Health TipsHorizontal Bone Loss Treatments

Horizontal Bone Loss Treatments – Although both types of bone loss are devastating, treatments for horizontal loss are quite different. Research on horizontal bone loss focuses on treatment options. The research on vertical bone loss focuses on how to repair the defect. Studies on horizontal bone loss focus on human studies and treatment options. Here are some common treatments for horizontal bone loss. Read on to learn more. Horizontal bone loss occurs in areas where the bone is thinner than usual. If you suspect you have this condition, consult your doctor right away.

Higher Risk of Horizontal Bone Loss

The prevalence of horizontal bone loss is higher than that of vertical bone defects. A vertical bone loss defect is classified according to the angle between the root and the bone wall. An angle of greater than 37deg indicates a wide bone defect. Angles between 25-37 degrees are considered low. Patients with defects in this range had highly predictable results. However, patients with an angle greater than 45deg had a greater chance of regenerating bone.

Traditional treatments for horizontal bone loss include trimming away infected gum tissue and re-contouring uneven bone tissues. Although these treatments have some limitations, they are effective for some patients. Other treatments are guided tissue regeneration and include the use of membranes, growth factors, and bone grafting materials. These procedures are relatively simple and can help many people. When it comes to horizontal bone loss, there are few good treatments. The goal of this research is to develop biomaterials and technologies for horizontal bone regeneration.

Although horizontal bone loss is the most common clinical problem, it has received scant attention. Horizontal bone regeneration should be the focus of future research. Advances in tissue engineering are now allowing scientists to recreate lost horizontal bone. In the future, distraction osteogenesis may become a viable treatment option. In the meantime, research is needed to understand what causes this problem. In the meantime, a breakthrough is needed to overcome the challenges of horizontal bone loss.

Types of Horizontal Bone Loss

One study showed that patients with horizontal bone loss had significantly reduced interdental pocket depth after a month of treatment. Furthermore, patients with vertical bone loss showed a greater reduction in interdental pocket depth after root planing and subgingival scaling. This finding was true for both types of horizontal bone loss. The researchers concluded that vertical and horizontal bone loss are closely linked. They are therefore important in diagnosing this problem. The research focuses on the treatment options for both.

While vertical bone loss is less common, and generally occurs in younger patients with aggressive periodontitis, it is also a common diagnosis in adults. Horizontal bone loss is the most common type of bone loss in adults, and is not regenerative. Animal models of horizontal bone loss have shown regeneration, but the same cannot be said for vertical bone loss. This condition is usually accompanied by suprabony pockets. This is because horizontal bone loss has a poor prognosis.

A study conducted in 2012 found that patients with horizontal bone loss had a reduced depth of the pocket. As a result, their clinical attachment level increased. Further, they were less likely to develop horizontal bone loss than patients with vertical bone loss. Consequently, horizontal bone loss may be more important than vertical bone loss in patients with periodontitis. So, if your dentist recommends treatment for horizontal bone loss, check with your dentist to see if it can improve the condition.

How to Treat Bone Loss

Vertical bone loss does not follow an imaginary line that runs between the CEJ of adjacent teeth. Vertical bone loss is localized and related to TFO, overhanging restorations, and food impaction. In severe cases, the condition can lead to the development of an intrabony pocket. Vertical defects are usually one or two-wall defects, and they affect more than one tooth. You can seek treatment for vertical bone loss in two different ways.

The first and most important step in diagnosing horizontal bone loss is identifying where it is located. By measuring the height and width of the adjacent cemento-enamel junctions on each tooth, you can easily tell which is the one with horizontal bone loss. A horizontal loss will have the alveolar ridge more than 2mm higher than the alveolar ridge. If it is shorter than that, it is more likely to be vertical.


Yilmaz, Selçuk, Bahar Kuru, and Eren Altuna‐Kiraç. “Enamel matrix proteins in the treatment of periodontal sites with horizontal type of bone loss.” Journal of clinical periodontology 30.3 (2003): 197-206.

Holmlund, A., Hänström, L., & Lerner, U. H. (2004). Bone resorbing activity and cytokine levels in gingival crevicular fluid before and after treatment of periodontal disease. Journal of clinical periodontology31(6), 475-482.


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