Periodontal bone loss was compared in teeth with metal posts and contr
alateral teeth without metal posts by means of intraoral radiographs.
250 subjects with a high standard of dental awareness and a great numb
er of teeth retained were included in the study. The periodontal bone
loss was calculated from the ratio of the distance from bone margin to
apex (bone height) and the distance from crown tip to apex (tooth len
gth). Intra-individual differences between experimental and control te
eth were statistically analyzed with the Student paired t-test. 96 sub
jects (38%) had greater than or equal to 1 teeth with root posts. In a
ll, 172 teeth with posts were found, i.e., on average 1.8 teeth per su
bject. The means+/-SEM of the ratio bone height to tooth length in exp
erimental and control teeth were 0.52+/-0.007 and 0.56+/-0.006, respec
tively. The difference was statistically highly significant (P<0.001).
Statistically significant differences were found for incisors, premol
ars and molars. Regression analysis indicated more severe bone loss fo
r teeth with longer posts. The results suggest that the periodontal bo
ne support of teeth with metal posts is inferior to that of teeth with
out metal posts.