Radiographic features of periodontal bone defects: evaluation of digitized images.

OBJECTIVES: Radiographic evaluation of periodontal conditions is a difficult process because of the many limitations inherent to this complementary examination and the lack of image specificity for different types of bone defects. The objectives of this study are to utilize digitized imaging resources to describe the radiographic features of different types of periodontal bone defects produced artificially in dry mandibles. METHODS: 14 dry mandibles were utilized, in which periodontal bone defects were produced. Digital photographs and conventional radiographs of each site were obtained in a standardized manner, before and after producing these defects. The radiographs were then digitized, displayed on the screen and evaluated by three examiners. RESULTS: Most of the bone defects presented distinct imaging characteristics that allowed them to be identified, with the exception of one-, two- and three-wall infrabony defects. The defects that were most easily interpreted were horizontal and vertical defects and the most difficult were defects in the radicular septum. CONCLUSIONS: Despite the importance of imaging diagnoses in reaching clinical decisions regarding treatment, such diagnoses for different types of periodontal bone defects are extremely difficult to make. In the present study, the utilization of digital tools for interpreting digitized radiographic images facilitated the process.

Morphometric methods to evaluate craniofacial growth: study in rabbits.

OBJECTIVES: The purpose of this study was to evaluate the reliability of direct and indirect measurement methods, with a view to standardizing morphometry instruments. METHODS: Dry skulls of 30 New Zealand rabbits were used. Measurements were made with a transparent flexible plastic ruler, an EKG calliper and a digital calliper, as well as with computerized tomography and lateral radiographs for direct and indirect analysis of distances and angles. RESULTS: The different instruments studied showed only partial agreement. CONCLUSIONS: A standardized and reliable direct or indirect morphometry method for the craniofacial skeleton of rabbits still has not been determined.