Abstract
The aim of this study was to evaluate the diagnostic efficacy of the cone beam computed tomography (CBCT) - based mandibular indices and the CBCT mandibular bone density values and to determine whether they correlate with bone mineral density (BMD) of the lumbar spine (L1 - L4) and proximal left femur in patients with osteoporosis and diabetes mellitus, which were taken a treatment with strontium ranelate over a period of 6 months. The study included 20 osteoporosis patients and 40 diabetic patients (16 patients � type 1 diabetes mellitus and 24 patients � type 2 diabetes mellitus). In CBCT images, the radiomorphometric indices were measured in the right and left mandibles. The relationship between the CBCT measurements of the mandible and skeletal BMD was assessed. The present study showed that mandibular bone quality is closely correlated with the skeletal status of the patients with osteoporosis and diabetes mellitus which were in treatment with strontium ranelate for bone improving.
Highlights
– type 1 diabetes mellitus and 24 patients – type 2 diabetes mellitus)
The aim of this study was to evaluate the diagnostic efficacy of the CBCT - based mandibular indices and the CBCT mandibular bone density values and to determine whether they correlate with bone mineral density (BMD) of the lumbar spine (L1 - L4) and proximal left femur in patients with osteoporosis and diabetes mellitus which were taken a treatment with strontium ranelate over a period of 6 months
The CBCT technique offer sufficient radiographic information that helps oral surgeons to have a significant role in patient screening and early diagnosis of mandibular osteoporosis
Summary
– type 1 diabetes mellitus and 24 patients – type 2 diabetes mellitus). In CBCT images, the radiomorphometric indices were measured in the right and left mandibles. The present study showed that mandibular bone quality is closely correlated with the skeletal status of the patients with osteoporosis and diabetes mellitus which were in treatment with strontium ranelate for bone improving. Ageing accompanied by various diseases represents one major problem of our century, causing a need to study the factors that help to prevent this One of these problems is the diabetes mellitus which is a metabolic pandemic disease accompanied by substantial morbidity and mortality. Osteoporosis is one of the most important metabolic bone disorders in patients with diabetes mellitus causing a reduction in the bone mineral density [7]. There are still controversies about the values of bone mineral density and the risk of osteoporosis in patients with diabetes mellitus. Most studies have reported low bone mineral density in patients with type 1 diabetes mellitus [8 – 11]. The jaws may be affected by various drugs or systemic disease in terms of bone quality [15 – 18]
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