Abstract

Objective: To Assess the correlation between different quality analysis parameters of trabecular pattern in digital panoramic radiographies and relations with forearm bone mass density (BMD) performed by DXA. Methods: The study was developed using panoramic and peripheral bone densitometry dual energy X-ray absorptiometry (DXA) of 68 patients, 9 males and 59 females (19 - 73 years old). In the panoramic radiographs, evaluation of the trabecular bone morphology through assessment of fractal dimension (FD), connectivity (C) and total number of “bright” pixels (ET) was performed. In DXA, the exam determines the bone mineral density of the forearm to identify who has a high risk of osteoporosis. Statistics analyzed the relationship of these exams and the contribution of dental radiographs in detecting patients at risk for osteoporosis. Results: The average age of subjects was 43.85. In the analysis of trabecular pattern, a significant correlation between the FD, ET and C factors in level of 5% (Pearson correlation test) was found. Correlation tests showed no significant correlation between DF and BMD. Conclusions: The analysis showed correlations with each other, detecting alterations in the trabecular pattern. It cannot be related to BMD with FD but should be taken into account that examining the bone or trabecular alveolar process, when, for example, diagnostic analysis of pre-implant bone quality, is required.

Highlights

  • Osteoporosis is a major health problem and affects a significant number of people

  • The sample consist in 78 panoramic radiographs (PR), but only 68 of these patients had the bone mineral density (BMD) tests, by pDXA, for this reason our sample was limited to 68 patients, 9 males and 59 females (19 - 73 years old)

  • The sample was 78 panoramic radiographs, but only 68 of these patients had the BMD tests, by pDXA, for this reason our sample was limited to 68 patients, 9 males and 59 females

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Summary

Introduction

Osteoporosis is a major health problem and affects a significant number of people. This skeletal disorder is characterized by bone fragility due to deterioration of the bone micro-architecture, which confers strength and bone quality; this can increase the risk of risk and is associated with certain serious complications resulting in death [1] [2]. Screening for osteoporosis is currently recommended for all women aged 65 years or older. The complications of this disease may be prevented by early detection [1]. The BMD of the mandible is correlated with that in the lumbar spine and femoral neck in osteoporosis [7]

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