Usefulness of measuring bone density of
mandibular condyle in patients at risk of osteoporosis: A cone beam computed tomography study

Alkhader, Mustafa; Aldawoodyeh, Ammar; Abdo, Nour

doi:10.4103/ejd.ejd_272_17

Cited by 12 publications

(11 citation statements)

References 29 publications

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“…However, few studies were performed on medical doctors' awareness of MRONJ, and how well they refer their patients to dentists. 17 Researchers found that MRONJ is a predictable disease, 18,19 so it is widely accepted that prevention is the best measure of MRONJ treatment. 20 The duration of drugs-dependent therapy and the route of their administration are important risk factors that physicians should take care of to prevent ONJ.…”

Section: Discussionmentioning

confidence: 99%

Perception of Medication-related Osteonecrosis of the Jaws among Iraqi Medical Specialists

Al-Samman¹,

Al-Ani

2020

European Dental Research and Biomaterials Journal

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Objective Osteonecrosis of the jaws is the adverse effect of antiresorptive and antiangiogenic agents, which is termed as medication-related osteonecrosis of the jaws (MRONJ). This complication, which is prominent and growing, is seen in the oral and maxillofacial region. This cross-sectional survey aimed to evaluate MRONJ awareness among Iraqi medical specialists. Materials and Methods A questionnaire-based survey was performed on medical specialists practicing general surgery, urology, orthopedics, rheumatology, and oncology. The questionnaire consisted of four questions regarding drug prescription, patients’ preparation before drug administration, in addition to awareness and knowledge about MRONJ. Results Among 132 specialists, 57% did not prescribe such drugs. A significant difference existed among groups regarding dental referral, and MRONJ awareness and knowledge. The highest rates were seen in the oncologist group. Conclusions Improvement of MRONJ perception and knowledge among medical specialists, besides implementation of dental referral, are essential in the prevention, diagnosis and treatment of MRONJ.

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Section: Discussionmentioning

confidence: 99%

Perception of Medication-related Osteonecrosis of the Jaws among Iraqi Medical Specialists

Al-Samman¹,

Al-Ani

2020

European Dental Research and Biomaterials Journal

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“…The on-demand software (OnDemand 3D APP-DBM, Cybermed, Seoul, South Korea) was used to calculate bone mineral density in Hounsfield Units (HU). Six measurements were taken along the fracture line, and the mean was measured for each patient (17,18).…”

Section: Follow Up Phasementioning

confidence: 99%

Single 2.3 Reconstruction Plate Versus Two Miniplates in the Treatment of Mandibular Fractures (Randomized Clinical Trial)

Salem

sharara²,

Halawani³

2022

Alexandria Dental Journal

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INTRODUCTION:The foremost maxillofacial fractures, following nasal fractures, are mandibular fractures. Several studies were carried out to improve the techniques used, shorten immobilization period, and improve fixation. One of these modalities is utilization of rigid fixation with a low-profile reconstructing plate. OBJECTIVES: This research is done to compare clinical in addition to radiological results of a low-profile reconstruction plate with two miniplates. MATERIALS AND METHODS: 7 patients within each group complaining of recent anterior mandibular fracture (AMF). Group A received treatment with a low-profile reconstruction plate, while Group B received treatment with two miniplates. Follow-up was performed after 24 hours, and one, four, six, and twelve weeks clinically. In addition, a radiographic examination was carried out immediately postoperative and twelve weeks after to evaluate along fracture line the average bone density. RESULT: All patients reported statistically significant reduction in pain levels throughout the study (p<0.001). All individuals demonstrated improvement in maximum mouth opening during the examination; group A (P=0.002), while group B (p<0.001). Occlusion was normal in both groups. Nonetheless, a single patient of group A showed postoperative wound infection, and there were no wound infections in group B. By comparing postoperative 12 weeks to immediate values, average bone density has risen tremendously. But besides this, group A (p<0.001) had a higher mean bone density than group B (p=0.004). CONCLUSION: A low-profile non-locking reconstruction plate produced slightly better results than two miniplates, and equivalent results to a locking low-profile reconstructing plate.

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“… 20 21 Few up-to-date studies have assessed CBCT indices and they have indicated the possibility of osteoporosis screening based on this imaging modality. 22 23 24 25 Only 2 recent studies have tested FD analysis on CBCT for identifying postmenopausal women with osteoporosis, and those studies reported discordant results. 26 27 Nevertheless, these studies were substantially different in terms of methodology, had small samples, and were only observational, which means that accuracy measurements were not established for the FD method.…”

Section: Introductionmentioning

confidence: 99%

Fractal dimension analysis on CBCT scans for detecting low bone mineral density in postmenopausal women

et al. 2022

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Purpose The aim of this study was to compare the fractal dimension (FD) measured at 2 bone sites (second cervical vertebra and mandible) on cone-beam computed tomography (CBCT). The research question was whether FD could serve as an accessory tool to refer postmenopausal women for densitometric analysis. Therefore, the reliability and accuracy of FD were evaluated. Materials and Methods In total, 103 postmenopausal women were evaluated, of whom 52 had normal bone mineral density and 51 had osteoporosis, according to dual X-ray absorptiometry of the lumbar spine and hip. On the CBCT scans, 2 regions of interest were selected for FD analysis: 1 at the second cervical vertebra and 1 located at the mandible. The correlations between both measurements, intra- and inter-observer agreement, and the accuracy of the measurements were calculated. A P value less than 0.05 was considered to indicate statistical significance for all tests. Results The mean FD values were significantly lower at the mandibular region of interest in osteoporotic patients than in individuals with normal bone mineral density. The areas under the curve were 0.644 ( P =0.008) and 0.531 ( P =0.720) for the mandibular and vertebral sites, respectively. Conclusion FD at the vertebral site could not be used as an adjuvant tool to refer women for osteoporosis investigation. Although FD differed between women with normal BMD and osteoporosis at the mandibular site, it demonstrated low accuracy and reliability.

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Usefulness of measuring bone density of mandibular condyle in patients at risk of osteoporosis: A cone beam computed tomography study

Cited by 12 publications

References 29 publications

Perception of Medication-related Osteonecrosis of the Jaws among Iraqi Medical Specialists

Perception of Medication-related Osteonecrosis of the Jaws among Iraqi Medical Specialists

Single 2.3 Reconstruction Plate Versus Two Miniplates in the Treatment of Mandibular Fractures (Randomized Clinical Trial)

Fractal dimension analysis on CBCT scans for detecting low bone mineral density in postmenopausal women

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