Khoo K K, Watts T L
United Medical School, Guy's Hospital, London, United Kingdom.
J Periodontol. 1988 Apr;59(4):231-7. doi: 10.1902/jop.1988.59.4.231.
The relationship between buccolingual tooth mobility (TM) and other clinical parameters was studied in 124 upper anterior teeth in 21 patients with untreated periodontitis. Periapical long-cone radiographs were available for 74 teeth in the same population. TM was measured with Mühlemann's macroperiodontometer. Probing depths, attachment levels and bleeding were measured with a constant force probe. Bone levels were estimated from radiographs. Presence of occlusal contact was noted in the intercuspal position and excursive movements of the mandible. Attachment levels showed the highest correlation with TM, and radiographically estimated bone support was the next highest. Results varied according to tooth type: the attachment level of the lateral incisors showed the highest correlation with TM, while probing depths and proximal bone support showed lower associations with TM in all cases. In this population, no association was detected between the presence of occlusal contact and TM, or between inflammation and TM. Multiple and partial correlation analysis indicated that probing attachment level was the most important correlate of tooth mobility.
在21例未经治疗的牙周炎患者的124颗上前牙中,研究了颊舌向牙齿松动度(TM)与其他临床参数之间的关系。同一人群中有74颗牙齿可获得根尖长锥X线片。TM用米勒曼宏观牙周测量仪测量。用恒力探针测量探诊深度、附着水平和出血情况。根据X线片估计骨水平。记录下颌在牙尖交错位和前伸运动时的咬合接触情况。附着水平与TM的相关性最高,影像学估计的骨支持次之。结果因牙齿类型而异:侧切牙的附着水平与TM的相关性最高,而在所有情况下,探诊深度和邻面骨支持与TM的相关性较低。在该人群中,未检测到咬合接触与TM之间或炎症与TM之间的关联。多重和偏相关分析表明,探诊附着水平是牙齿松动度最重要的相关因素。