PMID- 32022927
OWN - NLM
STAT- MEDLINE
DCOM- 20200519
LR  - 20200519
IS  - 1930-7837 (Electronic)
IS  - 0022-0337 (Linking)
VI  - 84
IP  - 5
DP  - 2020 May
TI  - Diagnosing periodontal and dental indicators with horizontal and vertical 
      bitewing radiographs.
PG  - 552-558
LID - 10.1002/jdd.12046 [doi]
AB  - 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 < 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.
CI  - (c) 2020 American Dental Education Association.
FAU - Hong, Richard Y
AU  - Hong RY
AD  - Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
FAU - Kwon, Stephen
AU  - Kwon S
AD  - Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
FAU - Steffensen, Bjorn
AU  - Steffensen B
AD  - Department of Periodontology, Tufts University School of Dental Medicine, Boston, 
      Massachusetts, USA.
FAU - Jain, Shruti
AU  - Jain S
AD  - Division of Biostatistics and Experimental Design, Tufts University School of 
      Dental Medicine, Boston, Massachusetts, USA.
FAU - Levi, Paul A Jr
AU  - Levi PA Jr
AD  - Department of Periodontology, Tufts University School of Dental Medicine, Boston, 
      Massachusetts, USA.
LA  - eng
PT  - Journal Article
DEP - 20200205
PL  - United States
TA  - J Dent Educ
JT  - Journal of dental education
JID - 8000150
SB  - IM
MH  - Adult
MH  - *Alveolar Bone Loss
MH  - *Dental Caries
MH  - Humans
MH  - Radiography, Bitewing
MH  - *Tooth
OTO - NOTNLM
OT  - bitewing radiographs
OT  - bone loss
OT  - diagnostic aid
OT  - periodontal disease
OT  - vertical bitewings
EDAT- 2020/02/06 06:00
MHDA- 2020/05/20 06:00
CRDT- 2020/02/06 06:00
PHST- 2019/08/22 00:00 [received]
PHST- 2019/11/23 00:00 [revised]
PHST- 2019/12/17 00:00 [accepted]
PHST- 2020/02/06 06:00 [pubmed]
PHST- 2020/05/20 06:00 [medline]
PHST- 2020/02/06 06:00 [entrez]
AID - 10.1002/jdd.12046 [doi]
PST - ppublish
SO  - J Dent Educ. 2020 May;84(5):552-558. doi: 10.1002/jdd.12046. Epub 2020 Feb 5.