Predictors Factors of Low Bone Mineral Density in Dental Panoramic Radiographs

Tavares, Nubia Priscilla Kleperon; Mesquita, Ricardo Alves

doi:10.4172/2329-9509.1000170

Cited by 3 publications

(5 citation statements)

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“…In their study, the specificity was 88.9% and the sensitivity was 100% [37]. Studies investigating the accuracy of the MCI in detecting reduced BMD had rather homogeneous results [38]. This was in accordance with our findings that MCI differed significantly between postmenopausal and premenopausal women [36].…”

Section: Discussionsupporting

confidence: 87%

“…Although correlation of PMI and BMD are controversial [38], from the systematic review and meta-analysis of Calciolari et al, PMI with a cutoff value of 0.3 seems to be the most accurate linear index to screen for reduced BMD [8]. The mean values of PMI in both groups of the current study were 0.3; therefore, assessment of differently reduced BMD was consequently impracticable.…”

Section: Discussionmentioning

confidence: 75%

“…Studies have reported differences in FD between healthy and osteoporotic patients; however, a previous review presented controversial results for the correlation of mandibular FD with skeletal BMD [38]. There was also a significant difference in the FD values among different jaw sites.…”

Section: Discussionmentioning

confidence: 99%

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Increased Plasma Osteocalcin, Oral Disease, and Altered Mandibular Bone Density in Postmenopausal Women

Thanakun

Pornprasertsuk‐Damrongsri

Mahasarakham

et al. 2019

International Journal of Dentistry

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An association between oral diseases and postmenopausal status has been recognized. However, the relationship between all oral disease, mandibular bone density, health status, and osteocalcin (OCN) bone markers in postmenopausal dental patients has not been reported. This study was therefore to verify the differences in plasma OCN levels, dental, periodontal, and oral mucosal disease, and mandibular bone density alterations from panoramic radiograph and systemic parameters in postmenopausal women, compared to premenopausal women. Oral, radiographic, and blood examination were performed in 92 females. Dental, periodontal, and oral mucosal statuses were recorded. Health profile parameters were collected from medical charts. Plasma OCN was evaluated by enzyme-linked immunosorbent assay. Forty-two (45.7%) participants were postmenopausal with a higher median age (55 (51, 62) years) than the premenopausal group (43 (38, 45) years). Overweight or obesity, hypercholesterolemia, and impaired fasting blood sugar were more prevalent in postmenopause. The average postmenopausal OCN level (425.62 ng/mL) was significantly higher than the premenopausal group (234.77 ng/mL, p < 0.001). The average number of missing teeth, mean attachment loss, alveolar bone loss, periapical lesion count, and clinical oral dryness score were also significantly higher in postmenopause (p=0.008, < 0.001, 0.031, 0.006, and 0.005, respectively). However, mandibular bone density determined by mandibular cortical index was lower in postmenopause (p < 0.001). The panoramic mandibular index, mandibular cortical width, fractal dimension, and other oral mucosal disease did not differ between the groups. Postmenopause was associated with elevated plasma OCN (β = 0.504, p < 0.001) when related covariates were adjusted. Elevated plasma OCN, oral mucosal dryness, high number of periapical radiolucencies and missing teeth, and lower mandibular bone density from panoramic radiograph were prevalent in postmenopausal women. Dentists should suspect an increased risk of low bone mineral density in postmenopausal patients who display these clinical and radiographic findings, and they should be referred for further examination. Plasma OCN may interconnect a relationship between postmenopausal status and the low mandibular bone density.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 75%

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Increased Plasma Osteocalcin, Oral Disease, and Altered Mandibular Bone Density in Postmenopausal Women

Thanakun

Pornprasertsuk‐Damrongsri

Mahasarakham

et al. 2019

International Journal of Dentistry

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“…Dengan demikian, tidak seperti indeks-indeks lainnya, PMI memungkinkan untuk membuat perbandingan langsung antara perhitungan yang didapat dengan penelitian lain yang telah ada. 11 Penelitian ini bertujuan untuk menganalisis perbedaan ketinggian tulang kortikal mandibula pada penderita bruxism dan bukan penderita bruxism berdasarkan Panoramik Mandibula Indeks. Tabel 3 menunjukan nilai tertinggi dan terendah tulang kortikal mandibula pada penderita dan bukan penderita bruxism.…”

Section: Pendahuluanunclassified

<p>Perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism berdasarkan indeks panoramik mandibular</p><p>Differences in the mandibular cortical bone height between bruxism and non-bruxism patients based on the panoramic mandibular index</p>

2020

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Pendahuluan: Bruxism adalah aktivitas parafungsi oklusal pada siang atau malam hari dimana terjadi grinding, clenching, dan gnashing. Bruxism dapat memberikan tekanan berlebih pada tulang sehingga tulang beradaptasi melalui proses remodeling tulang yang dapat mengubah jumlah, densitas, dan ketinggian tulang. Perubahan yang terjadi pada tulang dapat dianalisis dengan mengukur ketinggian tulang kortikal mandibula. Salah satu metode pengukuran yang dapat digunakan adalah indeks panoramik mandibula (PMI) melalui radiografi panoramik. Tujuan penelitian ini adalah menganalisis perbedaan ketinggian tulang kortikal mandibula pada penderita dan bukan penderita bruxism. Metode: Jenis penelitian ini adalah analitik cross sectional. Sampel penelitian ini terdiri dari dua kelompok, yaitu 30 sampel radiograf panoramik digital penderita bruxism dan 30 sampel radiograf panoramik digital bukan penderita bruxism. Data dianalisis menggunakan independent t-test pada software MegaStat 10.1. Hasil: Hasil analisis p-value menunjukkan ketinggian tulang kortikal mandibula regio kanan penderita bruxism dan bukan penderita bruxism adalah 0,1517mm dan regio kiri adalah 0,2036mm (p-value>0,05). Simpulan: Tidak terdapat perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism.Kata kunci: Bruxism, kortikal mandibula, indeks panoramik mandibular. ABSTRACTIntroduction: Bruxism is an occlusal parafunction activity during the day or night that includes grinding, clenching, and gnashing. Bruxism can exert excessive pressure on the bone so that the bone adapts through the process of bone remodelling, which can change the amount, density, and height of the bone. Changes that occur in the bone can be analysed by measuring the height of the mandibular cortical bone. One of the measurement methods commonly used was the panoramic mandibular index (PMI) through panoramic radiography. The purpose of this study was to analyse the differences in the height of the mandibular cortical bone in bruxism and non-bruxism patients. Methods: The type of research was cross-sectional analytic. The sample of this study consisted of two groups, which were 30 samples of digital panoramic radiographs of bruxism patients and 30 samples of digital panoramic radiographs of non-bruxism patients. Data were analysed using an independent t-test in the MegaStat 10.1 software. Results: The results of the p-value analysis showed that the mandibular cortical bone in the right region of bruxism and non-bruxism patients was 0.1517 mm, and in the left region was 0.2036 mm (p-value > 0.05). Conclusion: There is no difference in the mandibular cortical bone height between bruxism and non-bruxism patients.Keywords: Bruxism, mandibular cortical bone, panoramic mandibular index.

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“…The continuous loss of bone tissue and bone mineral density (BMD) in the skeletal system is a sign of osteoporosis. 1 Osteoporosis is referred to as a “silent disease” because it does not cause obvious symptoms and is usually detected when the bone fracture has already presented. 2 BMD measurement using a dual energy X-ray absorptiometry (DEXA) device is the gold standard for diagnosing osteoporosis by assessing the condition of the bones.…”

Section: Introductionmentioning

confidence: 99%

Computer-Aided System of the Mandibular Cortical Bone Porosity Assessment on Digital Panoramic Radiographs

et al. 2022

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Objectives The loss of bone mineral density (BMD) in various sites of the body, including the mandible, is the main sign of osteoporosis. Thus, the computer-aided diagnosis (CAD) system was developed for bone density assessment and patients were classified into normal, osteopenia, and osteoporosis groups using a digital panoramic radiograph. Material and Methods Data of dental panoramic radiographs and corresponding BMD assessments from 123 postmenopausal women were collected. For the proposed CAD system test, regions of interest (ROI) that were located below the left and right mental foramen on dental panoramic radiographs were determined. The width and texture of the mandibular cortical bone in each ROI were used to classify the data into normal, osteopenia, and osteoporosis classes. The width of the mandibular cortical was measured using the polynomial fitting method. The texture feature of the cortical bone is obtained by calculating the average value of the grayscale intensity of cortical bone. The classification result was obtained by using a multiclass support vector machine. Results The experimental results using 10-fold cross-validation showed that the proposed system achieved an average accuracy of 86.50% for osteoporosis classification on dental panoramic radiographs. The average misclassification error and relative foreground area error of the segmentation process were 5.21 and 12.98%, respectively. From the analysis of the cortical width measurement process, highest average mandibular cortical width (MCW) was found in the normal patient category compared with the other classes. Conclusion This research showed that the proposed computer-aided system can be used for osteoporosis and osteopenia assessment by measuring the MCW and texture on dental panoramic radiographs with the average system accuracy of 89.52%.

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Predictors Factors of Low Bone Mineral Density in Dental Panoramic Radiographs

Cited by 3 publications

References 31 publications

Increased Plasma Osteocalcin, Oral Disease, and Altered Mandibular Bone Density in Postmenopausal Women

Increased Plasma Osteocalcin, Oral Disease, and Altered Mandibular Bone Density in Postmenopausal Women

<p>Perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism berdasarkan indeks panoramik mandibular</p><p>Differences in the mandibular cortical bone height between bruxism and non-bruxism patients based on the panoramic mandibular index</p>

Computer-Aided System of the Mandibular Cortical Bone Porosity Assessment on Digital Panoramic Radiographs

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