New mandibular indices in cone beam computed tomography to identify low bone mineral density in postmenopausal women

Barra, Sâmila Gonçalves; Gomes, Isadora Pereira; Amaral, Tânia Mara Pimenta; Brasileiro, Cláudia Borges; Abreu, Lucas Guimarães; Mesquita, Ricardo Alves

doi:10.1016/j.oooo.2020.07.016

Cited by 13 publications

(39 citation statements)

References 26 publications

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“…Moreover, the authors in these studies provided no information on the use and pre-speci cation of thresholds. However, the remaining three studies had a low risk of bias (6,9,19). Index test applicability concerns were low in all studies except one which had unclear applicability concern due to lack of information.…”

Section: Index Testmentioning

confidence: 91%

“…Studies included female participants only and used observational cross-sectional methodologies. Three studies were conducted in Syria (1,3,17), three in Brazil (6,9,18), one in Iran (19), one in Egypt (20), one in Korea(2) and one in the Unites States (21). All studies were published in English language.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All ten studies reporting on our outcomes of interest enrolled a total of 510 participants. Case-control was the most common method of sampling and was used in 6 of 10 studies (1)(2)(3)6,17,20) while cohort sampling was used in remaining four studies (9,18,19,21). Summary of included studies is reported in Table 2.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…There was extensive variation among studies in the characteristics of CBCT devices used to assess low BMD. Three studies used WhiteFox® version 3 (1,3,17), two used KODAK 9000 C 3-D system (9,18) while remaining ve studies used different devices. Field of view (FOV), voxel size and viewer software varied across included studies.…”

Section: Intervention (Cbct) Characteristicsmentioning

confidence: 99%

“…Primarily, the proximal femur and lumbar spine are measured by using DEXA to assess BMD. DEXA is an accurate and non-invasive method, however; high patient doses and costs make the application of this tool unfeasible for routine examination (9). Cone-beam computed tomography (CBCT) has been used widely since the beginning of its introduction in dentistry in 1998 (10).…”

Section: Introductionmentioning

confidence: 99%

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Cone-Beam Computed Tomography as a Prediction Tool for Osteoporosis in Postmenopausal Women: A Systematic Literature Review

Isayev

Koval

Velieva³

et al. 2021

Preprint

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Objective: To analyze the capability of cone-beam computed tomography (CBCT) to accurately identify low bone mass density in women.Methods: A systematic search of Medline, Embase, Scopus, Google Scholar, Cochrane Library, and Science Direct was conducted to identify the relevant articles. A detailed inclusion and exclusion criterion was developed and implemented to screen the abstracts. Full texts of the selected studies were then evaluated to establish their inclusion or exclusion in our review. Cochrane risk of bias criterion was used to determine the methodological quality of the included studies. All relevant data were extracted, and the results were summarized narratively.Results: Ten studies met out inclusion-exclusion criteria and were included in this systematic review. All of the included studies assessed primary research on the capacity of CBCT to accurately diagnose insufficient bone mineral density. The results indicated that CBCT has good sensitivity and specificity, and high accuracy in predicting osteoporosis. Four of the included studies measured qualitative values while others concentrated on quantitative values and found lower values in osteoporosis patients compared to osteopenic and healthy patients. All of these studies compared CBCT grayscale values with DEXA scores which strengthened our confidence in the accuracy of CBCT diagnostic capability.Conclusion: Given the common use of CBCT in dental practices and the high prevalence of osteoporosis in postmenopausal women, the evidence on the capacity of CBCT to predict osteoporosis is somewhat finite. Although this systematic review provides good evidence regarding the ability of CBCT for predicting osteoporosis, further research is needed to confirm the evidence and enhance its generalisability.

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Section: Index Testmentioning

confidence: 91%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Intervention (Cbct) Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cone-Beam Computed Tomography as a Prediction Tool for Osteoporosis in Postmenopausal Women: A Systematic Literature Review

Isayev

Koval

Velieva³

et al. 2021

Preprint

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Promising diagnostic performance of CBCT-based TOMOSTEOp algorithm in osteoporosis: toward a complementary populational screening tool managed by dentists?

et al. 2023

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The effects of vitamin D deficiency on mandibular bone structure: a retrospective radiological study

et al. 2022

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Objective The aim of the study was to evaluate the effects of vitamin D deficiency on the mandibular bone structure by fractal analysis and panoramic morphometric indices. Methods Ninety participants were divided into three groups as 30 individuals with severe vitamin D deficiency, 30 individuals with vitamin D deficiency, and 30 individuals with vitamin D sufficiency. Fractal dimension analysis (FD), panoramic mandibular index (PMI), mandibular cortical index (MCI), and mandibular cortical thickness measurement (CTM) were evaluated on panoramic radiographs. Results FD values of the patients with vitamin D deficiency were found to be statistically lower than the patients with vitamin D sufficiency ( p < 0.05). FD value of supracortical area above the angulus mandible (FD2) in patients with severe vitamin D deficiency was significantly lower than FD values ( p = 0.002). There was no statistically significant difference between the groups in the CTM ( p > 0.05). PMI was significantly lower in patients with severe vitamin D deficiency ( p < 0.001). There was a significant difference in MCI values between the groups ( p < 0.05). Conclusion Vitamin D deficiency causes a decrease in bone mineral density in the mandible, and an increase in alveolar porosity. FD analysis and radiomorphometric indices in panoramic radiographs can be used to assess osteoporotic changes in patients with vitamin D deficiency.

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New mandibular indices in cone beam computed tomography to identify low bone mineral density in postmenopausal women

Cited by 13 publications

References 26 publications

Cone-Beam Computed Tomography as a Prediction Tool for Osteoporosis in Postmenopausal Women: A Systematic Literature Review

Cone-Beam Computed Tomography as a Prediction Tool for Osteoporosis in Postmenopausal Women: A Systematic Literature Review

Promising diagnostic performance of CBCT-based TOMOSTEOp algorithm in osteoporosis: toward a complementary populational screening tool managed by dentists?

The effects of vitamin D deficiency on mandibular bone structure: a retrospective radiological study

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