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Clinical, radiographic characterizations and complications of maxillary molar in a periodontitis population: a retrospective study based on CBCT radiography

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Abstract

Objective

This study was aimed to delineate the clinical, CBCT radiographic characteristics, and complications of maxillary molar in a periodontitis population.

Materials and methods

Medical records and CBCT images were utilized to identify adult patients with periodontitis in a tertiary referral dental hospital between June 2019 and December 2020. CBCT scan images were used to characterize the detailed bone thickness, absorbing height, and position of maxillary molar as well as their associated conditions. All relevant descriptive epidemiological data, clinical information, radiographic details, and associated complications were recorded and statistically analyzed.

Results

According to the above criteria, 577 eligible periodontitis patients were enrolled and defined as research cohort here with mean age 45 ± 4.8 years. Male patients outnumbered females with a gender ratio of 1.23:1. Our results demonstrated that the bone loss of maxillary first molar was more serious than that of second molar with tooth position symmetry. The occurrence of various complications (periodontal abscess, pulp lesions, furcation lesion, and mucosal thickening) was significantly correlated to periodontal-related clinical parameters of maxillary molar.

Conclusions

Our results demonstrated the more serious bone loss of maxillary first molar with tooth position symmetry. The occurrence of various complications was significantly correlated to periodontal-related clinical parameters. Our findings offer valuable information concerning the clinical, radiographic characteristics, and complications of maxillary molar in a periodontitis population.

Clinical relevance

These findings are beneficial for clinicians to comprehensively understand the bone status, pathogenesis, and clinical management of maxillary molar in periodontitis.

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Data Availability

Data available on request from the authors. The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

We would like to thank all members from Departments of Periodontics, Oral and Maxillofacial Surgery and Oral Radiography, Nanjing Medical University for their work in data collection and discussion.

Funding

This work was supported by the National Natural Science Foundations of China (82170962), Key projects of Jiangsu Provincial Health Commission (ZD2021025, BJ19033), Key R&D Program of Jiangsu Province (BE2020707), the Postgraduate Research & Practice Innovation Program of Jiangsu Province (SJCX22_0659), and the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD, 2018–87).

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Author notes

  1. Yue Jiang and Wenxiao Cui contributed equally to this study.

Authors and Affiliations

  1. Department of Periodontics, Affiliated Stomatological Hospital of Nanjing Medical University, 136 Hanzhong Road, Nanjing, Jiangsu Province, 210029, People’s Republic of China

    Yue Jiang, Wenxiao Cui, Jialu Chen, Xiaoqian Wang, Lu Li & Yan Xu

  2. Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, 210029, People’s Republic of China

    Yue Jiang, Wenxiao Cui, Jialu Chen, Qingheng Wu, Hanjiao Wang, Lihe Zheng, Xiaoqian Wang, Lu Li, Shuyu Guo & Yan Xu

  3. Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing Medical University, Nanjing, 210029, People’s Republic of China

    Yue Jiang, Wenxiao Cui, Jialu Chen, Qingheng Wu, Hanjiao Wang, Lihe Zheng, Xiaoqian Wang, Lu Li, Shuyu Guo & Yan Xu

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  1. Yue Jiang
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Contributions

Yue Jiang, Wenxiao Cui, Qingheng Wu, Qingheng Wu, Lihe Zheng, and Jialu Chen performed the radiographic analyses, data collection, and statistical analyses. Xiaoqian Wang and Lu Li participated the study design, data collection, and analyses. Yan Xu and Shuyu Guo conceived and supervised the whole project. Yue Jiang and Wenxiao Cui drafted the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yan Xu.

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Competing interests

The authors declare no competing interests.

Ethical approval

The study was reviewed and approved by the Ethics and Research Committee, Nanjing Medical University (PJ2019-114–001) and conducted in accordance with the tenets of the Declaration of Helsinki for research involving human subjects.

Informed consent

Written informed consent was not required for this study because all of the included patients in the present investigation were collected retrospectively.

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The authors declare no competing interests.

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Jiang, Y., Cui, W., Chen, J. et al. Clinical, radiographic characterizations and complications of maxillary molar in a periodontitis population: a retrospective study based on CBCT radiography. Clin Oral Invest 27, 2335–2346 (2023). https://doi.org/10.1007/s00784-022-04845-8

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