Three panoramic indices for identification of healthy older people at a high risk of osteoporosis

Kiswanjaya, Bramma; Priaminiarti, Menik; Bachtiar-Iskandar, Hanna H

doi:10.1016/j.sdentj.2022.05.006

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…When patients in the DEN group were subdivided by BMD, both PMI and MCW showed even lower values in patients with a T-score lower than − 2.5, i.e., with a diagnosis of osteoporosis, when compared to patients with osteopenia (with a T-score between − 1 and − 2.5). These results are consistent with other studies previously published [ 21 – 27 ]. We determined the cut-off values with the best diagnostic performances in determining a diagnosis of osteoporosis, and obtained a value of ≤ 0.23 for PMI, which is lower than previously described in literature, where most studies reported cut-off values of ≤ 0.3 to 0.4 [ 10 , 28 ].…”

Section: Discussionsupporting

confidence: 94%

Changes in mandibular radiomorphometric indices in osteoporosis patients treated with denosumab: a retrospective case-control study

Rupel,

Dal Broi,

Ottaviani

et al. 2024

BMC Oral Health

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Background Radiomorphometric indices measured on Dental Panoramic Radiography (DPR) can reflect Bone Mineral Density (BMD). The aim of our study is to evaluate changes in DPR radiographic markers in patients undergoing antiresorptive therapy with denosumab and correlate them to BMD and serum bone turnover markers (BTM). Methods We evaluated two radiomorphometric indices: Mandibular Cortical Width (MCW) and Panoramic Mandibular Index (PMI), in patients undergoing antiresorptive therapy with denosumab at T0 (before starting the therapy) and at T1 (after 12 months), comparing results with a control group of healthy patients who performed two DPRs at a one-year time distance. Correlation analysis was performed in the denosumab group, as well as ROC curves were obtained for both indices. Results The study included 18 patients and 21 controls according to specific inclusion and exclusion criteria, matched by gender and age. Both MCW and PMI were significantly lower at T0 in the denosumab group, consistently with lower BMD. MCW showed significant correlation with femoral and lumbar DEXA and was significantly lower in patients with osteoporosis compared to osteopenia. Only PMI index increased significantly in the denosumab group from T0 to T1. After one year (T1), there weren’t any differences between patients and controls for both indices. No significant correlations were found with BTMs. Sensitivity and specificity for MCW and PMI were also calculated. Conclusions Our results show how CMW shows sufficient sensitivity and specificity to be used as a radiographic marker to screen and intercept patients with osteoporosis. PMI seems to be able to reflect changes in response to antiresorptive therapy with denosumab. Further studies are needed to confirm our hypothesis.

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Section: Discussionsupporting

confidence: 94%

Changes in mandibular radiomorphometric indices in osteoporosis patients treated with denosumab: a retrospective case-control study

Rupel,

Dal Broi,

Ottaviani

et al. 2024

BMC Oral Health

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“…As we get older, the resorption process will run more dominantly than the remodeling process. 2 The influence of hormones is also one of the factors that affect the decrease in bone density, one of which is the hormone estrogen which is the most dominant in women.…”

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confidence: 99%

The comparison of Mental Index based on dental status in women using panoramic radiographs

Arnecia,

Farizka,

Arifin

2023

JRDI

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Background: Bones will experience a decrease in density due to an imbalance in the process of resorption and remodeling. Women are known to be at greater risk of bone density loss than men, due to aging and hormonal effects. Decreased bone density can also affect alveolar bone and attachment to teeth, leading to tooth loss and edentulous. Panoramic radiographs are one of the regular examinations at dental clinics. They observe changes in the thickness of the cortical bone of the mandible and detect abnormalities in bone density by measuring them using the Mental Index (MI). Objectives: This research is aimed to determine the differences in Mental Index (MI) between dentate and edentulous regions in women through panoramic radiographs. Materials and Methods: This research is using comparative analytic observational study with a cross-sectional approach, with 160 women panoramic radiograph samples available at the Dentistry Radiology Installation, RSGM-P, Trisakti University FKG, divided between 80 samples of the dentate region and 80 samples of the edentulous region. Calculations using MI with i-Dixel software version 2.2.0.3. (Morita, Japan) results in millimeters. Results: There is a significant difference of MI between dentate and edentulous region (p = 0.000). The mean of dentate MI (right region 3.7443 ± 0.47927 mm and left region 3.7373 ± 0.41075 mm) was greater than edentulous MI (right region 2.4725 ± 0.48391 mm and left region 2.4421 ± 0.43962 mm). Conclusion: The loss of teeth in women may lead to any change in the Mental Index (MI) Keywords: Bone Density; Dental Status; Mental Index; Panoramic Radiograph

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Partially Automatic Detection of Mental and Panoramic Mandibular Indexes for Diagnosis of Osteoporosis in Clinical and Medieval Samples

Milić,

Kojić,

Petrović

et al. 2024

IFMBE Proceedings

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Three panoramic indices for identification of healthy older people at a high risk of osteoporosis

Cited by 7 publications

References 22 publications

Changes in mandibular radiomorphometric indices in osteoporosis patients treated with denosumab: a retrospective case-control study

Changes in mandibular radiomorphometric indices in osteoporosis patients treated with denosumab: a retrospective case-control study

The comparison of Mental Index based on dental status in women using panoramic radiographs

Partially Automatic Detection of Mental and Panoramic Mandibular Indexes for Diagnosis of Osteoporosis in Clinical and Medieval Samples

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