Objectives: Sheehan's syndrome (SSH) is an important public health problem characterized as postpartum hypopituitarism secondary to obstetric complications-related ischemic pituitary necrosis that shows significant systemic metabolic repercussion. Thus, this study aimed to evaluate texture parameters in digital panoramic radiographs of patients with SSH. Methods: A case-control study was conducted with 30 SSH patients from an Endocrinology and Diabetology Service of reference in Brazil, and 30 age-and sexmatched healthy controls. A custom computer program measured fractal dimension, lacunarity and some morphologic features in the following mandibular regions of interest (50x50 pixels): below the mental foramen (F1), between the first and second molars (M1), and center of the mandibular ramus (R1). Results: The fractal analysis showed a statistically significant difference between the studied groups in all regions of interest. The fractal dimension in F1 (p = 0.016), M1 (p = 0.043), and R1 (p = 0.028) was significantly lower in SSH group, as well as lacunarity in R1 (p = 0.008). Additionally, several morphologic features were statistically significant in the SSH group (p < 0.05). Conclusion: Therefore, individuals with SSH showed altered imaging texture parameters on panoramic radiographs, which reflect a smaller spatial organization of the bone trabeculae and, possibly, a state of reduced mineral bone density.