Risk of osteoporosis in elderly individuals attending a dental clinic

Ohtsuki, Hideto; Kawakami, Masayoshi; Kawakami, Tetsuji; Takahashi, Kazuya; Kirita, Tadaaki; Komasa, Yutaka

doi:10.1111/idj.12263

Cited by 11 publications

(8 citation statements)

References 18 publications

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“…Lee et al [ 25 ] concluded that simple visual estimation of the mandibular inferior cortex width on panoramic radiographs might be useful for identifying postmenopausal women with low BMD. In similar studies Ohtsuki et al, [ 26 ] as well as Horner and Devlin [ 27 ] also found that mandibular cortical width significantly correlated with BMD,.…”

Section: Discussionmentioning

confidence: 73%

Panoramic radiographs and quantitative ultrasound of the radius and phalanx III to assess bone mineral status in postmenopausal women

Grocholewicz¹,

Janiszewska‐Olszowska²,

Aniko-Włodarczyk³

et al. 2018

BMC Oral Health

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BackgroundVarious mandibular indices have been developed to detect osteoporosis on panoramic radiographs. Quantitative ultrasound (QUS) is a low-cost, radiation-free method to assess bone status. The aim of this study was to compare mandibular morphometric analysis and QUS at the radius and proximal phalanx III finger.MethodsThe study involved 97 postmenopausal women, aged 48.5–71.5y (mean: 55.4). Mandibular morphometric analysis comprised: distance between upper and lower mandibular borders just behind the mental foramen (H), distance: mental foramen - inferior mandibular cortex (IM) and mandibular cortical width at the mental region (MCW). Then, ratios were calculated: MCW/IM = PMI (panoramic mandibular index), H/IM = MR (mandibular ratio). Mandibular cortical index (MCI) was used to classify the morphology of the mandibular cortex.Bone mineral status assessed using QUS at the radius and proximal phalanx III finger was compared to population mean apical bone mass (T-score).Linear regression analysis was used for correlations between continuous variables, Pearson’s correlation coefficient r - for variables of normal distribution. Student’s t-test was used to compare variables of normal distribution and for the latter - Mann-Whitney U-test. The level of significance was p < 0.05.ResultsMandibular height was 13.42–34.42 mm. The mean mandibular cortical width was 3.31 mm. Mean values of PMI and MR were 0.33 and 2.57, respectively. Higher mean value of Ad-SoS was found in the radius than in the III finger. Phalanx T-score values were lower than those of the radius. T-score of the radius was < − 1.0 in 22 patients, indicating osteopenia. Basing on phalanx T-score, osteopenia was found in 39 patients. Category C1 of Mandibular Cortical Index was found in 48 women, C2 - in 37 women and C3 - in 12 women. Higher scores of Mandibular Cortical Index were recorded in older women. MCI significantly correlated with the skeletal status (p = 0.01) as well as with H, MCW and MR. Phalanx T-score was not correlated to PMI, MR or MCW.Conclusions1. Mandibular Cortical Index can be used as a screening tool for detecting osteoporosis.2. Quantitative ultrasound at the phalanx III constitutes a reliable way of assessing bone status.Electronic supplementary materialThe online version of this article (10.1186/s12903-018-0593-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 73%

Panoramic radiographs and quantitative ultrasound of the radius and phalanx III to assess bone mineral status in postmenopausal women

Grocholewicz¹,

Janiszewska‐Olszowska²,

Aniko-Włodarczyk³

et al. 2018

BMC Oral Health

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“…Simple correlation coefficients between the MCW and skeletal BMD were between 0.23 (weak) and 0.68 (moderate). Significant correlation was observed between the MCW and skeletal BMD in older women but not in older men in one study [48]. Only one study, which focused on Japanese younger adults, reported a significant association between the MCW and osteoporosis as determined by ultrasound in younger men, but not in younger women [36].…”

Section: Usefulness Of the Mcw In Screening For Osteoporosismentioning

confidence: 90%

Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis

et al. 2021

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Osteoporotic fractures are associated with an increased risk of subsequent fractures, a higher rate of mortality, and incremental medical costs. Incidental findings, which include some measurements related to the mandibular inferior cortex and the alveolar trabecular bone pattern of the mandible determined on panoramic radiographs, are considered to be a useful tool for identifying asymptomatic individuals at risk of having osteoporosis and/or fragility fractures. We undertook a worldwide literature survey and present the following clinical recommendations. Postmenopausal female dental patients with a mandibular inferior cortical width of less than 3 mm on panoramic radiographs may be at risk of having low skeletal bone mineral density (BMD) or osteoporosis, but not fragility fractures. In addition, those with a severely eroded mandibular inferior cortex may have an increased risk of having low skeletal BMD, osteoporosis, and fragility fractures. The alveolar trabecular bone pattern of the mandible might be useful for identifying female dental patients at risk of having fragility fractures, although further investigation is necessary to confirm this possibility. These incidental findings on panoramic radiographs, when used for identifying asymptomatic postmenopausal female patients at risk of having osteoporosis in general dental practice, may be helpful in reducing the incidence of first fractures, with a consequent reduction in the secondary fractures, medical costs, and mortality associated with osteoporotic fragility fractures, without incurring any additional cost.

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“…A identificação precoce de indivíduos com baixa densidade e qualidade óssea associado ao distúrbio osteometabólico é importante para estabelecer estratégias na prevenção de fraturas. Dessa forma, vários estudos (CALCIOLARI et al, 2015;GEARY et al, 2015;KAVITHA et al, 2015;KIM et al, 2016;YAMADA et al, 2015;MILIUNIENE et al, 2016;MURAMATSU et al, 2016;CARMO, MEDEIROS, 2017;HWANG et al, 2017;OHTSUKI et al, 2017;SPEZZIA et al, 2017;KINALSKI et al, 2020)…”

Section: Metodologiaunclassified

Lesão Enegrecida-Azulada Em Mucosa Bucal: Possíveis Diagnósticos Diferenciais E Como Proceder

Soares¹,

Silva²,

Silva³

et al. 2020

Prática Problematizadora E Ensino Participativo Na Odontologia

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Direitos para esta edição cedidos à Atena Editora pelos autores.

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Risk of osteoporosis in elderly individuals attending a dental clinic

Abstract: Our findings reveal that most elderly female patients visiting the dental clinic had a high risk of osteoporosis and a low BMD.

Cited by 11 publications

References 18 publications

Panoramic radiographs and quantitative ultrasound of the radius and phalanx III to assess bone mineral status in postmenopausal women

Panoramic radiographs and quantitative ultrasound of the radius and phalanx III to assess bone mineral status in postmenopausal women

Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis

Lesão Enegrecida-Azulada Em Mucosa Bucal: Possíveis Diagnósticos Diferenciais E Como Proceder

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