An innovative approach in osteoporosis opportunistic screening by the dental practitioner: the use of cervical vertebrae and cone beam computed tomography with its viewer program

Barngkgei, Imad; Joury, Easter; Jawad, Ali

doi:10.1016/j.oooo.2015.08.008

Cited by 21 publications

(62 citation statements)

References 40 publications

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“…However, adjusting the window level and width was avoided in the edentulous areas, because large differences in bone densities between different edentulous areas were observed by the investigator of the present study, especially in the maxilla. Adjusting the window level and width was useful even in CBCT images, which was characterized by uncalibrated gray values . Due to the fact that the validity of CBCT in length measurements was previously proven, and as per the current study findings, which showed that the CTMI and CTI could be used to detect BP effects on the mandibular cortical index, it is suggested that the CBCT scan be used to calculate the CTMI and CTI instead of using MDCT, as suggested in the current study.…”

Section: Discussionmentioning

confidence: 63%

Detecting the effect of bisphosphonates during osteoporosis treatment on jawbones using multidetector computed tomography: The OSTEOSYR project

Barngkgei

Khattab

2018

J of Invest & Clin Dent

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The use of BP as a treatment for osteoporosis for 5 years increased the thickness of the cortex of the basal bone of the mandible, as detected by MDCT. The other parts of the jawbones showed no influence by BP for such a purpose, as detected on MDCT images. Accordingly, models (equations) for predicting the alternations in the inferior cortex of the mandible induced by BP therapy during osteoporosis have been suggested.

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Section: Discussionmentioning

confidence: 63%

Detecting the effect of bisphosphonates during osteoporosis treatment on jawbones using multidetector computed tomography: The OSTEOSYR project

Barngkgei

Khattab

2018

J of Invest & Clin Dent

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“…[12] Barngkgei et al analyzed C1 and C2 vertebrae through cone beam computed tomography (CBCT) scans and concluded that radiographic density values relating with left lateral mass of C1 and the density of C2 correlates with DXA T-scores values from lumbar spine and were accurate in the prediction of osteoporosis. [21,22] Additionally, Woon et alfound a correlation between T-scores on DXA and HU values from CT, in the center of the anterior surface of the maxilla and mandible ramus. [23] In the present study it was obtained a correlation between C1 and C2 vertebrae BMD and the anterior region of maxilla measurements from both sides.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Correlation between craniofacial bone densities and C1 and C2 cervical vertebrae using multislice computed tomography.

Morita

Silva²,

Munhoz³

et al. 2019

BDS

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Objectives: To evaluate the use of computed tomography (CT) as an osteoporosis screening tool, evaluating the relation between the bone mineral density (BMD) from maxilla and mandible with the cervical vertebrae, using the Hounsfield units (HU).Methods: It was included in this study a convenience sample of 118 multislice CT examinations from patients who underwent maxilla, mandible and cervical vertebrae (C1 and C2) simultaneously scans. For each patient, the following regions on both sides of head CT scans were assessed in sagittal slice: above maxillary central and lateral incisors apexes; maxillary tuberosity; mandible head; mandible body endosteum; mandible body trabeculae and vertebrae C1 and C2. HU were measured in each area using a 1.5 cm region of interest (ROI) positioned in the center of the slice.Results: It was verified that there is a correlation between the BMD of the C1 and C2 vertebrae and the anterior region of the maxilla. It was not found correlation between the vertebrae, C1 and C2,and the other structures analyzed.Conclusions: This study showed that this method can be a good screening tool to diagnosis ofosteoporosis, when evaluated the correlation between C1 and C2 vertebrae and anterior region of maxilla. More studies are necessary to evaluate the possibility of using CT as an osteoporosisscreening tool.

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“…Trabecular bone structural measures of the dens were performed to test the capability of CBCT used in this study in evaluating trabecular bone analysis. Dens radiographic density calculated by CBCT had a strong and moderate correlation with lumbar vertebra and femoral neck T ‐scores respectively . The number of studies that evaluated trabecular bone with CBCT are small, with in vitro studies composing the majority .…”

Section: Discussionmentioning

confidence: 99%

“…Dens radiographic density calculated by CBCT had a strong and moderate correlation with lumbar vertebra and femoral neck T-scores respectively. 24 The number of studies that evaluated trabecular bone with CBCT are small, with in vitro studies composing the majority. 14,15,25,26 This requires more evaluation of trabecular bone analysis with CBCT.…”

Section: Discussionmentioning

confidence: 99%

Assessment of jawbone trabecular bone structure amongst osteoporotic women by cone‐beam computed tomography: the OSTEOSYR project

Barngkgei

Haffar

Shaarani

et al. 2015

J of Invest & Clin Dent

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Objective: To assess the trabecular bone structure of jawbones and the dens (the odontoid process of the second cervical vertebra) amongst osteoporotic and nonosteoporotic women using cone-beam computed tomography (CBCT). Analysis of the dens trabecular bone structure aimed to test the validity of CBCT in such analysis. Methods: Thirty-eight women who went under dual-energy X-ray absorptiometry (DXA) examination were scanned by CBCT. Cuboids from different areas of jawbones and the dens were extracted from each scan. Trabecular thickness (Tb.Th), trabecular separation (Tb.S), bone volume fraction (BV/TV), specific bone surface (BS/TV) and connectivity density were calculated. Student's t-test, Pearson correlation, and logistic regression analysis were used to explore differences in these measures between groups. Results: Jawbone-derived measures showed insignificant differences (P > 0.05) between osteoporotic and non-osteoporotic groups, and weak correlations with femoral neck and lumbar vertebrae T-scores (r ≤ 0.4). Dens-derived measures, however, resulted in the opposite (r = 0.34-0.38 [P value = 0.02-0.036] and r = 0.48-0.61 [P value ≤ 0.003]) and the highest accuracy of osteoporosis prediction: 84.2% and 78.9% respectively. Conclusion: Trabecular bone structure of the mandible and maxilla is not affected in osteoporosis as assessed by CBCT. Dens trabecular bone analysis revealed the opposite, so some trabecular bone measures may be assessed by CBCT, which may aid in predicting osteoporosis.

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An innovative approach in osteoporosis opportunistic screening by the dental practitioner: the use of cervical vertebrae and cone beam computed tomography with its viewer program

Cited by 21 publications

References 40 publications

Detecting the effect of bisphosphonates during osteoporosis treatment on jawbones using multidetector computed tomography: The OSTEOSYR project

Detecting the effect of bisphosphonates during osteoporosis treatment on jawbones using multidetector computed tomography: The OSTEOSYR project

Evaluation and Correlation between craniofacial bone densities and C1 and C2 cervical vertebrae using multislice computed tomography.

Assessment of jawbone trabecular bone structure amongst osteoporotic women by cone‐beam computed tomography: the OSTEOSYR project

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