Abstract
Aim: This study aimed to investigate the impact of local factors, such as fillings, caries, and crowns, on periodontal bone loss across different age groups using cone beam computed tomography images. Methodology: A total of 200 CBCT images of individuals from diverse age groups (19 years and older) were examined in this study. The distance between the alveolar ridge (AR) and the cemento-enamel junction (CEJ) was assessed. Measurements up to 2 mm were considered normal, while values surpassing this threshold were regarded as indicative of bone loss. Furthermore, a comparison was made between areas affected by local factors, such as fillings, crowns, and caries, and unaffected regions in terms of the extent of bone loss. Results: The study findings revealed that the extent of bone loss was significantly lower in teeth without fillings on interproximal surfaces compared to those with fillings (p<0.05). Conversely, no significant relationship was observed between caries on mesial surfaces and bone loss. Additionally, the study found that teeth without caries on distal surfaces exhibited significantly lower bone loss compared to decayed teeth (p<0.05). A statistically significant difference was noted between crowned and uncrowned teeth in terms of mean bone loss values (p<0.05). Teeth without crowns demonstrated significantly lower mean bone loss compared to those with crowns. Conclusion: Local factors, including dental restorations, caries, and crowns, have been shown to significantly impact periodontal health and to be associated with an increased susceptibility to periodontal destruction. It is essential to promptly address decayed teeth contributing to food entrapment and plaque retention, ensuring that restorations are properly placed within physiological boundaries to maintain optimal oral hygiene. How to cite this article: Sağlam G, Dağ A. Evaluation of the local factors affecting periodontal bone loss using cone-beam computed tomography. Int Dent Res 2024;14(1):1-9. https://doi.org/10.5577/intdentres.515
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