Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study
Background: Indian women, especially those from low-income groups consume diets that are deficient of calcium, proteins and micronutrients. Hence, they are prone to suffer from osteoporotic hip fractures at a much earlier age than western women. To detect early signs of osteoporosis, it is idea...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2013-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/3403/68-%205853_E(C)_F(T)_PF1(P.r_P)_PFA(P)_PF1(PP).pdf |
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| author | Bosky Gaur Arati Chaudhary P.V. Wanjari MK Sunil Patthi Basavaraj |
| author_facet | Bosky Gaur Arati Chaudhary P.V. Wanjari MK Sunil Patthi Basavaraj |
| author_sort | Bosky Gaur |
| collection | DOAJ |
| description | Background: Indian women, especially those from low-income
groups consume diets that are deficient of calcium, proteins and
micronutrients.
Hence, they are prone to suffer from osteoporotic hip fractures at
a much earlier age than western women. To detect early signs of
osteoporosis, it is ideal to perform Bone Mineral Density testing
of all post-menopausal women who are at risk.
Aim: (i) To assess and compare the relative efficacy, ease of
application and measurement of the various mandibular cortical
indices which were obtained on the panoramic radiographs
with bone densitometry data of post-menopausal women. and
(ii) To evaluate the effectiveness of these measurements in the
identification of cases of osteoporosis/osteopaenia.
Method: A cross sectional sample which consisted of 40 randomly
selected post menopausal women who were aged 40-69 years
was subjected to dental panoramic radiography. Mental index,
panoramic mandibular index, gonion index, mandibular cortical
index and antegonial index were measured on each radiograph.
The data were expressed as mean and standard deviation.
Analysis of variance with post–hoc Tukey’s test was performed
to determine group differences in mandibular measurements.
Results: Based on the bone densitometry results, the sample was
classified into normal (n=9), osteopaenic (n=15) and osteoporotic
(n=16) groups. Statistically significant differences were found
for mean Mental index (p=0.000), mean Panoramic Mandibular
Index (p=0.007) and mean Gonial Index (p=0.000). The sensitivity
(100%) and specificity (88.88%) of MCI showed good results.
Conclusion: Dentists who use orthopantomographs may play a
vital role in screening patients with osteoporosis, mainly among
post menopausal women. |
| first_indexed | 2024-12-16T06:51:35Z |
| format | Article |
| id | doaj.art-0b20e2e8f6424989919a8b5c55665336 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-16T06:51:35Z |
| publishDate | 2013-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-0b20e2e8f6424989919a8b5c556653362022-12-21T22:40:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-09-01792051205510.7860/JCDR/2013/5853.3403Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional StudyBosky Gaur0Arati Chaudhary1P.V. Wanjari2MK Sunil3Patthi Basavaraj4Senior Lecturer, Department of Oral Medicine & Radiology, DJ College of Dental Sciences & Research. Modinagar, Uttar Pradesh, India.Professor, Department of Oral Medicine & Radiology, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India.Professor & Head, Department of Oral Medicine & Radiology, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India.Professor & Head, Department of Oral Medicine & Radiology, DJ College of Dental Sciences & Research. Modinagar, Uttar Pradesh, India.Professor & Head, Department of Public Health Dentistry, DJ College of Dental Sciences & Research. Modinagar, Uttar Pradesh, India.Background: Indian women, especially those from low-income groups consume diets that are deficient of calcium, proteins and micronutrients. Hence, they are prone to suffer from osteoporotic hip fractures at a much earlier age than western women. To detect early signs of osteoporosis, it is ideal to perform Bone Mineral Density testing of all post-menopausal women who are at risk. Aim: (i) To assess and compare the relative efficacy, ease of application and measurement of the various mandibular cortical indices which were obtained on the panoramic radiographs with bone densitometry data of post-menopausal women. and (ii) To evaluate the effectiveness of these measurements in the identification of cases of osteoporosis/osteopaenia. Method: A cross sectional sample which consisted of 40 randomly selected post menopausal women who were aged 40-69 years was subjected to dental panoramic radiography. Mental index, panoramic mandibular index, gonion index, mandibular cortical index and antegonial index were measured on each radiograph. The data were expressed as mean and standard deviation. Analysis of variance with post–hoc Tukey’s test was performed to determine group differences in mandibular measurements. Results: Based on the bone densitometry results, the sample was classified into normal (n=9), osteopaenic (n=15) and osteoporotic (n=16) groups. Statistically significant differences were found for mean Mental index (p=0.000), mean Panoramic Mandibular Index (p=0.007) and mean Gonial Index (p=0.000). The sensitivity (100%) and specificity (88.88%) of MCI showed good results. Conclusion: Dentists who use orthopantomographs may play a vital role in screening patients with osteoporosis, mainly among post menopausal women.https://jcdr.net/articles/PDF/3403/68-%205853_E(C)_F(T)_PF1(P.r_P)_PFA(P)_PF1(PP).pdfdual-energy x-raypost menopausal osteoporosisradiography panoramic |
| spellingShingle | Bosky Gaur Arati Chaudhary P.V. Wanjari MK Sunil Patthi Basavaraj Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study Journal of Clinical and Diagnostic Research dual-energy x-ray post menopausal osteoporosis radiography panoramic |
| title | Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study |
| title_full | Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study |
| title_fullStr | Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study |
| title_full_unstemmed | Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study |
| title_short | Evaluation of panoramic Radiographs as a Screening Tool of Osteoporosis in Post Menopausal Women: A Cross Sectional Study |
| title_sort | evaluation of panoramic radiographs as a screening tool of osteoporosis in post menopausal women a cross sectional study |
| topic | dual-energy x-ray post menopausal osteoporosis radiography panoramic |
| url | https://jcdr.net/articles/PDF/3403/68-%205853_E(C)_F(T)_PF1(P.r_P)_PFA(P)_PF1(PP).pdf |
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