Diagnostic performance of general dental practitioners after lecture in identifying post-menopausal women with low bone mineral density by panoramic radiographs

Sutthiprapaporn, Pipop; Taguchi, Akira; Nakamoto, Takashi; Ohtsuka, Masahiko; Mallick, P C; Tsuda, Mikio; Kodama, Ichiro; Kudo, Yoshiki; Suei, Yoshikazu; Tanimoto, Keiji

doi:10.1259/dmfr/16882209

Cited by 28 publications

(12 citation statements)

References 18 publications

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“…[10] Additionally, the role of clinical dentists in the identification of mandibular cortical erosion detected at panoramic radiographs of postmenopausal women results in 73% of correctness in the identification of low mineral bone density. [30] To our knowledge, this is the first study in which the groups were divided based on the menopausal status where the pre menopausal group included patients ranging 22-45 years and post menopausal group included patients from 45-85 years. In this study, MCI appearance was related to the menopausal status of the patients suggesting that onset of menopause leads to changes in mandibular cortical morphology.…”

Section: Discussionmentioning

confidence: 99%

A radiographic comparison of mandibular bone quality in pre- and post-menopausal women in Indian population

Mudda¹,

Bajaj²,

Patil³

2010

J Indian Soc Periodontol

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Aim and Objectives:The main objective of the study is to assess mandibular bone changes in pre and postmenopausal women with chronic generalized periodontitis using different radiomorphometric indices, mandibular cortical index (MCI), mental index (MI), and panoramic mandibular index (PMI) in Indian population.Materials and Methods:Panoramic radiographs of 60 patients visiting the Department of Periodontology were taken and divided in two groups - pre and post-menopausal. Detailed medical and menopausal history was recorded for each patient. All the radiographs were assessed for PMI, MI and MCI and presence of periodontitis. The destructive periodontitis was assessed as distance from the cementoenamel junction to the alveolar crest greater than 2mm.Statistical Analysis:Student-t test was applied to compare mean values of MI and PMI. Intra and inter group comparison of MCI were made using chi-square test. Correlation of age and MI and PMI was found by Pearson’s correlation coefficient.Results:MCI, PMI and MI were related to the menopausal status. Patients with C3 category were seen only in post-menopausal group after 54 years of age. Higher mean values for both MI (p<0.05) and PMI (p<0.05) were observed in pre-menopausal group with statistically significant differences. MI showed negative correlation with age in both the groups; however PMI was positively correlated with age.Conclusions:Radiomorphometric indices could be used by general dentists after a little training to detect post-menopausal women at higher risk of osteoporosis.

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Section: Discussionmentioning

confidence: 99%

A radiographic comparison of mandibular bone quality in pre- and post-menopausal women in Indian population

Mudda¹,

Bajaj²,

Patil³

2010

J Indian Soc Periodontol

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“…Since Klemetti et al [38] proposed MCI classification on panoramic radiographs, some studies have reported significant associations between MCI and skeletal BMD in postmenopausal women as well as elderly men [29,35,43,44,46,[51][52][53][54]57,61,62,65,[71][72][73][74][75] (Table 3). In our previous study, the sensitivity and specificity for identifying spine osteoporosis by MCI were 86.8% and 63.6%, respectively, in 159 healthy postmenopausal Japanese women and 80.0% and 64.1%, respectively, in 157 postmenopausal Japanese women with histories of hysterectomy, oophorectomy or oestrogen use [53].…”

Section: Cortical Shape Of the Mandible And Skeletal Bmdmentioning

confidence: 99%

Panoramic radiographs for identifying individuals with undetected osteoporosis

Taguchi

2009

Japanese Dental Science Review

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“…More recent studies have shown that interobserver agreement and dentists' ability to detect lesions in radiographs improves by using training sessions and reinforcing the criteria used for radiographic diagnosis. 51,52 Reinforcement and training on criteria used for radiographic diagnosis is the best way to improve the radiographic diagnostic ability of dentists.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative diagnostic radiograph interpretation by general dental practitioners for root canal treatment

Sherwood¹

2012

Dentomaxillofacial Radiology

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Objectives: The aim of this study was to evaluate which radicular radiographic features general dentists want to interpret, determine which of the radicular radiographic features general dentists interpret and which ones they miss in a diagnostic radiograph and correlate how accurately general dentists are able to interpret radiographic features. Methods: 20 general dental practitioners were selected and given 2 sets of questionnaires. The first set asked them to fill out the findings they would elucidate in a diagnostic radiograph while the second set consisted of 30 randomly selected intraoral radiographs to interpret. Results: In the first set of questionnaires, more than 50% of dentists said they would interpret periapical changes, calcification, root curvature and the number of root canals. Less than 50% said they would interpret canal morphology, open apex, resorption, fracture, number of roots and lamina dura. In the second set of questionnaires, more than 90% missed grade 1 or 2 periapical changes (according to periapical index scoring), resorption and canal calcification. More than 80% of dentists missed extra roots and root curvature buccally while no dentists were able to interpret the periodontal ligament width changes, lamina dura and canal variation (C-shape). Using a paired t-test, there was significant variation in answers between the first set and second set of questionnaires. Conclusion: It is concluded from this study that general dental practitioners are able to detect radiographic changes when they are extensive but they miss periodontal ligament width and lamina dura changes.

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Diagnostic performance of general dental practitioners after lecture in identifying post-menopausal women with low bone mineral density by panoramic radiographs

Abstract: Our results suggest that 73.0% of women who had low skeletal BMD can be identified by GDPs after a lecture on the use of panoramic radiographs as an aid in diagnosing low BMD; however, the diagnostic performance may not be influenced by GDPs' age.

Cited by 28 publications

References 18 publications

A radiographic comparison of mandibular bone quality in pre- and post-menopausal women in Indian population

A radiographic comparison of mandibular bone quality in pre- and post-menopausal women in Indian population

Panoramic radiographs for identifying individuals with undetected osteoporosis

Pre-operative diagnostic radiograph interpretation by general dental practitioners for root canal treatment

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