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The bone destruction patterns that occur as a result of periodontal disease generally take on characteristic forms. This X-ray film displays a horizontal defect . This X-ray film displays two lone-standing mandibular teeth, #21 and #22: the lower left first premolar and canine, exhibiting severe bone loss of 30-50%.
Anterior superior alveolar nerve supplies the anterior canines and incisors, the surrounding bone, periodontal ligament, periosteum and buccal soft tissues Anaesthetising the greater palatine nerve would allow loss of sensation to the tissues of the hard palate distally to the anterior most distal aspect of the canine and the nasopalatine nerve ...
There may be an appearance of "arc-shaped loss of alveolar bone extending from the distal surface of the second premolar to the mesial surface of the second molar". [38] In GAP, generalized bone destruction is present that ranges from mild crestal bone resorption to severe alveolar bone destruction, depending on the severity of the disease. [38]
Intraosseous anaesthesia is an alternative anaesthetic injection technique that was first published in 1910. [9] Intraosseous anaesthetic injection involves the deposition of anaesthetic solution directly into the cancellous alveolar bone adjacent to the apex of the root of the tooth to be anaesthetised through a small hole.
This section from a panoramic X-ray film depicts the teeth of the lower left quadrant, exhibiting generalized severe bone loss of 30–80%. The red line depicts the existing bone level, whereas the yellow line depicts where the gingiva was located originally (1–2 mm above the bone), prior to the person developing periodontal disease.
Treatment with antibiotics has significantly altered the natural history of OM of the jaws. Today, however, the condition is often a hidden infection, due in part to not being visible on most dental X-rays unless there is a substantial loss of bone density.