prevalence, socio-economic status and ethnic origin. J Clin Periodontol 1994;21(7):447–450. DOI: 10.1111/j.1600-051X.1994.tb00406.x.
Bishop K, Dummer PMH, Kingdon A, et al. Radiographic alveolar bone loss from posterior teeth in young adults over a 4-year period. J Clin Periodontol 1995;22(11):835–841. DOI: 10.1111/j.1600-051X.1995.tb01781.x.
Aass AM, Albander J, Aasenden R. Variation in prevalence of radiographic alveolar bone loss in subgroups of 14-year-old schoolchildren in Oslo. J Clin Periodontol 1988;15(2):130–133. DOI: 10.1111/j.1600-051X.1988.tb01006.x.
Kim E, Fallahrastegar A, Hur YY, et al. Difference in root canal length in Asians and Caucasians. Int Endod J 2005;38(3):149–151. DOI: 10.1111/j.1365-2591.2004.00881.x.
Purton DG, Ng BP, Chandler NP, et al. The bitewing radiograph as an assessment tool in fixed prosthodontics. J Oral Rehabil 2004;31(6):562–567. DOI: 10.1111/j.1365-2842.2004.01278.x.
Gedik R, Marakoglu I, Demirer S. Assessment of alveolar bone levels from bitewing, periapical and panoramic radiographs in periodontitis patients. West Indian Med J 2008;57(4):410–413.
Sairam V, Puri G. Comparison of measurements of alveolar bone levels by clinical, bitewing and panoramic radiography. J Indian Acad Oral Med Radiol 2011;23(4):543–547. DOI: 10.5005/jp- journals-10011-1219.
Hausmann E, Allen K, Clerehugh V. What alveolar crest level on a bite-wing radiograph represents bone loss? J Periodontol 1991;62(9): 570–572. DOI: 10.1902/jop.1991.62.9.570.
Nelson PA, Artun J. Alveolar bone loss of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop 1997;111(3):328–334. DOI: 10.1016/S0889-5406(97)70192-6.
Aass AM, Gjermo P. Changes in radiographic bone level in orthodontically treated teenagers over a 4-year period. Community Dent Oral Epidemiol 1992;20(2):90–93. DOI: 10.1111/j.1600-0528.1992.tb00684.x.
Hausmann E, Allen K, Christersson L, et al. Effect of X-ray beam vertical angulation on radiographic alveolar crest level measurement. J Periodontal Res 1989;24(1):8–19. DOI: 10.1111/j.1600-0765.1989.tb00852.x.
Harley AF, Floyd PD. Prevalence of Juvenile periodontitis in school children in Lagos, Nigeria. Community Dent Oral Epidemiol 1988;16(5):299–301. DOI: 10.1111/j.1600-0528.1988.tb01780.x.
Needleman H, Nelson L, Seow K. Alveolar bone height of primary and first permanent molars in healthy 7-9 years old children. ASDC J Dent Child 1997;64:188–196.
Sjodin B, Mattsson L. Marginal bones level in the normal primary dentition. J Clin Periodontol 1992;19(9 Pt 1):672–678. DOI: 10.1111/j.1600-051X.1992.tb01717.x.
Hugosson A, Laurell LA. Prospective longitudinal study on periodontal bone height changes in a Swedish population. J Clin Periodontol 2000;27(9):665–674. DOI: 10.1034/j.1600-051x.2000.027009665.x.
Hansen BF, Gjermo P, Bergwitz-Larsen KR. Periodontal bone loss in 15-year-old Norwegians. J Clin Periodontol 1984;11(2):125–131. DOI: 10.1111/j.1600-051X.1984.tb00840.x.
Danenbergh PJ, Hirsch RS, Clarke NJ. Continuous tooth eruption in Australian aboriginal skulls. Am J Phys Anthropol 1991;85(3):305–312. DOI: 10.1002/ajpa.1330850309.
Barker BC. Relation of the alveolus to the cemento-enamel junction following attritional wear in aboriginal skulls. An enquiry into normality of cementum exposure with aging. J Periodontol 1975;46(6):357–363. DOI: 10.1902/jop.1975.46.6.357.