ABSTRACT
OBJECTIVES: To establish a normal range for the radiographic distance between cementoenamel junction and alveolar bone crest and the factors affecting distances for the early assessment of periodontal disease in Dravidian pediatric population. METHODS: Fifty children aged 6 to 8 years were selected based on inclusion and exclusion criteria. Clinical and radiographic examination was performed. All the surfaces were examined starting from the distal surface of primary canine to the mesial surface of first permanent molar. The various risk factors like plaque, calculus, proximal caries, restoration and bleeding on probing were recorded. A pair of bitewing radiographs was taken for each child. Bitewing radiographs were traced and analyzed. RESULTS: It showed that CEJ-ABC distance in primary teeth is about 1 ± 0.5 mm. In the permanent teeth, it was found to be 0.6 ± 0.5 mm in 6 to 8 years age group. CEJ-ABC distance was also affected by different variables like physiologic (eruption and exfoliation) and pathologic factors (plaque, calculus, dental caries, restorations, stainless steel crowns, bleeding on probing and probing depth). CONCLUSION: CEJ-ABC distances greater than 2.5 mm should be considered under recall and follow-up. Children and adolescents susceptible to periodontal disease should be identified by radiographic means as early as possible in order to prevent the advance of an otherwise possibly destructive disease. The concept of oral health examination and treatment must include examination of the periodontal status of the patient.
Subject(s)
Alveolar Process/diagnostic imaging , Periodontal Diseases/diagnostic imaging , Cephalometry/methods , Child , Cross-Sectional Studies , Crowns , Cuspid/diagnostic imaging , Dental Calculus/classification , Dental Caries/classification , Dental Plaque Index , Dental Restoration, Permanent , Early Diagnosis , Female , Humans , Male , Molar/diagnostic imaging , Periodontal Index , Periodontal Pocket/classification , Radiography, Bitewing , Reference Values , Single-Blind Method , Tooth Cervix/diagnostic imaging , Tooth Eruption/physiology , Tooth Exfoliation/physiopathology , Tooth, Deciduous/diagnostic imagingABSTRACT
An atypical and rare case report is presented here of a 16 years old female patient who presented with severe, unilateral, gingival enlargement along with aggressive periodontitis around first molars that was confined to the left side of her mouth. A careful recording of the case history and results of clinical examination, laboratory blood analysis, radiological findings, and microbiological and histopathological investigations were noted and a critical review of similar conditions was taken into account to arrive at the said diagnosis.
