Journal of The Department of Medical Services

Midwifery’ Roles in Caring for Pregnant Women in Particulate Matter (PM 2.5) Pollution Situations

2025-04-11T14:40:32+07:00

Air pollution, particularly fine particulate matter (PM 2.5), is a significant public health issue that disproportionately affects vulnerable populations, especially pregnant women, who are more sensitive to environmental pollutants than the general population. Exposure to PM 2.5 during pregnancy has been associated with various adverse health outcomes for both the mother and the fetus, including hypertensive disorders of pregnancy, gestational diabetes mellitus, preterm birth, congenital heart defects, intrauterine growth restriction, low birth weight, stillbirth, and miscarriage. Midwives have an important role in providing care for pregnant women in air pollution-affected environments. Their responsibilities include educating expectant mothers on the health risks of PM 2.5, advising on preventive measures, and closely monitoring maternal and fetal health throughout pregnancy. This article aims to present the role of midwives in supporting pregnant women in situations of PM 2.5 exposure to prevent and reduce the adverse effects of air pollution on maternal and fetal health.

Dysphagia in Head and Neck Cancer

2026-03-05T14:49:19+07:00

มะเร็งศีรษะและลำคอ (Head and Neck Cancer: HNC) เป็นกลุ่มโรคทางมะเร็งวิทยาที่มีพยาธิสรีรวิทยาซับซ้อนและมีลักษณะเฉพาะตัวสูง เนื่องจากตัวเนื้องอกเกิดขึ้นในตำแหน่งที่มีความสำคัญต่อระบบทางเดินหายใจส่วนต้นการสื่อสาร และการกลืน ภาวะกลืนลำบาก (dysphagia) จึงไม่ได้เป็นเพียงผลข้างเคียงชั่วคราว แต่เป็นภาวะทุพพลภาพเรื้อรังที่ส่งผลกระทบอย่างรุนแรง ต่อคุณภาพชีวิตของผู้ป่วย¹ แม้ความก้าวหน้าทางการรักษา เช่น การผ่าตัดด้วยความแม่นยำสูง (precision surgery) และการฉายรังสีแบบปรับความเข้ม (IMRT) จะช่วยให้อัตราการรอดชีวิตสูงขึ้น แต่กลับพบประชากรผู้รอดชีวิตต้องเผชิญกับภาวะกลืน ลำบากเพิ่มมากขึ้น ผู้ป่วยจึงต้องดำรงชีวิตอยู่กับความบกพร่องของกลไกการกลืนเป็นเวลานาน ซึ่งนำไปสู่ภาวะทุพโภชนาการภาวะขาดน้ำ และความเสี่ยงสูงสุดคือปอดอักเสบจากการสำลัก (aspiration pneumonia)^{1, 2}

Treatment of the Patient with Loss of Vertical Dimension: A Case Report

2025-06-13T12:34:28+07:00

Severe attrition lead to the loss of vertical dimension and the cause of traumatic occlusion. This case report describes the treatment of a 61-year-old Thai female, who had severely worn teeth, losses of vertical dimension and traumatic occlusion at upper central incisors. The treatment consisted of two stages. First, temporary crowns and acrylic removable partial dentures were used to increase vertical dimension. Second, after compatibility of the new vertical dimension had been confirmed, interim fixed restoration and permanent reconstruction were initiated. The follow-up check showed that satisfactory clinical results, including improved masticating function, aesthetics and absence of traumatic occlusion, were achieved by the restoration of vertical dimension.

Case Report: Aggressive Recurrence of a Malignant Phyllodes Tumor with Rapid Progression and Mediastinal Invasion

2025-04-16T23:17:13+07:00

Phyllodes tumors are rare breast neoplasms characterized histologically by leaf-like architecture. These tumors can present as benign, borderline, or malignant. This case report describes a 35-year-old female with a rapidly enlarging mass in her right breast over a span of three months. On physical examination, a large mass was observed throughout the entire right breast. The patient underwent surgical treatment with a mastectomy, and the surgical site was closed using abdominal muscle flaps. Postoperative histopathological examination revealed a malignant phyllodes tumor with clear surgical margins. The patient subsequently received adjuvant radiotherapy. During follow-up, metastasis to the lungs was detected nine months post-surgery, along with a mass in the mediastinum, which rapidly invaded the major veins, resulting in bilateral arm swelling and facial edema. This article will discuss the general knowledge and types of phyllodes tumors, the significance of surgical intervention in their treatment, and the recurrence of this tumor type.

The Effect of a Brain Training Card Game on Reducing the Risk of Dementia in the Elderly

2025-02-19T12:37:59+07:00

Background: Dementia is considered a common problem among the elderly, both the patients, their families and society. It is also important public health problems. Especially at present, there is an increasing number of patients with dementia. Objective: This research aimed to compare Mini-Mental State Examination within groups and between groups. Method: The sample group in these randomized controlled trials research was the elderly people in Hiran Ruchi Subdistrict, Thonburi District, Bangkok, total of 80 participants were selected by simple random sampling, divided into 40 in control group and 40 in experimental group. Research tools included 1) Card games, the tools used in conducting trials to stimulate brain function in terms of attention, memory, spatial relations and thinking. 2) The tools used to collect data, include general information questionnaires, Mini-Mental State Examination-Thai Version 2002 (MMSE-Thai 2002). Analysis of data with descriptive statistics, dependent t-test statistics compared within group, and independent t-test statistics compared between group. Result: The results showed that after playing the card game, the experimental group had statistical significantly higher mean score of Mini-Mental State Examination than before (MD = 6.2, 95%CI: 5.6, 6.8). After playing the card game, the experimental group had statistically significantly higher mean score of Mini-Mental State Examination than the control group (MD = 8.0, 95%CI: 7.2, 8.6) Conclusion: The brain-training card game has a positive effect on the improvement of the average preliminary cognitive performance score.

Outcome of Parental Participation Promoting Program on Improvement of Care in Pediatric Patient with Dengue Hemorrhagic Fever at Queen Sirikit National Institute of Child Health

2025-02-24T08:36:05+07:00

Background: Dengue hemorrhagic fever is the leading cause of morbidity in the children, especially during the crisis stage or shock. The clinical may be change rapidly. So the nurses have to play an important role to encourage the parents about caring of their children. Objective: To study the outcome of parental participation promoting program on improvement of pediatric dengue hemorrhagic fever. Method: This was quasi experimental research. 40 of pediatric patients aged 6 12 years were enrolled into the study, 20 parents in experimental group (n = 20) and 20 parents in control group (n = 20). The experimental group was received the parental participation promoting program and the control group was received a routine care. The tools used in the experimental group were the parental participation promoting program, the demographic questionnaire, and the questionnaire of parental ability to care dengue hemorrhagic fever's pediatric patient. The Cronbach's alpha coefficient was 0.80 for the questionnaire of parental ability's knowledge. The reliability of the test KR 20 was 0.70. The statistic method for data analysis was descriptive, Wilcoxon Mann Whitney test. Result: The outcome revealed that after receiving the parental participation promoting program to care for pediatric patients with dengue hemorrhagic fever the mean score of parental ability to care the pediatric patients with dengue hemorrhagic fever of the experimental group was significantly higher than the control group (p < .05) and moreover the score of parental ability to care for pediatric patients with dengue hemorrhagic fever was significantly higher than before receiving the parental participation promoting program (p < .05). Conclusion: The results is indicated that the nurses and health care professionals should use the parental participation promoting program for pediatric patients with dengue hemorrhagic fever in order to enhance maternal knowledge, skill and confidence to care the pediatric patients with dengue hemorrhagic fever.

The Study of Drug-related Problems of Inpatients at the Dental Hospital

2025-03-19T23:19:42+07:00

Background: One impact of medication use on dental patients is the occurrence of drug-related problems, especially in dental hospital that admit inpatients. This combined with the increasing trend of medication use, leads to a higher likelihood of drug-related issues. Objectives: To study the drug-related problems encountered in inpatients of a dental hospital and the factors that may contribute to the occurrence of such problems in this patient group. Methods: This research is a case-control study. We collected data from electronic medical records and related documents of dental inpatients who were admitted to the Dental Hospital, Faculty of Dentistry, Mahidol University, between 2022 and 2023, 1,011 patients to explore drug-related problems. The relationship between drug-related problems and other factors was analyzed by the logistic regression analysis. Results: The incidence of drug-related problems in this study was 2.67%. The most common category of drug-related problems was inappropriate duration. The logistic regression analysis showed a relationship between admission duration > 3 days and DRPs (p-value = .012). Conclusions: Drug-related problems in dental inpatients are mostly associated with the duration of medication administration. In most cases, the length of hospital stay may be related to the occurrence of drug-related problems.

Outcomes of Supportive Periodontal Treatment and Patient Compliance on Tooth Loss in Severe Periodontitis Patients

2025-05-19T09:14:46+07:00

Background: Severe periodontitis may lead to tooth loss, resulting in loss of chewing ability. After active periodontal treatment (APT), supportive periodontal treatment (SPT) is recommended to reduce the chance of recurrent periodontitis, slow disease progression and minimize tooth loss in the long term. Objective: This study aimed to evaluate the outcomes of SPT in severe periodontitis patients and investigate factors associated with periodontal stability and tooth loss after treatment. Method: A retrospective study was conducted on 101 patients aged 35 years and older, who had received both APT and at least 2 years of SPT at Makarak Hospital. Result: Results showed that stable periodontitis increased from 8.9% after APT to 25.7% following SPT, while tooth loss from periodontitis was found in 34.7% of patients. Importantly, patients with good compliance to treatment had a statistically significant lower risk of tooth loss (p < .05). Conclusion: These findings highlight the essential role of supportive periodontal therapy and patient compliance in reducing tooth loss in severe periodontitis patients.

Comparison of Failure between Glass-lonomer Cement and Resin Composite in Class II Restorations in Primary Teeth: A Systematic Review and Meta-analysis

2025-07-08T13:41:55+07:00

Background: Class II restorations in primary teeth can be performed using tooth-colored restorative materials, including resin composite and glass-ionomer cement. As these two materials have different advantages and disadvantages, the study of restoration failure following the use of each material plays an important role in clinical decision-making. Objective: To compare restoration failure between glass-ionomer cement and resin composite in Class Il restorations in primary teeth. Method: A systematic search of relevant studies was conducted using PubMed, Google Scholar, and open-access sources, together with manual searching. Articles published in English and Thai between 1992 and 2022 were included, and 11 eligible studies were analyzed in a meta-analysis of the likelihood of restoration failure. Results: Glass-ionomer cement showed a 1.186-fold higher likelihood of failure than resin composite, with no statistically significant difference (p = .385; 95% CI: 0.807, 1.742). Conventional glass-ionomer cement (CGI) and resin-modified glass-ionomer cement (RMGI) demonstrated 1.818-fold and 0.955-fold likelihoods of restoration failure, respectively, compared with resin composite in Class II primary tooth restorations. These differences were not statistically significant (p = .082; 95% CI: 0.926, 3.571 and p = .850; 95% CI: 0.593, 1.537). Conclusion: There was no difference in the likelihood of failure between glass-ionomer cement and resin composite in Class II primary tooth restorations. Conventional glass-ionomer cement showed a higher likelihood of failure than resin-modified glass-ionomer cement; however, this difference was not statistically significant when compared with resin composite. The results of this study suggest that further high-quality studies are required.

Uses of Coenzyme Q10 in Noncommunicable Diseases: Literature Review

2025-04-01T18:46:08+07:00

In Thailand, four noncommunicable diseases (NCDs), namely cancer, cardiovascular disease, diabetes, and chronic obstructive pulmonary disease, are the diseases with the highest mortality. The World Health Organization has identified noncommunicable diseases as a major challenge to reduce premature mortality from noncommunicable diseases by one third through prevention and treatment approaches. Thailand will be entered the super aged society, meaning that more than 28% of the population will be 60 years old or older in 2031. Hence, Thai public health should prepare to deal with health problems from old age and noncommunicable diseases. Anti-aging medicine aims to extend human longevity by preventing and slowing down aging by taking antioxidant supplements such as vitamins, minerals, coenzyme Q10, etc. This article has aimed to review the uses of Coenzyme Q10 in the treatment of NCDs, including definition, chemical structure, mechanism of action, clinical study results, side effects, warnings, drug interactions, and recommendations. The past 7-year literature review from the electronic databases; PubMed, ScienceDirect and Cochrane Library was conducted. Studies were selected based on titles, abstracts, full texts, and data collection, including systematic reviews and meta-analyses, clinical trials, and outcomes. The results were as follows: Coenzyme Q10 or ubiquinone is a nutrient for energy production in cell. Coenzyme Q10 has been used as a medicine for treatment various diseases and symptoms. According to the clinical trial data of Coenzyme Q10 demonstrated the efficiency for treatment various diseases and symptoms including cardiovascular disease, diabetes, kidney disease, neurodegenerative disease and inflammation. Moreover, it has been found to be safe without serious side effects. In Thailand, Coenzyme Q10 has been used as a co-adjuvant to standard drug therapy for congestive heart failure only. This review will contribute to current medical knowledge and can be used as basic information for those interested in conducting further research on treatment for all other noncommunicable diseases.

Effects of a Competency Development Program for Registered Nurses on Blood and Blood Component Administration at Nopparat Rajathanee Hospital

2025-04-09T12:02:58+07:00

Background: Blood transfusion is a nursing procedure that requires competent practitioners to ensure patient safety and prevent adverse events. Objective: To examine the effects of a competency development program for registered nurses on blood and blood component administration at Nopparat Rajathanee Hospital, on the aspects of nurses' knowledge, attitudes, and practices, as well as patient care outcomes. Method: This study employed a quasi-experimental one-group pretest-posttest design. The sample consisted of 318 registered nurses. The intervention tool was a competency development program for professional nurses in administering blood and blood components. Data were collected using a knowledge test, attitude scale, nursing practice assessment form, and a patient outcome record form. The data were analyzed using descriptive statistics and the paired sample t-test. Result: After the implementation of the program, the registered nurses' knowledge, attitudes, and practices significantly improved (p < .001). The mean score on knowledge, attitude, and practice increased from 14.82 to 16.59, 7.96 to 9.11, and 19.60 to 21.76, respectively. Regarding the patients' outcomes, the rate of transfusion-related complications decreased. Furthermore, no cases of incorrect patient or blood type transfusions were reported. Conclusion: The competency development program for registered nurses in blood transfusion was effective on enhancing nurses' knowledge, attitudes, clinical skills, and on reducing clinical risks associated with blood transfusion in a tangible manner. Therefore, it is recommended that the program should be adopted in other healthcare settings to improve the standards of patient safety and nursing care quality.

The Effect of Social Problem-solving Therapy Program on Depression among Late Adolescents

2025-04-08T16:15:14+07:00

Background: Late adolescents are at risk for depression because they are manifested with various adaptations, including adjustment to their growth development, adaptation to learning in school, and changing digital society. Objective: This quasi-experimental research aimed to test the effect of the social problem-solving therapy program on depression among late adolescents. Method: Thirty participants who met the inclusion criteria were randomly selected and assigned to the experimental (n = 15) and the control group (n = 15). The research instruments included the personal data form, the Center for Epidemiologic Studies Depression Scale with Cronbach's alpha of 0.82, and the social problem-solving therapy program. The experimental group received the social problem-solving therapy program. The control group received regular nursing care. Descriptive statistics, independent t-test, two-way repeated measures ANOVA, and pairwise comparisons using the Bonferroni method were employed to analyze the data. Result: The results revealed that the experimental group had significantly different mean depression scores at post-test and 1-month follow-up compared to the control group, with p < .05 (F128 = 16.30, p < .05). In the experimental group, the mean depression scores at post-test (mean = 13.27, SD = 5.27) and 1-month follow-up (mean = 15.13, SD = 5.08) were significantly lower than those at pre-test (mean = 20.20, SD = 0.86) with p <. 05. Conclusion: The result revealed that the social problem-solving therapy program could be applied to decrease depression among late adolescents. Therefore, nurses and other healthcare professionals should consider integrating this intervention into their practice to prevent or reduce depression among this late adolescents.

Prevalence of HPV Vaccination and Factors Associated with HPV Vaccination Intention among First-year Female Undergraduate Students at Autonomous University in Chon Buri Province

2025-04-04T16:46:46+07:00

Background: Cervical cancer is a significant public health concern in Thailand. Data on HPV vaccination rates among female higher education students has been limited, showing very low vaccination rates. Among the unvaccinated group, the intention to get vaccinated is relatively low. Proper guidance is essential to improve understanding and intention to receive HPV vaccination, which can lead to a reduction in cervical cancer incidence. Objective: To study the prevalence of HPV vaccination and factors associated with HPV vaccination intention among first-year female undergraduate students at an autonomous university in Chon Buri Province. Methods: This cross-sectional study used multi-stage random sampling to select 314 first-year female students aged 18-26 years in the 2024 academic year. Data were analyzed using descriptive statistics and logistic regression analysis. Results: The prevalence of HPV vaccination among female undergraduate students was 21.3%.Factors associated with HPV vaccination intention among first-year female students included: self-efficacy regarding HPV vaccination (adjOR = 2.75, 95%CI: 1.571, 4.822)], subjective norms regarding HPV vaccination (adjOR = 2.32, 95%CI: 1.373, 3.936), perceived severity of cervical cancer (adjOR = 2.19, 95%CI: 1.289, 3.724), and attitudes toward HPV vaccination (adjOR = 1.74, 95CI: 1.024, 2.959). Conclusion: Healthcare services, public health agencies, and educational institutions should collaborate on implementing measures focusing on building self-22 efficacy by addressing practical vaccination barriers, utilizing positive social influence through peer education, communicating appropriate information about cervical cancer risks, and promoting positive attitudes toward vaccination. These efforts may help increase HPV vaccination intention and vaccination rates among female higher education students.

Cohort Study Incidence and Risk Factors of Road Traffic Accidents among Healthcare Workers in Bangkok Metropolitan Area

2025-03-11T21:54:42+07:00

Background: Road traffic accidents (RTAs) are a significant public health issue worldwide. In 2023, Thailand reported 14,122 fatalities and 808,703 injuries related to RTAs, posing substantial challenges to national productivity and public safety. This study focuses on health workers who experience continuous stress and fatigue, differentiating them from other professions. Objective: The aim is to analyze the characteristics and risk factors of road traffic accidents within this group. And made a recommendation for targeted interventions to mitigate these risks are discussed. Method: This study utilized questionnaires distributed both via Google Forms and in paper format to employees at Rajavithi Hospital, Bamrasnaradura Infectious Diseases Institute, and Division of Medical Technical and Academic Affairs, Department of Medical Services. Result: Out of 261 respondents, 42 reported experiencing traffic accidents. Key findings include: Departments: The inpatient ward had the highest accident rate (50.0%), followed by the administrative office (14.4%). But the difference was not statistically significant (p = .061). Profession: General nurses had the highest accident rate (66.7%) compared to other professions, but no statistical significance was found (p = .272). Shift work was associated with higher accident rates, with shift workers experiencing accidents at a rate of 56.6%, compared to 33.3% among non-shift workers (p = .007). The likelihood of an accident was significantly higher when it occurred within 4 hours after work, often linked to drowsiness. Conclusion: The study shows that 16.09% of health workers experienced RTAs, often linked to fatigue and shift work, particularly within 4 hours after shifts. Similarly, truck drivers in Thailand face high accident rates due to long-distance driving and inadequate rest, with 20-25% of incidents caused by fatigue. U.S. research also identifies "sleep deprivation" as a major risk factor for hospital workers, especially in the 12 hours after shifts. Night shift work increases road accident risks by 60%.

"See and Treat"Approach for High-grade Cervical Screening Results in Lamphun Hospital

2025-04-27T16:54:03+07:00

Background: Implementing the "see and treat" approach to treat women with high-grade cervical screening results has advantages over the two-step conventional approach in terms of early detecting and treating high-grade cervical intraepithelial neoplasia (CIN) and occult invasive cervical cancer, reducing number of visits, shortening diagnosis to treatment time interval, reduction in patient anxiety and healthcare cost, with acceptable unnecessary or overtreatment rate and postoperative complications. Objective: To study the incidence of overtreatment rate, complications, waiting time, high-grade CIN, cervical cancer and identify clinical factors associated with overtreatment following application the "see and treat" approach in women with high-grade cervical screening results. Method: This retrospective cohort study was undertaken among women with high-grade cervical screening results who underwent a "see and treat" approach at Colposcopy Clinic, Lamphun Hospital from January 1st, 2020 to November 30th, 2024. Data was collected and analyzed using descriptive statistics, univariate and multivariate logistic regression. Result: 246 women were identified. The overtreatment rate in this study was 9.75%, and postoperative complications were bleeding (n = 4, 1.63%), infection (n = 14, 5.69%) and both (n = 1, 0.40%). The overall prevalence of high-grade CIN and cervical cancer was 90.25% (222/246). On univariate analysis, factors associated with overtreatment were age ≥50 years, menopause and atypical squamous cells cannot exclude HSIL (ASC-H) cervical cytology. On multivariate analysis, only ASC-H cervical cytology was significantly independent factor associated with overtreatment (adjOR 23.10, 95%CI: 5.11, 104.51, p-value <. 001). Conclusion: The "see and treat" approach can be used as alternative treatment option for women with high-grade cervical screening results to reduce the waiting time with an acceptable overtreatment rate and postoperative complications. ASC-H cytology should obtain a two-step conventional approach.

Comparison of Treatment Outcome between Needle Aspiration and Incision and Drainage in Management of Peritonsillar Abscess

2025-04-17T10:33:11+07:00

Background: Peritonsillar abscess is a common non-odontogenic deep neck infection and drainage is an effective treatment. Objective: To compare treatment outcome between needle aspiration and incision and drainage under local anesthesia. Method: Retrospective chart review of patients diagnosed peritonsillar abscess who were admitted to Chumphon Khet Udomsak Hospital between 1st January 2020 to 31st December 2024. Result: 67 patients were recruited, with 25 patients in the aspiration group and 42 patients in the incision group. The average length of stay was 2.52 days (1-5 days) in the aspiration group while 1.55 days (1-4 days) in the incision group (p < .001). Overall additional drainage in this study accounted for 7/67 (10.45%), with 4/25 (16%) in aspiration group and 3/42 (7.14%) in the incision group. No significant difference in the additional intervention was found between two groups (p = .411) Conclusion: Incision and drainage under local anesthesia for peritonsillar abscess provide the better result for decreasing hospital stay.

Xerostomia in Head and Neck Cancer Patients Treated with Volumetric Modulated Arc Therapy: 1 year Prospective Cohort Study

2025-05-01T14:21:08+07:00

Background: Volumetric modulated arc therapy (VMAT) is a radiotherapy technique to treat cancer patients. Side effects are due to proximity of organs from the target volume. Xerostomia is a common complication in head and neck cancer radiotherapy and decreases the parotid gland ability to produce saliva. Objective: This study aimed to determine the occurrence of xerostomia caused by radiation and relation between of radiation received by parotid glands and salivary flow rate in head and neck cancer patients treated with VMAT. Method: This study prospective for head and neck cancer 84 case treated with VMAT at Chonburi Cancer Hospital from 2022 to 2024, with radiation dose 60 to 70 Gray. Measure unstimulated salivary flow rate before radiation, during the 4^th week, end of radiotherapy, 3 months and 1 year after treatment. The diagnostic criterion for xerostomia is an unstimulated salivary flow rate less than 0.1 ml/min, in accordance with previous literature. Result: 84 patients complete study, 50 and 65 case developed xerostomia during the 4^th week and end of radiotherapy, respectively. After 3 months, the patients were 69 case developed xerostomia 58 case. After 1 year, the patients were 56 case developed xerostomia 37 case. The average salivary flow rate before radiation therapy, during the 4^th week, end of radiotherapy, 3 months and 1 year were 0.22±0.16, 0.09±0.08, 0.06±0.06, 0.04±0.05, and 0.07±0.04 ml/min, respectively. When patients were grouped according mean dose of parotid gland, average salivary flow rate in groups mean dose to both parotid glands or at least one not exceed 26 Gray were not significant difference at 1 year. Conclusion: Parotid gland sparing VMAT for head and neck cancer patients, the mean dose to both parotid glands or at least one should not exceed 26 Gray in order to reduce the occurrence of xerostomia.

Association between Bone Mineral Density, Panoramic Radiographic Indices of the Mandible, and Tooth Loss in Dental Patients at a Tertiary Hospital

2025-11-28T15:56:05+07:00

Background: Previous studies have shown the association between decreased bone mineral density and changes in mandibular bone structure. This has led to increased interest in investigating the relationship between osteoporosis, panoramic radiographic imaging and tooth loss. Panoramic radiographs which commonly used in dentistry are considered a useful and cost-effective screening tool for identifying patients at risk for osteoporosis. Objective: To examine the association between bone mineral density (BMD), tooth loss and three panoramic radiographic indices of mandible (panoramic mandibular index-PMI, mental index-MI, and mandibular cortical index-MCI) in dental patients. Methods: This cross-sectional study included 125 patients who had an oral examination and were treated at Rajavithi Hospital during the period from January 2024 to August 2025. Inclusion criteria were the patients with no history of fractures and no prior use of osteoporosis. All participants had undergone bone mineral density (BMD) assessment and digital panoramic radiographic imaging. BMD T-score and parameters such as PMI, MI, MCI, and tooth loss were measured. The independent t-test, One-Way ANOVA and Pearson correlation were analyzed. Results: A total 125 dental patients in this research were 13 males (10.4%) and 112 female (89.6%), age from 50 to 89 years. This study found a significant association between BMD T-score and panoramic radiographic indices of mandible (MI, MCI) and
tooth loss (p-value < .05). However, BMD T-score was not significantly associated with PMI. Conclusions: These findings of this study suggest that in patients’ panoramic radiographic indices (MI, MCI indices) and tooth loss may be a useful index for screening osteoporosis. Bone mineral density (BMD) measurement by dual-energy X-ray absorptiometry (DEXA) remains the method for screening osteoporosis.