Diagnosing periodontal and dental indicators with horizontal and vertical bitewing radiographs

Objective The aim of this study is to compare information provided by the 2 orientations of bitewing radiographs, horizontal (HBW) and vertical (VBW) taken in a dental school. Methods and Materials Radiographic records were reviewed at Tufts University School of Dental Medicine (TUSDM) for patients...

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Veröffentlicht in:Journal of dental education 2020-05, Vol.84 (5), p.552-558
Hauptverfasser: Hong, Richard Y., Kwon, Stephen, Steffensen, Bjorn, Jain, Shruti, Levi, Paul A.
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container_end_page 558
container_issue 5
container_start_page 552
container_title Journal of dental education
container_volume 84
creator Hong, Richard Y.
Kwon, Stephen
Steffensen, Bjorn
Jain, Shruti
Levi, Paul A.
description Objective The aim of this study is to compare information provided by the 2 orientations of bitewing radiographs, horizontal (HBW) and vertical (VBW) taken in a dental school. Methods and Materials Radiographic records were reviewed at Tufts University School of Dental Medicine (TUSDM) for patients showing posterior bone loss who had both HBW and VBW. 320 records were reviewed with 6 criteria: visibility of crestal bone from the distal of the cuspids to the distal of the most posterior tooth, visibility of horizontal or angular bone loss, the crestal density of bone, visibility of interproximal contact areas, visibility of the entire anatomical crown, and visibility of furcations. Results Significantly higher number of VBW compared with HBW (P 
doi_str_mv 10.1002/jdd.12046
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Methods and Materials Radiographic records were reviewed at Tufts University School of Dental Medicine (TUSDM) for patients showing posterior bone loss who had both HBW and VBW. 320 records were reviewed with 6 criteria: visibility of crestal bone from the distal of the cuspids to the distal of the most posterior tooth, visibility of horizontal or angular bone loss, the crestal density of bone, visibility of interproximal contact areas, visibility of the entire anatomical crown, and visibility of furcations. Results Significantly higher number of VBW compared with HBW (P &lt; 0.0001) showed the levels of alveolar bone loss (52.81% vs. 3.75%), the type of loss (angular or horizontal) (50.94% vs. 3.75%), the crestal bone density (28.75% vs. 0.63%), the contact areas (20.63% vs. 14.38%), and the furcations (43.44% vs. 1.25%). A greater number of HBW showed the entire anatomical crown compared with VBW. No significant difference was detected in the number of radiographs taken per HBW and VBW set. Conclusion For patients with alveolar bone loss, VBW are superior to HBW when assessing bone levels, density, morphology, tooth furcations, and evaluating interproximal contact areas for caries. It is recommended that the vertical bitewing technique be taught as a standard in dental, dental hygiene, and dental assisting schools for adult patients showing evidence of posterior interdental bone loss.</description><identifier>ISSN: 0022-0337</identifier><identifier>EISSN: 1930-7837</identifier><identifier>DOI: 10.1002/jdd.12046</identifier><identifier>PMID: 32022927</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Alveolar Bone Loss ; bitewing radiographs ; bone loss ; Dental Caries ; Dentistry ; diagnostic aid ; Humans ; periodontal disease ; Radiography, Bitewing ; Tooth ; vertical bitewings</subject><ispartof>Journal of dental education, 2020-05, Vol.84 (5), p.552-558</ispartof><rights>2020 American Dental Education Association</rights><rights>2020 American Dental Education Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3256-780b5c6097128ad425877c62a33bdac36d3cdd3c8f2efbdf6bf8383f646034c53</citedby><cites>FETCH-LOGICAL-c3256-780b5c6097128ad425877c62a33bdac36d3cdd3c8f2efbdf6bf8383f646034c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjdd.12046$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjdd.12046$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32022927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Richard Y.</creatorcontrib><creatorcontrib>Kwon, Stephen</creatorcontrib><creatorcontrib>Steffensen, Bjorn</creatorcontrib><creatorcontrib>Jain, Shruti</creatorcontrib><creatorcontrib>Levi, Paul A.</creatorcontrib><title>Diagnosing periodontal and dental indicators with horizontal and vertical bitewing radiographs</title><title>Journal of dental education</title><addtitle>J Dent Educ</addtitle><description>Objective The aim of this study is to compare information provided by the 2 orientations of bitewing radiographs, horizontal (HBW) and vertical (VBW) taken in a dental school. Methods and Materials Radiographic records were reviewed at Tufts University School of Dental Medicine (TUSDM) for patients showing posterior bone loss who had both HBW and VBW. 320 records were reviewed with 6 criteria: visibility of crestal bone from the distal of the cuspids to the distal of the most posterior tooth, visibility of horizontal or angular bone loss, the crestal density of bone, visibility of interproximal contact areas, visibility of the entire anatomical crown, and visibility of furcations. Results Significantly higher number of VBW compared with HBW (P &lt; 0.0001) showed the levels of alveolar bone loss (52.81% vs. 3.75%), the type of loss (angular or horizontal) (50.94% vs. 3.75%), the crestal bone density (28.75% vs. 0.63%), the contact areas (20.63% vs. 14.38%), and the furcations (43.44% vs. 1.25%). A greater number of HBW showed the entire anatomical crown compared with VBW. No significant difference was detected in the number of radiographs taken per HBW and VBW set. Conclusion For patients with alveolar bone loss, VBW are superior to HBW when assessing bone levels, density, morphology, tooth furcations, and evaluating interproximal contact areas for caries. It is recommended that the vertical bitewing technique be taught as a standard in dental, dental hygiene, and dental assisting schools for adult patients showing evidence of posterior interdental bone loss.</description><subject>Adult</subject><subject>Alveolar Bone Loss</subject><subject>bitewing radiographs</subject><subject>bone loss</subject><subject>Dental Caries</subject><subject>Dentistry</subject><subject>diagnostic aid</subject><subject>Humans</subject><subject>periodontal disease</subject><subject>Radiography, Bitewing</subject><subject>Tooth</subject><subject>vertical bitewings</subject><issn>0022-0337</issn><issn>1930-7837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PAjEURRujEUQX_gEzS10MtH2dr6UBP0PiRrc2nbYDJcMU20GCv97CoK5cvPQ19-Tk5SJ0SfCQYExHC6WGhGKWHqE-KQDHWQ7ZMeqHjMYYIOuhM-8X4VswRk9RD2hICpr10fvEiFljvWlm0Uo7Y5VtWlFHolGR0vvVNMpI0Vrno41p59HcOvP1R31q14a8jkrT6s3O44QydubEau7P0Uklaq8vDu8Avd3fvY4f4-nLw9P4dhpLoEka7sVlIlNcZITmQjGa5FkmUyoASiUkpAqkCpNXVFelqtKyyiGHKmUpBiYTGKDrzrty9mOtfcuXxktd16LRdu05hYSwgjAGAb3pUOms905XfOXMUrgtJ5jv6uShTr6vM7BXB-26XGr1S_70F4BRB2xMrbf_m_jzZNIpvwGnYYAA</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Hong, Richard Y.</creator><creator>Kwon, Stephen</creator><creator>Steffensen, Bjorn</creator><creator>Jain, Shruti</creator><creator>Levi, Paul A.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Diagnosing periodontal and dental indicators with horizontal and vertical bitewing radiographs</title><author>Hong, Richard Y. ; Kwon, Stephen ; Steffensen, Bjorn ; Jain, Shruti ; Levi, Paul A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3256-780b5c6097128ad425877c62a33bdac36d3cdd3c8f2efbdf6bf8383f646034c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Alveolar Bone Loss</topic><topic>bitewing radiographs</topic><topic>bone loss</topic><topic>Dental Caries</topic><topic>Dentistry</topic><topic>diagnostic aid</topic><topic>Humans</topic><topic>periodontal disease</topic><topic>Radiography, Bitewing</topic><topic>Tooth</topic><topic>vertical bitewings</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Richard Y.</creatorcontrib><creatorcontrib>Kwon, Stephen</creatorcontrib><creatorcontrib>Steffensen, Bjorn</creatorcontrib><creatorcontrib>Jain, Shruti</creatorcontrib><creatorcontrib>Levi, Paul A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of dental education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Richard Y.</au><au>Kwon, Stephen</au><au>Steffensen, Bjorn</au><au>Jain, Shruti</au><au>Levi, Paul A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosing periodontal and dental indicators with horizontal and vertical bitewing radiographs</atitle><jtitle>Journal of dental education</jtitle><addtitle>J Dent Educ</addtitle><date>2020-05</date><risdate>2020</risdate><volume>84</volume><issue>5</issue><spage>552</spage><epage>558</epage><pages>552-558</pages><issn>0022-0337</issn><eissn>1930-7837</eissn><abstract>Objective The aim of this study is to compare information provided by the 2 orientations of bitewing radiographs, horizontal (HBW) and vertical (VBW) taken in a dental school. Methods and Materials Radiographic records were reviewed at Tufts University School of Dental Medicine (TUSDM) for patients showing posterior bone loss who had both HBW and VBW. 320 records were reviewed with 6 criteria: visibility of crestal bone from the distal of the cuspids to the distal of the most posterior tooth, visibility of horizontal or angular bone loss, the crestal density of bone, visibility of interproximal contact areas, visibility of the entire anatomical crown, and visibility of furcations. Results Significantly higher number of VBW compared with HBW (P &lt; 0.0001) showed the levels of alveolar bone loss (52.81% vs. 3.75%), the type of loss (angular or horizontal) (50.94% vs. 3.75%), the crestal bone density (28.75% vs. 0.63%), the contact areas (20.63% vs. 14.38%), and the furcations (43.44% vs. 1.25%). A greater number of HBW showed the entire anatomical crown compared with VBW. No significant difference was detected in the number of radiographs taken per HBW and VBW set. Conclusion For patients with alveolar bone loss, VBW are superior to HBW when assessing bone levels, density, morphology, tooth furcations, and evaluating interproximal contact areas for caries. It is recommended that the vertical bitewing technique be taught as a standard in dental, dental hygiene, and dental assisting schools for adult patients showing evidence of posterior interdental bone loss.</abstract><cop>United States</cop><pmid>32022927</pmid><doi>10.1002/jdd.12046</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Alveolar Bone Loss
bitewing radiographs
bone loss
Dental Caries
Dentistry
diagnostic aid
Humans
periodontal disease
Radiography, Bitewing
Tooth
vertical bitewings
title Diagnosing periodontal and dental indicators with horizontal and vertical bitewing radiographs
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