Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study
Introduction: Periodontitis is an inflammatory condition of periodontium that results in alveolar bone loss. Panoramic radiograph is one of the methods used to evaluate alveolar bone loss. However, in Nepal data quantifying the extent and site-specific pattern of alveolar bone loss using panoramic...
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Nepal Medical Association
2025-07-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9133 |
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| author | Harish Kumar Shah Rajesh shah Sujaya Gupta Harendra Mohan Singh Md. Asdaq Hussain Mohammed Shakeel Ahmad Abanish Singh |
| author_facet | Harish Kumar Shah Rajesh shah Sujaya Gupta Harendra Mohan Singh Md. Asdaq Hussain Mohammed Shakeel Ahmad Abanish Singh |
| author_sort | Harish Kumar Shah |
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Introduction: Periodontitis is an inflammatory condition of periodontium that results in alveolar bone loss. Panoramic radiograph is one of the methods used to evaluate alveolar bone loss. However, in Nepal data quantifying the extent and site-specific pattern of alveolar bone loss using panoramic radiograph are still lacking. The objective of this study was to determine the amount of alveolar bone loss at the mesial and distal sites of maxillary and mandibular permanent first molars.
Methods: This descriptive cross-sectional study was conducted in the Department of Periodontology and Oral Implantology at National Medical College from 15 July 2023 to 15 March 2024 among 190 periodontitis patients using convenience sampling method after institutional ethical clearance. Alveolar bone loss at mesial and distal sites was measured in millimeters from cementoenamel junction to alveolar crest on a digital orthopantomogram. Data was entered in Microsoft Excel Sheet and descriptive analysis was done. The findings are presented as frequencies, percentages, means, and standard deviations. The point estimate was calculated at a 95% confidence.
Results: In patients with periodontitis, the alveolar bone losses at mesial and distal sites of the maxillary first molars were 4.27±1.07 (95% CI: 4.11-4.41) mm and 4.45±1.12 (95% CI: 4.29-4.62) mm. For mandibular first molars the corresponding values were 3.69±0.92 (95% CI: 3.55-3.82) mm and 3.87±1.03 (95% CI: 3.72-4.01) mm.
Conclusion: The alveolar bone loss was greater in the maxillary first molar than mandibular first molar.
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| format | Article |
| id | doaj-art-a45485d69080492bb65de530f5f5f487 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nepal Medical Association |
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| series | Journal of Nepal Medical Association |
| spelling | doaj-art-a45485d69080492bb65de530f5f5f4872025-08-20T04:02:27ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-07-016328810.31729/jnma.9133Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational StudyHarish Kumar Shah0Rajesh shah 1 Sujaya Gupta 2 Harendra Mohan Singh3Md. Asdaq Hussain4Mohammed Shakeel Ahmad5Abanish Singh6National Medical College, Birgunj-15, Parsa, NepalNational Medical College, Birgunj-15, Parsa, NepalKathmandu Medical College, Duwakot, Bhaktapur, Nepal.National Medical College, Birgunj-15, Parsa, NepalNational Medical College, Birgunj-15, Parsa, NepalNational Medical College, Birgunj-15, Parsa, NepalAustralian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, SA, Australia Introduction: Periodontitis is an inflammatory condition of periodontium that results in alveolar bone loss. Panoramic radiograph is one of the methods used to evaluate alveolar bone loss. However, in Nepal data quantifying the extent and site-specific pattern of alveolar bone loss using panoramic radiograph are still lacking. The objective of this study was to determine the amount of alveolar bone loss at the mesial and distal sites of maxillary and mandibular permanent first molars. Methods: This descriptive cross-sectional study was conducted in the Department of Periodontology and Oral Implantology at National Medical College from 15 July 2023 to 15 March 2024 among 190 periodontitis patients using convenience sampling method after institutional ethical clearance. Alveolar bone loss at mesial and distal sites was measured in millimeters from cementoenamel junction to alveolar crest on a digital orthopantomogram. Data was entered in Microsoft Excel Sheet and descriptive analysis was done. The findings are presented as frequencies, percentages, means, and standard deviations. The point estimate was calculated at a 95% confidence. Results: In patients with periodontitis, the alveolar bone losses at mesial and distal sites of the maxillary first molars were 4.27±1.07 (95% CI: 4.11-4.41) mm and 4.45±1.12 (95% CI: 4.29-4.62) mm. For mandibular first molars the corresponding values were 3.69±0.92 (95% CI: 3.55-3.82) mm and 3.87±1.03 (95% CI: 3.72-4.01) mm. Conclusion: The alveolar bone loss was greater in the maxillary first molar than mandibular first molar. https://www.jnma.com.np/jnma/index.php/jnma/article/view/9133alveolar bone losspanoramic radiographtobacco smokingtoothbrushing |
| spellingShingle | Harish Kumar Shah Rajesh shah Sujaya Gupta Harendra Mohan Singh Md. Asdaq Hussain Mohammed Shakeel Ahmad Abanish Singh Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study Journal of Nepal Medical Association alveolar bone loss panoramic radiograph tobacco smoking toothbrushing |
| title | Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study |
| title_full | Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study |
| title_fullStr | Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study |
| title_full_unstemmed | Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study |
| title_short | Alveolar Bone Loss at Maxillary and Mandibular Permanent First Molars in Periodontitis Patients: An Observational Study |
| title_sort | alveolar bone loss at maxillary and mandibular permanent first molars in periodontitis patients an observational study |
| topic | alveolar bone loss panoramic radiograph tobacco smoking toothbrushing |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9133 |
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