Abstract
Background: Osteoporosis is a crippling disease that can eventually culminate in fracture. Smoking and smokeless tobacco (SLT) use are important contributors to this disease. Decreased bone mineral density (BMD) which marks osteoporotic bone changes are assessed using dual energy X-ray absorptiometry (DXA). Panoramic radiomorphometric indices (RI) which are inexpensive and widely used in dentistry also provide architectural details of jawbones. Hence the study was attempted to find the relationship between BMD and panoramic RI in tobacco users in the Indian Population. Materials and Methods: The hundred subjects were divided into study groups comprising 25 smokers, 25 SLT users, 25 subjects with a combination of habits, and 25 healthy controls were subjected to BMD assessment using DXA scan and digital panoramic radiographs for calculation of mandibular cortical index (MCI), mental index (MI), and panoramic mandibular index (PMI). Results: SLT users had the least values of BMD (P
Published Version
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