Decrease in Mandibular Cortical in Patients With Type 1 Diabetes Mellitus Combined with Poor Glycemic Control

Limeira, Francisco Ivison Rodrigues; Rebouças, Patrícia Ravena Meneses; Diniz, Denise Nóbrega; Melo, Daniela Pita de; Bento, Patrícia Meira

doi:10.1590/0103-6440201701523

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Failure to control T1DM and delayed diagnosis can have a harmful effect on bone development and mineralization (11). In the study, a decrease in mandibular cortical bone was observed in children with T1DM compared to non-diabetic children, and this was associated with poor control of T1DM (8). Similarly, in our study, MI, MCW, and AI values were observed to be lower in the children with T1DM than in the healthy.…”

Section: Gonial Index (Gi)supporting

confidence: 68%

“…All examinations and practices were approved by the local ethics committee and were conducted in accordance with the Helsinki Declaration of 1964 and its subsequent versions (No: 441/2022). According to Limeira et al (8), G*Power analysis determined that at least 35 children should be included in each group, with a 95% confidence interval and 80% power.…”

Section: Study Groupmentioning

confidence: 99%

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Investigation of Fractal Dimension Analysis and Radiomorphometric Indices in Children with Type 1 Diabetes Mellitus

Özkan Karasu,

Miloglu,

Orbak

et al. 2024

Iran J Pediatr

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Background: Diabetes mellitus (DM) disrupts bone metabolism, leading to slowed bone development, poor bone quality, and osteoporosis. Objectives: The aim of this study was to examine changes in the bones of adolescents with type-1 diabetes mellitus (T1DM) using fractal dimension (FD) analysis method and panoramic radiomorphometric indices. Methods: Fractal dimension values and radiomorphometric measurements of 36 children with T1DM and 36 healthy individuals were compared using panoramic radiographs. The panoramic mandibular index (PMI), mental index (MI), mandibular cortical width (MCW), amount of alveolar bone resorption (AABR), antegonial index (AI), and gonial index (GI) were measured. Mandibular cortical index (MCI) was recorded as C1, C2, and C3 classes. Results: For the angulus and corpus regions, the T1DM patient group had lower FD values, and there was a statistically significant difference between the T1DM patient group and the control group (P = 0.003, P = 0.029). Mental index, MCW, and AI values were higher in the control group than in the T1DM patient group and were statistically significant (P = 0.014, P = 0.001, P < 0.001, respectively). Conclusions: In this study examining the mandible in pediatric patients with T1DM using radiomorphometric measurements and fractal analysis method, it can be concluded that T1DM affects bone morphology and trabecular structure

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Section: Gonial Index (Gi)supporting

confidence: 68%

Section: Study Groupmentioning

confidence: 99%

Investigation of Fractal Dimension Analysis and Radiomorphometric Indices in Children with Type 1 Diabetes Mellitus

Özkan Karasu,

Miloglu,

Orbak

et al. 2024

Iran J Pediatr

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“…analyzed MCI among individuals with type 1 Diabetes Mellitus. The authors declared mandibular cortical alterations in all age groups and in the both genders [35]. Moreover, we failed to prove an influence of vitamin D and calcium use on MCI category: subjects who used vitamin D and calcium belonged to all three morphological MCI groups and sample sizes were small.…”

Section: Discussionmentioning

confidence: 74%

Radiomorphometric Evaluation of Mandibular Cortical Index Among Young and Middle-Aged Lithuanian Individuals

Laurinčikas¹,

Jagelavičienė²,

Ratkevičienė³

et al. 2019

Health Sciences

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Background and objective. The aim of this study was morphological analysis of the cortical layer in the mandibular base distally from the mental foramen for determination of the mandibular cortical index in the Lithuanian young and middle-aged individuals according to gender, age, general health status, used medicine. Materials and methods. The study included 216 randomly selected subjects aged 19 to 50 years. A questionnaire was used to collect data on subjects’ age, gender, sociodemographic status, diseases, and used medicines, harmful habits. Skeletal bone status was examined according One – Minute test, panoramic radiography was performed, and panoramic radiographic images were analyzed to determine the mandibular cortical index. According to the classification by Klemetti, subjects were divided into 3 index morphological groups: C1, C2, and C3. Analysis was carried out by mentioned factors. Results. There was a significant relationship between mandibular cortical index and subject’s age (F=4.54; df=2; p=0.01), gender (χ2=16.22; df=2; p<0.01), thyroid diseases (p=0.05), hormonal preparation use (p<0.01), cigarette smoking (p<0.01). Conclusions: The study data confirmed the hypothesis that morphological changes in the cortical layer at the mandibular base were found among young and middle aged individuals with normal skeletal bone status and were significantly associated with subject’s age, gender, and other factors such as cigarette smoking, diseases having an influence on bone metabolism, used medicines.

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“…While Fuusager et al 24 found a negative correlation between poor glycemic control and the BMD Z-score, like other studies 25,26 , some studies have not found such a correlation. 27,28 Limeira et al 3 found lower values in the mental, gonial, and antigonial indices and the upper and lower PMI parameters in patients with poorly controlled type 1 DM than in non-diabetic patients. Nemtoi et al 29 evaluated the bone quantity and quality of the mandible of DM patients with cone beam-computed tomography.…”

Section: Discussionmentioning

confidence: 96%

“…2 Bone mineral density (BMD) represents the quantity of bone tissue in a specific volume of bone. 3 Dental radiographs, especially panoramic images, can show a loss of BMD. 4,5 For this purpose, different panoramic radiomorphometric indices, such as mandibular cortical width (MCW), panoramic mandibular index (PMI), mandibular cortical index (MCI), and simple visual estimation (SVE), have been used in literature.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of fractal dimension and panoramic radiomorphometric indices in children and adolescents with type 1 diabetes mellitus: A retrospective study

Alkis,

Yagmur,

Parlak

et al. 2024

Preprint

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Objective: The aim of this retrospective study is to evaluate the cortical and trabecular mandibular bone morphology of children and adolescents who have type 1 diabetes mellitus (DM) and controls by using fractal dimension (FD) analysis and different panoramic radiomorphometric indices through digital panoramic radiographic images (DPRIs). Methods: The study included total 114 patients(57 type 1 DM-57 control). The type 1 DM group was divided into well-controlled(6,59.0) groups, according to HbA1c. The mandibular cortical width (MCW) and panoramic mandibular index (PMI) were measured, the mandibular cortical index (MCI) and simple visual estimation (SVE) were evaluated, and FD analysis of three areas of interest (IAs) was obtained in all of the DPRI. Results: There were no statistically significant differences found in any parameters when all the DM groups were compared with controls. In all the groups, significant correlation was observed between the MCW-FD values, PMI-FD values, and MCW-IA 1 FD values. Conclusions: This study revealed no cortical and trabecular bone changes in mandibula in children and adolescents with type 1 DM compared to the control group. These findings did not support the hypothesis that children and adolescents with type 1 DM may have different bone structure.

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Decrease in Mandibular Cortical in Patients With Type 1 Diabetes Mellitus Combined with Poor Glycemic Control

Cited by 8 publications

References 22 publications

Investigation of Fractal Dimension Analysis and Radiomorphometric Indices in Children with Type 1 Diabetes Mellitus

Investigation of Fractal Dimension Analysis and Radiomorphometric Indices in Children with Type 1 Diabetes Mellitus

Radiomorphometric Evaluation of Mandibular Cortical Index Among Young and Middle-Aged Lithuanian Individuals

Evaluation of fractal dimension and panoramic radiomorphometric indices in children and adolescents with type 1 diabetes mellitus: A retrospective study

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