Detecting patients with low skeletal bone mass

Relationship Between Femur Bone Mineral ection Density, Body Mass Index and Dental Panoramic Mandibular Cortical Width in Diagnosis of Elderly Postmenopausal Women With Osteoporosis

“…Devlin and Horner reported that patients with thinnest mandibular cortices (< 3mm) should be referred for further osteoporosis investigation because it is this group that has the highest likelihood of osteoporosis [17]. In a study, Taguchi et al, [30] reported that the likelihood ratio for identifying women with low BMD was 13.90 for thin MCW (< 3.0mm) in the mental foramen region.…”

“…Hence, the panoramic radiographs takes a vital role in identifying postmenopausal women with undetected osteoporosis [13]. Various studies were conducted to evaluate the usefulness of width and morphology of the inferior cortex of mandible on panoramic radiographs in the diagnosis of postmenopausal osteoporosis and the results suggested that mandibular cortical width (MCW) on panoramic radiographs was thinner in osteoporotic subjects as compared to normal subjects [14][15][16][17]. It was also reported that a diagnostic threshold for MCW of 3mm or less is suggested as the most appropriate threshold for referral for bone densitometry in women [14,18].…”

Actualizaciones en la detección precoz de la osteoporosis

“…realizaron un estudio para determinar la utilidad de los índices radiográficos mandibulares en 135 mujeres sanas postmenopáusicas; la BMD fue medida mediante una densitometría de cadera y espinal y un TAC mandibular para hallar el MI y se halló igualmente el IMC. Un MI menor de 3 mm se asocia con osteoporosis y un BMI bajo puede conducir más fácilmente a padecer osteoporosis (29).…”

Radiographic Signals Detection of Systemic Disease: Orthopantomographic Radiography

“…It was concluded that the panoramic radiograph is an important tool that to provide indications for the diagnosis of osteoporosis (Bulgarelli et al, 2002). Yet (Homer et al, 2002) was studied the relative usefulness of clinical and radiographic indices in the diagnosis of patients with low skeletal bone mass amongst 135 healthy peri-menopausal women, aged 45-55 years, attending for dental treatment. Bone mineral density was measured for the spine and femoral neck using DEXA and calculated according to the WHO criteria for Caucasian women.…”