Margiotta V, Gallo P
Stomatol Mediterr. 1989 Oct-Dec;9(4):319-34.
Dental radiography has long been considered useful in the diagnosis of periodontal disease, it was employed in epidemiological studies in longitudinal studies, in the morphological and volumetrical evaluation of bone lesions and in the diagnosis and prognosis of periodontitis. However the radiographic technique and its interpretation were not always accurate. We can divide the evolution of the radiographic interpretation of periodontitis in three periods: the first period is comprised from the early years of the periodontal science to the seventies; in this period in spite of the evolution of the radiographic technique, there wasn't a standardization of the diagnostic criteria because of the un-understanding of the etiopatogenesis of periodontitis. In the second period, that is comprised from the seventies to the present, the understanding of the etiopatogenesis and of the evolution of periodontal breakdown, made possible the standardization of trials and diagnostic criteria and the fixation of limitations and indications of the radiographic interpretation of periodontitis. The third period, that is a prospect for the future as clinical application, at the present has application only in research. In this period use of new techniques, as scintigraphy and computerized analysis of radiographic image, made possible an higher sensibility of the radiographic technique.
牙科放射成像长期以来一直被认为在牙周疾病的诊断中很有用，它被用于纵向研究的流行病学研究、骨病变的形态学和体积评估以及牙周炎的诊断和预后判断。然而，放射成像技术及其解读并不总是准确的。我们可以将牙周炎放射成像解读的发展分为三个阶段：第一阶段从牙周科学的早期到七十年代；在这个阶段，尽管放射成像技术有所发展，但由于对牙周炎病因发病机制的不了解，诊断标准并未标准化。第二阶段从七十年代至今，对牙周炎病因发病机制以及牙周组织破坏进展的理解，使得试验和诊断标准得以标准化，并确定了牙周炎放射成像解读的局限性和适应症。第三阶段作为临床应用是未来的展望，目前仅在研究中应用。在这个阶段，新技术如闪烁扫描和放射图像的计算机分析的使用，使放射成像技术具有更高的敏感性。
