Evaluation of Osteoporosis of Jaws Using Morphometric Indices in Panoramic Radiographs
Abstract
ABSTRACT
Background & Objectives: Osteoporosis affects many elderly individuals and may not be identified until fracture-related symptoms manifest. Osteoporosis must be identified early in order to allow both therapy and prevention. In contrast to panoramic radiography, which is often utilized in dentistry, access to osteoporosis screening is frequently restricted. This emphasizes the part that dentists play in the early detection of this condition. With this context, the goal of the current study is to use digital panoramic radiographs to analyze the radiomorphometric indices of the mandible.
Materials and Methods: The study's sample included 100 panoramic radiographs, 50 of which were of men and 50 of women, all of whom were between the ages of 30-80. The data that were collected were statistically analyzed.
Results: Aging was associated with a decline in GI. Only among females above the age of 51 did MI exhibit a drop in mean values. PMI showed a dramatic decline after age 40. Age-related increases in C2 and C3 categories. In comparison to female patients, male patients had considerably higher measured values for mental foramen width, mandibular canal width, GI and MI. Most C3 cortical appearances were observed in females.
Conclusion: Older females had a decreased mandibular cortical thickness. This study demonstrated the value of mental foramen and mandibular canal width, GI, MI PMI, and MCI in identifying patients with osteoporosis or low skeletal bone mineral densities. Therefore, it is recommended that oral physicians take on a special role in patient screening for the assessment of osteoporosis.
References
2. Pachipulusu, Balaji & Govindraju, Poornima. (2022). Radiomorphometric indices as indicator in osteoporosis-A digital panaromic study. Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology. 8. 27-34. 10.18231/j.jooo.2022.006.
3. Handa, Hina & Singh, Ajita. (2020). Evaluation of mandibular indices in panoramic radiography. International Dental Journal of Student Research. 8. 60-64. 10.18231/j.idjsr.2020.013.
4. Nagaraj, Tejavathi & Bhavana, T. & James, Leena & Goswami, Rahul & Sreelakshmi, N. & Ghouse, Noori. (2015). Early diagnosis of osteoporosis in male and female patients between 30 and 75 years using orthopantomography. Journal of Advanced Clinical & Research Insights. 2. 160-163. 10.15713/ins.jcri.69.
5. Vijay G, Chitroda PK, Katti G, Shahbaz S, Baba I, Bhuvaneshwari. Prediction of osteoporosis using dental radiographs and age in females. J Midlife Health. 2015;6(2):70-75. doi:10.4103/0976-7800.158952
6. Hastar E, Yilmaz HH, Orhan H. Evaluation of mental index, mandibular cortical index and panoramic mandibular index on dental panoramic radiographs in the elderly. Eur J Dent. 2011;5(1):60-67.
7. Hugh Devlin, Kety Karayianni, Anastasia Mitsea, Reinhilde Jacobs, Christina Lindh, Paul van der Stelt, Elizabeth Marjanovic, Judith Adams, Susan Pavitt, Keith Horner,Diagnosing osteoporosis by using dental panoramic radiographs: The OSTEODENT project,Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Volume 104, Issue 6,2007.
8. Akira Taguchi,Panoramic radiographs for identifying individuals with undetected osteoporosis, Japanese Dental Science Review, Volume 45, Issue 2, 2009,Pages 109-120, ISSN 1882-7616, https://doi.org/10.1016/j.jdsr.2009.05.001.
9. Alonso MB, Cortes AR, Camargo AJ, Arita ES, Haiter-Neto F, Watanabe PC. Assessment of panoramic radiomorphometric indices of the mandible in a brazilian population. ISRN Rheumatol. 2011; 2011:854287. doi: 10.5402/2011/854287. Epub 2011 Sep 14. PMID: 22389803; PMCID: PMC3263751.
10. Govindraju, Poornima & Chandra, Poornima. (2014). Radiomorphometric Indices of the Mandible – An Indicator of Osteoporosis. Journal of clinical and diagnostic research: JCDR. 8. 195-198. 10.7860/JCDR/2014/6844.4160.