This study compares the evaluation of periodontal health using bone le
vels measured on periapical and bitewing radiographs with clinical par
ameters, such as periodontal screening and recording, gingival indexes
, probing depths and attachment levels. The authors found that bitewin
g radiographs taken within six months of the clinical examination corr
elated better with the clinical data than older radiographs. However,
they concluded that, overall, radiographs are not highly reflective of
periodontal status. PSR scores, by contrast, showed significant assoc
iations with probing depths and attachment levels. The results support
use of PSR as a screening tool for periodontal diseases.