{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:08:35Z","timestamp":1789207715645,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":254,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Alveolar bone loss (ABL) and external cervical resorption (ECR) are destructive processes that can coexist and compromise periodontal prognosis. Cone\u2010beam computed tomography (CBCT), enables assessment of resorption severity and bone loss patterns, overcoming the limitations of two\u2010dimensional radiography. This study aimed to evaluate ABL and its correlation with ECR using CBCT. This analytical, cross\u2010sectional, observational study used images to database spanning January 2019 to April 2025, acquired with a CBCT scanner. A total of 9208 examinations were screened. After applying the inclusion criteria, 64 patients were enrolled, comprising 75 teeth diagnosed with ECR. Sociodemographic and clinical data, ECR characteristics, and ABL patterns and classification were analyzed. The findings demonstrated a statistically significant correlation between ABL and ECR according to tooth groups, with stronger associations observed in premolars and molars (10.7%), subcrestal lesion height (41.3%), and circumferential distribution 90\u00b0 to 180\u00b0 (44.0%). ABL was associated with age group and lesion circumferential distribution (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009 &lt; 0.05). The horizontal pattern of bone loss was the most prevalent (54.7%), with significant associations between severity and age group (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.022) and lesion height (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.007). An association was also observed between lesion height and periodontal condition (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.043). In conclusion, ECR performed a significant correlation with ABL in the studied population (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009 &lt; 0.05). Three\u2010dimensional characterization of ECR lesions and their relationship with bone loss patterns and periodontal status underscores the critical role of imaging in the early detection of potentially progressive lesions.\n                  <\/jats:p>","DOI":"10.1155\/ijod\/5186337","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:39:56Z","timestamp":1789205996000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Alveolar Bone Loss With ECR Using Cone\u2010Beam Computed Tomography: A Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4750-1103","authenticated-orcid":false,"given":"Ana Paula de Medeiros","family":"Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0109-7450","authenticated-orcid":false,"given":"Thalles Gabriel Germano","family":"Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5809-1684","authenticated-orcid":false,"given":"Ana Beatriz Leit\u00e3o de Albuquerque","family":"Wanderley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6765-0428","authenticated-orcid":false,"given":"Monikelly do Carmo Chagas","family":"Nascimento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5600-783X","authenticated-orcid":false,"given":"Daniela Siqueira","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0006"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/dmfr\/twaf011"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2023.11.003"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12942"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41368-021-00121-9"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13968"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12824"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2025.105781"},{"key":"e_1_2_12_9_2","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics12071536","article-title":"First Molars\u2013Incisors Rate and Pattern of Bone Loss: A Cross-Sectional Analysis of CBCT Images","volume":"12","author":"Zardawi F. 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