Relationship between Osteoporosis and Indices of Mandible from Panoramic Radiograph

Authors

  • D Pornsathapant Dental Department, Lerdsin Hospital

Keywords:

Refracture prevention, Osteoporosis, Mandible, Panoramic radiograph

Abstract

The objective of this research is to examine the relationship between Bone Mass Density (BMD) and parameters from Panoramic Radiograph, including Panoramic Mandibular Index (PMI), Mental Index (MI) and Mandibular Cortical index (MCI). The subjects of this research consist of volunteers who participated in the Refracture Prevention Projects of osteoporotic patients with broken hip bones, who underwent surgical treatment and bone mass measurements. The patients were sent to the Dental Department to have Panoramic Radiograph taken, and based on the Radiograph, were measured the parameters PMI, MI, and MCI. The total number of patients in this research is 96, including 25 male and 71 female, aged from 53 to 103 years. The Pearson correlation analyses show that PMI and MI are not correlated with BMD. (p>0.05) The Analysis of Variance (ANOVA) results show that the differences in BMD among patients with different MCI values are statistically significant for the BMD at Total Femur and Spine locations, but not significant for the Total Body BMD. The Chi-square test also confirms the differences of BMD of patients with different MCI values. In conclusion, the results in this paper suggest that the screening of osteoporotic patients can be done with Panoramic Radiograph by using MCI values; however, PMI and MI values cannot be used for this purpose.

References

สถาบันวิจัยประชากรและสังคม มหาวิทยาลัยมหิดล, สารประชากร มหาวิทยาลัยมหิดล, ปีที่ 28 มกราคม 2562.

Limpaphayom KK, Taechakraichana N, Jaisamram U. Prevalence of osteopenia and osteoporosis in Thai women.Menopause 2001; 8: 65–9.

Pongchaiyakul C, Apinyanurag C, Soonthapa S. Prevalence of osteoporosis in Thai men. J Med Assoc Thai 2006; 89: 160 –9.

Pongchaiyakul C, Songpattanasilp T, Taechakraichana N, Burden of osteoporosis in Thailand. J Med Assoc Thai 2008; 91: 261-7.

Bollen Am, Taguchi A, Hujoel PP, Hollender LG. Case control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 518-24.

Horner K, Devlin H. Clinic bone densitometric study of mandibular atrophy using dental panoramic tomography. J Dent 1992; 20: 30-7.

Law AN, Bollen Am, Chen Sk. Detecting osteoporosis using dental radiographs: a comparison of four methods. J Am Dent Assoc 1996; 127: 1734-42.

Benson BW, Prihoda TJ, Glass BJ. Variations in adult cortical bone mass as measured by a panoramic measured by a panoramic predictors of a panoramic mandibular index. Oral Surg Oral Med Oral Pathol 1991; 71: 349-56.

Dutra V, Yang J, Devlin H, Susin C. Radiomorphometric indices and their relation to gender, age, and dental status. Oral Surg Oral Med Oral pathol Oral Radiol Endod 2005; 99: 479-84.

YÜzÜgÜllÜ B, Gulsahi A, Imirzalioglu P. Radiomorphometric indices and their relation to alveolar bone loss in completely edentulous Turkish patients: a retrospective study. J Prosthet Dent 2009; 101: 160-5.

Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporos Int 2002; 13: 373-8.

Devlin H, Karayianni K, Mitsea A, Jacobs R, Lindh C, Vander Stelt P, et al. Diagnosing osteoporosis by using dental panoramic radiographs: the OSTEODENT project. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 821-8.

Taguchi A, Suei Y, Ohtsuka M, oyani K, Tanimoto K, ohtaki M. Usetulness of panoramic radiography in the diagnosis of pastmenopausal osteoporosis in women. Width and morphology of inferior cortex of the mandible. Dentomaxillofac Radiol 1996; 25: 263-7.

Klemetti E, Kolmakow S. Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality. Dentomaxillofac Radiol 1997; 26: 22-5.

Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, Tanimoto K, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners ’ diagnostic performance. Osteoporus Int 2003; 14: 659-64.

White SC, Taguchi A, Kao D, Wu S, Service SK, Yoon D, et al. Clinical and panoramic predictors of femur bone mineral density. Osteoporus Int 2005; 16: 339-46.

Marandi S, Bagherpour A, Imanimoghaddam M, Mr.Hatet, Haghighi AR. Panoramic-Based Mandibular Indieces and Mineral Density of Femural Neck and Lumbar Vertebrae in Women. Journal of Dentistry 2010; 7: 98-106.

Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 1997; 26: 95-100.

Klemetti E, Kolmakow S, KrÖger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 1994; 102: 68-72.

Valerio CS, Trindade AM, Mazzieiro ET. Use of digital panoramic radiography as an auxiliary means of low bone mineral density detection in post-menopausal women. Dentomaxillofacial Radiology 2013; 42: 1-6.

Bajoria AA, Asha ML, Kamath G. Evaluation of Radiomorphometric Indices in Panoramic Radiograph-A Screening Tool. The Open Dentistry J 2015; 9: 303-10.

Govindraju P, Chandra P. Radiomorphometric Indices of the Mandible-An Indicator of Osteoporosis. Journal of Clinical and Diagnostic Research 2014; 8: 195-8.

Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. DentomaxillofacialRadiology 2010; 39: 290-4.

Gulsahi A, Paksoy CS, Ozden S. Assessment of bone mineral density in the jaws and its relationship to radiomorphometric indices. Dento

Downloads

Published

30-12-2019

How to Cite

1.
Pornsathapant D. Relationship between Osteoporosis and Indices of Mandible from Panoramic Radiograph. J DMS [Internet]. 2019 Dec. 30 [cited 2024 Apr. 20];44(6):96-111. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/244803

Issue

Section

Original Article