Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis
Statement of the Problem: Reduced bone mineral density (BMD) generally affects postmenopausal women and it is classified into moderate (osteopenia) and significant osteoporosis. Based on digital panoramic radiographs (DPRs), several quantitative and qualitative assessment methods have been proposed...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2018-09-01
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| Series: | Journal of Dentistry |
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| Online Access: | http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1778/1128 |
| _version_ | 1818353680233005056 |
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| author | Nader Navabi Reza Motaghi Mandana Rezazadeh Hatam Balooch |
| author_facet | Nader Navabi Reza Motaghi Mandana Rezazadeh Hatam Balooch |
| author_sort | Nader Navabi |
| collection | DOAJ |
| description | Statement of the Problem: Reduced bone mineral density (BMD) generally affects postmenopausal women and it is classified into moderate (osteopenia) and significant osteoporosis. Based on digital panoramic radiographs (DPRs), several quantitative and qualitative assessment methods have been proposed for the diagnosis and evaluation of bone changes and as a predictor of BMD.
Purpose: The aim of this study was to compare mandibular cortical width (MCW) and mandibular cortical index (MCI) derived from DPRs in evaluating the BMD in osteopenic and osteoporotic post-menopausal women.
Materials and Method: In this cross-sectional study, the BMD assessment was performed using dual-energy X-ray absorptiometry (DEXA). Then, patients were divided into two groups: osteopenia and osteoporosis based on WHO criteria. Two types of T-scores including TT (trabecular) for lumbar spine, TC (cortical) for femoral neck and finally, MCW and MCI were measured based on DPRs.
Results: Fifty females with the average age of 57.64±6.03 years were entered into the study. MCW significantly correlated with BMD (p< 0.05). Pearson correlation coefficient test revealed that there was almost significant relationship between MCI and BMD (p= 0.079). The area under the curve (AUC) in ROC suggested that there was a close overlap between MCW (0.773) and TC (0.783), but TT had the greatest AUC (0.996).
Conclusion: The results showed that MCW is an appropriate index of osteoporosis in post-menopausal women. Although the prediction of osteoporosis is poorer at the femoral neck than lumbar spine, MCW can serve as a screening tool for osteoporosis in this area. |
| first_indexed | 2024-12-13T19:13:22Z |
| format | Article |
| id | doaj.art-3324de73e49e49898517e4ce88342c7e |
| institution | Directory Open Access Journal |
| issn | 2345-6485 2345-6418 |
| language | English |
| last_indexed | 2024-12-13T19:13:22Z |
| publishDate | 2018-09-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dentistry |
| spelling | doaj.art-3324de73e49e49898517e4ce88342c7e2022-12-21T23:34:20ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182018-09-01193181188Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and OsteoporosisNader Navabi 0Reza Motaghi 1Mandana Rezazadeh 2Hatam Balooch 3Dept. of Oral Medicine, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran. Dept. of Oral and Maxillofacial Radiology, Kerman Dental School, Kerman University of Medical Sciences, Kerman, Iran.Internal Medicine Group, Kerman University of Medical Sciences, Kerman, Iran. General Dentist, Private Practice, Kerman, Iran.Statement of the Problem: Reduced bone mineral density (BMD) generally affects postmenopausal women and it is classified into moderate (osteopenia) and significant osteoporosis. Based on digital panoramic radiographs (DPRs), several quantitative and qualitative assessment methods have been proposed for the diagnosis and evaluation of bone changes and as a predictor of BMD. Purpose: The aim of this study was to compare mandibular cortical width (MCW) and mandibular cortical index (MCI) derived from DPRs in evaluating the BMD in osteopenic and osteoporotic post-menopausal women. Materials and Method: In this cross-sectional study, the BMD assessment was performed using dual-energy X-ray absorptiometry (DEXA). Then, patients were divided into two groups: osteopenia and osteoporosis based on WHO criteria. Two types of T-scores including TT (trabecular) for lumbar spine, TC (cortical) for femoral neck and finally, MCW and MCI were measured based on DPRs. Results: Fifty females with the average age of 57.64±6.03 years were entered into the study. MCW significantly correlated with BMD (p< 0.05). Pearson correlation coefficient test revealed that there was almost significant relationship between MCI and BMD (p= 0.079). The area under the curve (AUC) in ROC suggested that there was a close overlap between MCW (0.773) and TC (0.783), but TT had the greatest AUC (0.996). Conclusion: The results showed that MCW is an appropriate index of osteoporosis in post-menopausal women. Although the prediction of osteoporosis is poorer at the femoral neck than lumbar spine, MCW can serve as a screening tool for osteoporosis in this area.http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1778/1128Menopause ● Mandibular Cortical Index ● Mandibular Cortical Width ● Osteoporosis ● Osteopenia |
| spellingShingle | Nader Navabi Reza Motaghi Mandana Rezazadeh Hatam Balooch Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis Journal of Dentistry Menopause ● Mandibular Cortical Index ● Mandibular Cortical Width ● Osteoporosis ● Osteopenia |
| title | Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis |
| title_full | Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis |
| title_fullStr | Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis |
| title_full_unstemmed | Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis |
| title_short | Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis |
| title_sort | relationship between two panoramic radiography indices and bone mineral density of postmenopausal women with osteopenia and osteoporosis |
| topic | Menopause ● Mandibular Cortical Index ● Mandibular Cortical Width ● Osteoporosis ● Osteopenia |
| url | http://dentjods.sums.ac.ir/index.php/JDSUMS/article/view/1778/1128 |
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