Comparative study of two techniques for assessing alveolar bone loss
Journal name: Journal of Indian Society of Periodontology
Original article title: Comparative study between two techniques for alveolar bone loss assessment: A pilot study
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Ronaldo Lira-Júnior, Irlan de Almeida Freires, Isabelle LinsMacêdo de Oliveira, Ennyo Sobral Crispim da Silva, SeverinoCelestino da Silva, Roberto Lira de Brito
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Comparative study between two techniques for alveolar bone loss assessment: A pilot study
Year: 2013 | Doi: 10.4103/0972-124X.107481
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The study aimed to compare two techniques for assessing alveolar bone loss in patients with periodontal disease. Periodontitis is characterized by gingival inflammation leading to the detachment of supporting structures, resulting in bone loss. Radiographic examination serves as an essential adjunct to clinical assessments in diagnosing periodontitis by showcasing the consequences of inflammatory events on dentoalveolar structures. Various methods, such as rulers and software, have been employed over time to evaluate bone loss, yet a consensus on the most effective measurement technique remains elusive.
Reliability of Assessment Techniques
The research involved analyzing 16 radiographs using both absolute and relative techniques to measure alveolar bone height, defined as the percentage of root length affected. The absolute technique involved measuring distances in millimeters between the cementum-enamel junction (CEJ) and the bone crest, while the relative approach utilized a Schei ruler to estimate bone loss as a percentage based on a standard reference point. Results indicated mean bone loss index values for both techniques were similar, with the absolute method showing a mean of 4.81 and the relative method 4.75. Sensitivity and specificity were calculated for the relative technique compared to the absolute one, yielding a sensitivity of 0.8 and a specificity of 1, indicating that the relative technique was reliable for measuring alveolar bone loss.
Conclusion
The comparative analysis revealed no significant differences between the absolute and relative techniques for assessing alveolar bone loss, suggesting that both methods are effectively interchangeable in clinical settings. The relative technique demonstrated reliability and ease of use, marking it as a viable option for practitioners. These findings underscore the potential for adopting the relative technique in routine evaluations of periodontal health, ultimately contributing to better diagnosis and management of periodontal disease.
FAQ section (important questions/answers):
What was the objective of the comparative study?
The study aimed to evaluate and compare two techniques for assessing alveolar bone loss in patients with periodontitis using radiographic analysis.
What types of techniques were compared in the study?
The study compared absolute and relative techniques for measuring alveolar bone loss, assessing with specific reference points on radiographs.
What were the findings regarding the two techniques?
There was no significant difference between the absolute and relative techniques for measuring alveolar bone loss, indicating the relative technique's reliability.
How was the sensitivity and specificity calculated?
The sensitivity and specificity of the relative technique were assessed in comparison to the absolute technique, yielding a sensitivity of 0.8 and specificity of 1.
What statistical tools were used for data analysis?
Data analysis utilized the Wilcoxon test and Bland and Altman's method to evaluate differences and agreement between the two measurement techniques.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Comparative study of two techniques for assessing alveolar bone loss”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Relative:
The term 'relative' in the context of assessing alveolar bone loss refers to a measurement technique that estimates bone loss as a percentage relative to a reference point, which in this study is the cementum-enamel junction (CEJ). This approach allows for an easier interpretation of bone loss in comparison to absolute measurements, facilitating comparisons across different cases and providing a standardized method to assess periodontal health. It emphasizes the importance of comparisons in radiographic analysis and contributes to the reliability of periodontal assessments.
2) Study (Studying):
The concept of 'study' signifies a systematic investigation into a specific aspect of periodontal disease, particularly the assessment of alveolar bone loss through two different techniques. The study is designed to evaluate and compare results measured by both absolute and relative methods, contributing to the understanding of periodontal health. It showcases an organized approach involving data collection, analysis, and interpretation, essential for drawing conclusions regarding the efficacy and reliability of the techniques employed. The findings can influence clinical practices and future research in periodontics.
3) Table:
The 'Table' refers to a method of organizing data to present findings clearly and succinctly. In this context, it showcases the bone loss percentages associated with different measurements and their corresponding indices. Tables are instrumental in summarizing complex data, allowing for easier comparison and analysis of results across different categories. They enhance the visual representation of statistical data, making it accessible and interpretable for practitioners and researchers. Effective use of tables contributes significantly to the clarity and impact of the study's findings.
4) Measurement:
The term 'measurement' is crucial in the context of evaluating alveolar bone loss, denoting the process of determining the distance between various anatomical landmarks (like CEJ and alveolar bone crest). Accurate measurements are vital for assessing the severity of periodontal disease and helping clinicians make informed decisions. The study highlights different measurement techniques—absolute and relative—indicating the need for precision in periodontal assessments. Measurement methodologies directly affect the reliability of data collected, emphasizing their importance in both clinical and research settings.
5) Science (Scientific):
The word 'science' encapsulates the systematic study of alveolar bone loss within the framework of periodontal disease. This investigation employs empirical methods and statistical analyses to understand biological phenomena better. Scientific rigor in periodontal research ensures that findings are valid, reliable, and applicable to clinical practice. Results derived from scientific studies contribute to the broader knowledge base of periodontology, informing treatment strategies and enhancing patient care. Science in this context emphasizes evidence-based practices critical for advancing dental health and understanding disease mechanisms.
6) Inflammation:
The term 'inflammation' refers to the biological response underlying periodontal disease, characterized by the body's immune reaction to harmful stimuli, including bacteria and plaque buildup. In the context of this study, inflammation is pivotal in understanding the processes leading to alveolar bone loss. It illustrates the pathology of periodontitis, where chronic inflammation results in gum and bone deterioration. Recognizing inflammation's role facilitates better diagnosis and treatment planning, as controlling inflammation is key to managing periodontal health and preventing further tissue loss.
7) Transformation (Transform, Transforming):
The word 'transformed' indicates the process of converting data or measurements into a different format or scale for better analysis and comparison. In this study, data gathered from the assessment of alveolar bone loss was transformed into bone loss index values, enabling easier categorization and interpretation. This transformation is essential for standardizing results between different measurement techniques, allowing for effective statistical comparisons. It underscores the importance of adaptability in data analysis, ensuring findings are communicated effectively within the research community and clinical practice.
8) Detachment:
The term 'detachment' refers to the loss of attachment between dental structures, particularly the separation of cementum collagen fibers during periodontal disease. This process is pivotal in the progression of periodontitis, leading to an increase in alveolar bone loss. Understanding detachment provides insights into the pathological mechanisms of periodontal disease, helping clinicians recognize the severity of the condition and the potential need for intervention. The study highlights the significance of examining attachment loss in relation to alveolar bone health, as it impacts treatment outcomes.
9) Activity:
The word 'activity' in this context involves the biological and physiological processes occurring during periodontal disease progression, particularly concerning the inflammatory response and bone remodeling. It signifies the dynamic nature of alveolar bone changes influenced by pathological conditions. Understanding cellular activity is crucial for interpreting radiographic findings and determining the extent of alveolar bone loss. The study emphasizes the need to consider not just structural changes on radiographs but also the underlying biological activities that contribute to periodontal health or disease.
10) Disease:
The term 'disease' refers to periodontal disease in this study, encompassing various conditions that lead to inflammation, tissue loss, and ultimately, dental dysfunction. Periodontal disease is a significant global health concern and is often characterized by the presence of alveolar bone loss. Understanding the nature of this disease is essential for developing effective diagnostic and therapeutic approaches. The study's focus on alveolar bone loss provides critical information about disease severity, progression, and the need for appropriate interventions to maintain oral health.
11) Account:
The word 'account' denotes the consideration or recognition of various factors impacting the assessment of alveolar bone loss. In this study, the researchers account for different measurement techniques and their potential discrepancies, ensuring a comprehensive evaluation of findings. This term highlights the importance of taking into account all relevant variables during research to attain accurate and meaningful data. Accounting for these factors strengthens the validity of conclusions drawn and contributes to more effective clinical practices regarding periodontal disease management.
12) Line:
The term 'line' in the context of this study can refer to reference lines used for measurement in radiographs, particularly those outlining the distances between anatomical landmarks. It combines the concepts of precision and clarity in establishing a baseline for evaluating alveolar bone loss. Lines play a crucial role in visual representation and measurement accuracy in radiographic analysis. Recognizing the importance of such references can enhance methodological rigor in assessing periodontal health, ultimately benefiting patient diagnosis and treatment planning.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Comparative study of two techniques for assessing alveolar bone loss’. Further sources in the context of Science might help you critically compare this page with similair documents:
Statistical analysis, Periodontal disease, Wilcoxon Test, Sensitivity and Specificity, Radiographic examination, Severe periodontitis.