Bone mineral density and mandibular osteoporotic alterations in type 2 diabetes

Abstract

<p><strong>Objective</strong><strong>:</strong> To assess the influence of type 2 diabetes on bone mineral density in a group of type 2 diabetic patients, in comparison with non-diabetic patients. Additionally, to evaluate the correlation between mandibular cortical index and bone mineral density. <strong>Material and Methods: </strong>48 patients (24 diabetics and 24 non-diabetics) referred for femur and spine densitometry and panoramic radiograph examination were included in this study. Patients were diagnosed based on densitometric results of the total femur and total spine. All panoramic radiomorphometric measurements were performed by 3 observers. Differences in T and Z-scores between both groups were evaluated with Mann-Whitney test and non-parametric correlations between mandibular cortical index and T/Z-scores were carried out with Spearman’s test. <strong>Results</strong>: Median T and Z-scores for total femur and total spine presented no statistical significant difference between diabetic and non-diabetic patients. In addition, only diabetics total femur and non-diabetics total spine T-scores were significantly correlated with mandibular cortical index. <strong>Conclusion:</strong> The present results suggest that type 2 diabetic patients have similar Z and T-scores in femur and spine when compared to non-diabetic patients. Mandibular cortical index, assessed on panoramic radiographs is inversely correlated with femur densitometry results in diabetics and spine bone mineral density in non-diabetic patients.</p><p> </p><p><strong>Keywords</strong></p><p>Bone Mineral Density; Dual X-Ray Absorptiometry; Panoramic radiography; Osteoporosis; Type 2 Diabetes.</p>

Differences in Antegonial Index values in type II diabetes mellitus patients using panoramic radiography

“…1 Type II diabetes mellitus is one of the disorders that can affect bone mineral density (BMD). 9 Epsilawati et al (2018) stated that low insulin levels in the blood can disrupt the physiological process of bone remodeling. 10 Remodeling is an activity of bone in the process of renewing mineral reserves due to the influence of local factors.…”

Osteoporose Como Preditor De Fraturas Do Colo Femoral Por Quedas Em Idosos: Revisão Integrativa

“…O diagnóstico em estágio inicial diminui as chances de episódios de fraturas e morbimortalidade. O exame de densitometria analisa o grau de perda de massa óssea, podendo ser classificados em osteopenia com escores T entre -1,0 a -2,5, osteoporose menor que -2,5 ou como normais maiores que -1,0 em desvio padrão (LIU et al, 2015;MUNHOZ et al, 2018;NETO et al, 2015).…”