Periodontal disease chapter
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Stage 4: Severe Attachment Loss

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Grossly severe disease
 
Radiograph showing more than 50% attachment loss of mesial root
     
 

Attachment loss is now greater than 50%. If disease is generalised, horizontal bone loss is most likely, whereas localised lesions, such as the palatal aspect of the maxillary canines, may present infrabony pockets with vertical bone loss.

 
 

Severe/total attachment loss of mesial root 408

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