Identifying risk groups for osteoporosis by digital panoramic radiography
Satish Alapati1, Reddy Sudhakara Reddy2, Ramesh Tatapudi2
1Department of Oral Medicine and Radiology, St. Joseph Dental College, Eluru, Andhra Pradesh, India.
Contemporary Clinical Dentistry
|November 26, 2015
Summary
Panoramic radiographs can help identify osteoporosis risk. Simple screening analyses of mandibular cortical index (MCI) and mental index (MI) on dental images can detect decreased bone density, especially in older women.
Area of Science:
- Dentistry
- Radiology
- Osteoporosis Research
Background:
- Osteoporosis is characterized by low bone mass and deterioration, increasing fracture risk.
- Panoramic dental radiographs are utilized to assess bone mineral density.
- Indices like mandibular cortical index (MCI), mandibular cortical width (MCW), and panoramic mandibular index (PMI) quantify mandibular bone quality.
Purpose of the Study:
- To evaluate the effectiveness of mental index (MI), MCW index, and PMI in identifying osteoporosis risk groups based on bone density.
- To investigate the influence of age and gender on MI, MCI, and PMI.
Main Methods:
- Patient data including age, gender, and health status were collected.
- Digital panoramic radiographs were acquired and analyzed using Digora software for morphometric analysis.
- Calculated index values were statistically analyzed and compared to identify subjects at risk for osteoporosis.
Main Results:
- Calibration indices demonstrated high significance in assessing osteoporosis risk compared to non-calibration indices.
- Older adults were identified as a higher risk group for osteoporosis.
- Osteoporosis prevalence was higher in women than in men.
Conclusions:
- Simple screening analyses of panoramic radiographs using MI and MCI can identify individuals with undetected decreased bone mineral density.
- Trained general dental practitioners can utilize these methods for osteoporosis screening.
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