Mental Index Research Articles

Frailty and quality of life in italian older adults: implications for public health interventions

Abstract Background The increasing focus on frailty in older adults underscores the significance of a timely multidimensional assessments and early detection to avert adverse outcomes. The primary aim is to integrate digital technologies, specifically online assessment tools, for the identification of frailty and the assessment of Quality of Life (QoL) in elderly individuals. Methods A nationwide multicentric study was conducted. Seven Italian centers and regions evaluated frailty in older adults residing in the community, through a prospective observational cohort study. The chosen questionnaires, Sunfrail+ and SF-12, were implemented through an easily accessible online tool, swiftly generating final scores for each test. The cross-sectional analysis included 503 older adults. The cut off to define a person “frail” is 3 positive alerts in Sunfrail baseline items, according to the literature. Results In this sample an average of 2.31 positive alerts were generated. Significant associations were established between the number of positive warnings and SF-12 physical and mental indexes, indicated by X2=53.1 (p < 0.001) and X2=25.1 (p < 0.001), respectively. The difference between two groups (frail and not frail) in relation to QoL is statistical significantly (U di Mann Whithney p < 0.001). Mean QoL mental and physical indexes are 46.3 and 39.3 in frailty group, versus 51.7 and 46.5 in non frailty group, respectively. The correlation is conceptually consistent: as frailty increases, QoL decreases. Conclusions The frailty assessment associated with the QoL assessment provides relevant information to monitor the impact of prevention interventions at community level. The assessment of frailty leads the prevention intervention whose impact could be assessed also through QoL tools. This study underlines a meaningful association between assessment tools, substantiated by conceptual correlations. Key messages • Sunfrail and SF-12 are easily accessible online tool useful for identification of frailty and the assessment of Quality of Life (QoL) in elderly individuals. • The older population in Europe is increasing a timely assessment of frailty must be a public health priority.

The relationship between radiomorphometric indices and fractal dimension analysis: a cone-beam computed tomography study.

The purpose of this study is to evaluate the relationship between radiomorphometric indices and fractal dimension (FD) analysis in jawbone radiographic density using Cone-Beam Computed Tomography (CBCT). The study included 87 CBCT datasets from dental patients aged 50-79. Four radiomorphometric indices (Computed Tomography Cortical Index (CTCI), Computed Tomography Mental Index (CTMI), Computed Tomography Index-Superior (CTI-S), and Computed Tomography Index-Inferior (CTI-I)) along with age, gender, remaining teeth, and mandibular bone height were evaluated. FD was assessed in trabecular bone near the mental foramen (ROI 1) and on the mandibular cortical bone (ROI 2). Relationships between indices and variables were analyzed using Pearson chi-square, Fisher's exact, one-way ANOVA, Kruskal-Wallis, and Spearman's rho tests. ANOVA showed significant differences in mandibular bone height (p = .004) and FD at ROI 2 (p = .000) across three mandibular cortex types (C1, C2, C3). Spearman's rho indicated significant correlations between FD at ROI 2 and CTMI, CTI-S, CTI-I (p = .000), and between mandibular bone height and CTMI (p = .010). The correlations of FD at ROI 2 ranged from strongest to weakest with CTCI, CTMI, CTI-S, and CTI-I. High-risk osteoporosis radiomorphometric indices are associated with FD analysis of cortical bone.

Jaw bone changes in panoramic radiography in patients with hyperparathyroidism

Background and aims: The current investigation aimed to evaluate jaw bone changes, and compare the presence of gonial cortex bone thickness, mental index (MI), lamina dura (LD), lower dental canal, and bone density in panoramic radiography, in patients with hyperparathyroidism. Methods: The present cross-sectional descriptive-analytical study was performed on 17 healthy individuals and 17 patients who suffered from resorptive hypercalciuria in the dialysis center of Shahid Beheshti hospital in Babol in 2018. If patients had two or more decayed teeth, they were referred to a specialized maxillofacial clinic by the dentist for free panoramic imaging. Mandibular cortical index, LD, bone change, mandibular resorption (MR), and general cortical indices underwent examination. Results: The mean age of the control and case groups was 36.58±11.81 years and 40.23±14.32 years, respectively (P=0.424). In addition, the mean MI was 4.27±0.87 and 2.98±0.75 in the control and case groups, respectively (P<0.001). Based on the results, the mean gonion region’s cortical bone thickness was 0.93±0.23 and 1.09±0.24 in the case and control groups, respectively (P<0.001). Further, bone changes (P=0.036) and MR (P=0.017) were significantly different in the case and control groups. However, LD vision showed no significant difference in the hyperparathyroidism and the control groups (P=0.141). Conclusion: The results demonstrated a decrease in the thickness of the cortical bone in the guinea pig, mental region, and lack of dental canal in resorptive hypercalciuria compared to healthy individuals.

Cone Beam Computed Tomography Panoramic Mandibular Indices in the Screening of Postmenopausal Women with Low Bone Mass: Correlations with Bone Quantity and Quality.

This study examined the potential use of computed tomography panoramic mandibular indices on cone beam CT (CBCT) for assessing bone density in postmenopausal women with low bone mass. The study enrolled 104 postmenopausal women who underwent dual-energy X-ray absorptiometry (DXA) using a DXA scanner and mental foramen region CBCT alongside the NewTom VGi EVO Cone Beam 3D system. We assessed the relationship between the following DXA parameters: lumbar, femoral neck, and total hip T score, bone mineral density (BMD), and lumbar trabecular bone score (TBS). The following panoramic mandibular indices were also considered: the computed tomography mandibular index superior (CTI(S)), computed tomography mandibular index inferior (CTI(I)), and computed tomography mental index (CTMI). The study revealed moderate correlations between CBCT indices and BMD/TBS scores: CTMI showed the highest correlation with the femoral neck T-score (r = 0.551, p < 0.0001). TBS scores were also moderately correlated with CBCT indices: CTMI showed a moderate positive correlation with TBS (r = 0.431, p < 0.0001); CTI(S) had a similar moderate positive correlation with TBS (r = 0.421, p < 0.0001). AUC values ranged from 0.697 to 0.733 for osteoporosis versus the osteopenia/normal group and from 0.734 to 0.744 for low versus normal bone quality groups, p < 0.0001. The comparison of the values of the studied indices between low versus normal bone quality (quantified with TBS) groups showed high sensitivity but low specificity. CBCT-measured indices CTI(S), CTI(I), and CTMI are useful in assessing patients with low bone mass to improve, by specific treatment, the prognosis of dental implants.

Using a panoramic radiographic study, the Panoramic Mandibular Index (PMI), Mandibular Cortical Width (MCW) or Mental Index (MI) are used to assess bone mineral density (BMD) in postmenopausal women and identify sexual dimorphism

Using a panoramic radiographic study, the Panoramic Mandibular Index (PMI), Mandibular Cortical Width (MCW) or Mental Index (MI) are used to assess bone mineral density (BMD) in postmenopausal women and identify sexual dimorphism

Differences in mental index value in patients with type II diabetes mellitus using panoramic radiography

Objectives: This research is aimed to determine the mandibular cortical thickness by the Mental Index value using panoramic radiography in patients with type 2 DM based on length of suffering ≤ 5 years and &gt; 5 years. Materials and Methods: This research is using unpaired comparative analytical design with a cross-sectional stratified random sampling method and unpaired T-test statistic. Results: 34 samples of patients with type 2 DM showed that the mean mental index was 4.219 ± 1.223. The two groups did not have a difference in the meaning of the MI value. The MI of the group with a shorter history of suffering (≤ 5 years) was 4.227 ± 1.063 and the group with a longer history of suffering (&gt;5 years) was 4.211 ± 1.399. There were 8 people who experienced thinning bone from the whole age group, the most were from the age group of 51-60 years old. Conclusion: Mental Index (MI) value is greater or exceeds the normal value (≥ 3,1 mm) in both groups of patients with type 2 DM based on length of suffering ≤ 5 years and &gt; 5 years. Keywords: Diabetes mellitus type 2, Mental Index, Mandibular Cortical Bone, Panoramic Radiography, Bone Mineral Density.

Investigation of Fractal Dimension Analysis and Radiomorphometric Indices in Children with Type 1 Diabetes Mellitus

Background: Diabetes mellitus (DM) disrupts bone metabolism, leading to slowed bone development, poor bone quality, and osteoporosis. Objectives: The aim of this study was to examine changes in the bones of adolescents with type-1 diabetes mellitus (T1DM) using fractal dimension (FD) analysis method and panoramic radiomorphometric indices. Methods: Fractal dimension values and radiomorphometric measurements of 36 children with T1DM and 36 healthy individuals were compared using panoramic radiographs. The panoramic mandibular index (PMI), mental index (MI), mandibular cortical width (MCW), amount of alveolar bone resorption (AABR), antegonial index (AI), and gonial index (GI) were measured. Mandibular cortical index (MCI) was recorded as C1, C2, and C3 classes. Results: For the angulus and corpus regions, the T1DM patient group had lower FD values, and there was a statistically significant difference between the T1DM patient group and the control group (P = 0.003, P = 0.029). Mental index, MCW, and AI values were higher in the control group than in the T1DM patient group and were statistically significant (P = 0.014, P = 0.001, P &lt; 0.001, respectively). Conclusions: In this study examining the mandible in pediatric patients with T1DM using radiomorphometric measurements and fractal analysis method, it can be concluded that T1DM affects bone morphology and trabecular structure

Assessment of jaw bone mineral density, resorption rates, and oral health in patients with severe hemophilia: a case-control study.

Knowledge about oral hygiene, gingival bleeding, mineral density, and resorption of jaw bones in patients with hemophilia is limited. We evaluated the periodontal and bone status in such patients. Material and methods: Forty-eight patients with severe type A/B hemophilia and 49 age- and sex-matched controls were included. Assessments included simplified oral hygiene index (OHI-S), calculus index, debris index, gingival index (GI), gingival bleeding time index (GBTI), and decayed, missing, and filled teeth index (DMFTI). Bone resorption was evaluated using panoramic mandibular index (PMI), mental index (MI), and alveolar crest ratio (ACR). Mineral density in the condyle, angulus, and premolar areas was assessed using fractal analysis, with fractal dimensions denoted as condyle fractal dimension (CFD) for the condyle, angulus fractal dimension (AFD) for angulus, and premolar fractal dimension (PFD) for premolar region. The mean scores were DMFTI = 11.77, OHI-S = 2.44, PMI = 0.268, MI = 5.822, GI = 3.02, GBTI = 2.64, ACR = 2.06, CFD = 1.31, AFD = 1.31, and PFD = 1.17 in the hemophilia group and DMFTI = 11.449, PMI = 0.494, MI = 7.43, GI = 0.67, GBTI = 0.98, OHI-S = 1.45, ACR = 2.87, CFD = 1.35, AFD = 1.35, and PDF = 1.23 in the control group. Differences were significant for all parameters (p < 0.005) except for the DMFTI index. Conclusions: Because of poor oral hygiene, high bone resorption, and low bone mineral density in these patients, clinicians should consider potential bone changes when planning to treat these patients.

Bone pattern changes in post liver transplant patients using bisphosphonates.

To identify radiographic findings suggestive of drug-induced osteonecrosis and evaluate radiomorphometric patterns indicative of changes in bone mineral density in individuals transplanted for liver disorders using bisphosphonates. The study group included panoramic x-rays of liver transplant patients who are being monitored and who present a clinical status of osteoporosis and use bisphosphonates. The control group was made up of liver transplant patients who did not have osteoporosis. On panoramic radiographs, mental index (MI) and mandibular cortical index (MCI) and the presence of radiographic anomalies suggestive of osteonecrosis were evaluated. There were significant statistical results when comparing the groups in relation to the decrease in bone mineral density (BMD) with MCI-C3 (p=0.036), however, there were none in relation to MI (p=0.14). There were no valid statistical results when relating MCI (p=0.94) and MI (p=0.66) with reduced BMD and use of bisphosphonates. Liver transplant individuals using bisphosphonates present greater radiographic signs of bone sclerosis suggestive of a greater propensity to develop osteonecrosis of the jaw and an increased risk of presenting changes suggestive of reduced bone mineral density on panoramic radiographs when compared to liver transplant individuals not using bisphosphonates.

Role of ortho-pantho-graphic X-ray in the diagnosis of osteoporosis

Background: Osteoporosis affects people, especially old age, as postmenopausal women and remains unnoticeable until the patient presents with a fracture. Osteoporosis in human begins started with the loss of bone mass that increases with age, this is related to the decrease in bone density and an increase in porosity that will cause fractures in this osteoporotic bone. Objective was to assess the usefulness of orthopanthographic (OPG) in the early detection of osteoporosis. Methods: This is an analytic across-sectional test validation study, was done in Hawari Hospital-Benghazi, Libya which considered a referral General Hospital affiliated with University of Benghazi. This study was done during a period from March 2022 to July 2023. Sixty women were selected, divided into osteoporotic and non osteoporotic groups depending on the clinical and laboratory investigations under the supervision of an orthopedic consultant in the outpatient clinic. Panoramic radiographic X-rays were taken for evaluation and estimation of the mandibular cortex on the basis of (Mental index, Klemetti index, and Panoramic mandibular index) as a diagnostic tool to differentiate normal from osteoporotic patient, all three indices correlated significantly with bone mineral density and used as useful indicators for detected the osteopenia and osteoporosis. Results: We calculated values of the three indices (Mental index, Klemetti index, and Panoramic mandibular index) values were low especially in the osteoporotic group, as well the values of mental index and panoramic mandibular index were low compared with low bone mineral density of the patient and klemetti index with: C2, C3 categories (moderate and severe erosion) most common observed in the osteoporotic patient. Conclusions: Orthopanthographic X-rays provide a valuable tool for early detection and assessment of osteoporosis (preclinical stage) especially when characterized by a decrease in bone mineral density.

The Comparative Study on the Mental Index and Panoramic Mandibular Index in Thai Osteoporotic, Osteopenic, and Non-osteoporotic Patients: A Cross-sectional Study

Background Osteoporosis is one of the clinical problems in the elderly. Many previous studies focused on the index obtained from dental radiography as an adjunctive tool, which is considered beneficial for the screening of osteoporosis. Objective The purpose of this study was to compare the Mental Index (MI) and Panoramic Mandibular Index (PMI) acquired from panoramic radiographs in osteoporotic, osteopenic, and non-osteoporotic patients. Methods This research was approved by the Ethics Committee for Human Research, Srinakharinwirot University (certification number SWUEC-061/2562E). This study compared 150 osteoporotic patients undergoing treatment at the HRH Princess Maha Chakri Sirindhorn Medical Center with age-sex matched to 150 non-osteoporotic patients undergoing dental treatment at the Dental Hospital, Faculty of Dentistry, Srinakharinwirot University, using digital panoramic radiographs. MI and PMI were collected and analyzed using an independent T-test and Pearson correlation. Results The mean age of the 300 participants in the study was 57.82±12.25 years, while the mean age of the osteoporotic and non-osteoporotic patients was 57.95±12.30 years and 57.69±12.19 years, respectively. The mean MI for osteoporotic patients and non-osteoporotic patients was 0.314±0.088 cm and 0.3840±0.073 cm, respectively. Similarly, the mean PMI for osteoporotic patients and non-osteoporotic patients was 0.302±0.092 and 0.342±0.064, respectively. A significant difference in MI and PMI was observed between osteoporotic and non-osteoporotic patients (p=0.00). Conclusion Osteoporosis has a statistically significant effect on MI and PMI (p&lt;0.05).

Diachronic Comparison of Three Historical Skeletal Series from Croatia with Regard to Mandibular Bone Quality

The aim of this study was to assess the quality of mandibular bone using CBCT images in archeological populations that inhabited Croatia from the medieval to the Early Modern Period. A total of 88 human skulls (45 male and 43 female) from three samples (pre-Ottoman (N = 27), Ottoman (N = 32), and Vlach (N = 29)) were analyzed by using CBCT. The mental index, gonion index, antegonion index, panoramic mandibular index, degree of resorption of the alveolar ridge, and cortical index of the mandible were evaluated using the OnDemand3DApp. The results showed an expected higher value of cortex thickness in males when compared to females. Females in the younger groups had higher values of cortical thickness than those in the older age group. The Ottoman sample had significantly lower values of mandibular indices than the other two samples. There were no age-related differences in bone thickness in males, suggesting that hormonal changes have a stronger influence in females. Lower values of mandibular indices in the Ottoman sample may be an indicator of specific factors that influenced this population. Our study of bone changes in archeological populations with different living conditions may contribute to a better understanding of impact of biocultural factors on physiological and pathological processes, which are extremely complex in bone tissue.

Is there a Correlation between Radiographic Absorptiometry of the Phalanges of the Hand and Radiomorphometric Indices of the Mandible?

Objectives: The aim of this study was to correlate the mandibular bone quality through radiomorphometric indices in panoramic radiograph with bone quality of non-dominant hand phalanges by radiographic absorptiometry phalanx (RA). Methods: The sample consisted of 167 patients (128 women and 39 men) with a mean age of 52.09 (± 11.5) divided into four groups according to RA test: (A) 92; (B) 36; (C) 25 and (D) with 14.9. A panoramic radiograph was taken of each patient and one observer made measurements of cortical thickness at the mental foramen (mental index, MI) and gonion (goniac index, GI) regions and fractal dimension (FD) analyze in mandibular ramus. In phalangeal radiograph was made measurements of cortical thickness at the intermediate (medial phalange index, MPI) and proximal (proximal phalange index, PPI) phalangeal. Results: The results showed correlation (p < 0.00037) between Klemetti index with RA. Variance analysis MI, GI, MPI, PPI shown significant differences (p < 0.05) between the two groups (normal and low bone mineral density - BMD). Area under the ROC curve was 0.74 (sensitivity = 97.4%, specificity = 78%) for MI, 0.79 (sensitivity = 94, specificity = 54%) for GI, 0.77 (sensitivity = 94.8%, specificity = 64%) for MPI, 0.76 (sensitivity = 93.1%, specificity = 62%) for PPI, 0.71 (sensitivity = 96.5%, specificity = 86%) for FD. Conclusions: Our results suggest that the analysis of radiomorphometric indices showed moderate accuracy for detecting changes in mandibular bone quality according to AR.

Evaluation of six radiomorphometric indices

&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; Purpose: Aging is accompanied by the gradual loss of teeth, which can cause several orofacial changes. This study aimed to compare panoramic radiomorphometric indices between dentate and totally edentulous patients.&#x0D; Materials and Methods: One hundred panoramic radiographs were analyzed to measure six indices using Clinview 9.3 software: the gonial angle (GA), antegonial angle (AGA), condylar height (CH), ramus height (RH), mental index (MI), and mandibular cortical index (MCI). An independent sample t-test and Chi-square was used to compare the means of the measured data between dentate and edentate subjects and genders.&#x0D; Results: In both genders, dentate people had greater left CH (p=0.05) and left GA (p=0.03). Men had greater RH in the dentate and edentate groups (p&lt;0.001). No correlation was found between groups and genders in MCI scores. &#x0D; Conclusion: CH index assessment as the function of the masticatory muscles and GA as residual ridge resorption were decreased in edentulous people. The findings highlight the importance of oral hygiene education and prosthetic rehabilitation of the edentulous.&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D;

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

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).&#x0D; Objectives: This research is aimed to determine the differences in Mental Index (MI) between dentate and edentulous regions in women through panoramic radiographs. &#x0D; 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. &#x0D; 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). &#x0D; Conclusion: The loss of teeth in women may lead to any change in the Mental Index (MI) &#x0D; Keywords: Bone Density; Dental Status; Mental Index; Panoramic Radiograph

Bruksizmli Hastaların Radyograflarında Hounsfield Birim Değeri ve Radyomorfometrik İndekslerinin Değerlendirilmesi

Background: The aim of this retrospective study is to evaluate the effects of bruxism on the mandibular bone using radiomorphometric indices and Hounsfield unit (HU) value on digital panoramic radiography (DPR). Materials and Methods: Panoramic radiographs of 120 patients, 60 with bruxer and 60 without (control), were analyzed. Mental index (MI), panoramic mandibular index (PMI), antegonial index (AI), gonial index (GI), antegonial notch depth (AND) and mandibular cortical index (MCI) were measured bilaterally in DPR. Gray values of the cancellous bone and cortical bone at predetermined landmarks in the mandible were measured using the HU value on the DPR. Results: MI was found to be higher and statistically significant in bruxers compared to the control group (p&amp;lt;0.05). There was no statistically significant difference between the bruxism group and the control group in terms of AI, GI and MCI (p&amp;gt;0.05). While there was a significant difference in HU value in the cancellous bone in the bruxism group and the control group (p&amp;lt;0.05), there was no statistically significant difference in HU values between the two groups in the cortical bone (p&amp;gt;0.05). Conclusions: MI and AND measurements can be used in the diagnosis or follow-up of bruxism. There is no diffe-rence in mandibular cortical bone height in patients with and without bruxism according to AI, GI, and MCI. The mean PMI value measured on the left side differs between the groups. In bruxism patients, increased density in the mandibular cancellous bone, is greater and significantly different from the increase in cortical bone.

Evaluation of mandibular trabecular and cortical bone by fractal analysis and radiomorphometric indices in bruxist and non-bruxist patients

BackgroundThe aim of this study was to evaluate the effect of bruxism on the cortical and trabecular bone of the mandible using the radiomorphometric indexes and fractal analysis (FA) additionally to examine the efficiency of FA as diagnostic test for bruxism.MethodsEvaluation was performed on panoramic radiographs of 94 bruxists and 94 non-bruxist individuals with the ImageJ program. Cortical bone was assessed with mandibular cortical index, mental index, and panoramic mental index. Trabecular bone in the condyle, gonial, and corpus region was evaluated by FA. An independent sample t and Mann-Whitney-U tests and Pearson and Spearman rank correlations were conducted for statistical analysis.ResultsA total of 188 participants, 112 female, and 76 male, were included in the study. The sample age ranged from 18 to 43, with a mean of 27.55 (± 7.022) years. FA values of the angulus were significantly higher than those of the condyle and corpus, and the mean of the sample for the angulus, condyle, and corpus, respectively, were; 1.36 (± 10), 1.10 (± 0.9), 1.13 (± 0.8). There was a positive correlation between FA of the mandibular corpus and age (r = .163, p = .025). Females’ values were smaller than males’ in the FAs of three regions, and significant differences were found in FA of the condyle and angulus of the mandible, MCI, and PMI according to gender. There was no statistically significant difference between bruxist and non-bruxist patients in term of FAs of three regions, MCI, MI, and PMI values (p > .05).ConclusionsFA of the condyle and angulus of the mandible, MCI, and PMI are significantly affected by gender. However bruxism doesn’t cause a significant change in the fractal dimensions of the bone in the mandible and doesn’t change substantially MCI, MI, and PMI.

Digital panoramic radiography and CBCT as auxiliary tools for detection of low bone mineral density in post-menopausal women: a cross-sectional study

BackgroundOsteoporosis is a chronic, multifactorial skeletal disease that occurs especially in women following a decrease in estrogen levels and decrease in bone mineral density. The aim of this study was to evaluate the relationship between qualitative and quantitative indexes in panoramic radiographs and quantitative indexes in CBCT images with femoral and vertebral BMD in postmenopausal women.MethodsThis comparative cross-sectional study was performed on postmenopausal women aging 40 to 80 years attending for obtaining either panoramic radiograph or mandibular CBCT scan. Dual energy X-ray absorptiometry (DEXA) was performed from the femur and lumbar vertebra. Quantitative parameters of mental index (MI), panoramic mandibular index (PMI), antegonial index (AI) as well as qualitative parameters of mandibular cortical index (MCI) and trabecular bone pattern (TP) were evaluated in panoramic radiographs. Quantitative parameters computed tomography mandibular index (CTMI), computed tomography index (inferior) [CTI(I)] and computed tomography index (superior) [CTI(S)] were analyzed in CBCT images. Kolmogorov-Smirnov tests and Pearson correlation coefficient were used (α = 0.05).ResultsIn individuals with panoramic radiography, statistically significant correlations were observed between MI with vertebral and femoral T-score, AI with vertebral and femoral T-score (except for the right AI with femoral T-score), and TP with vertebral and femoral T-score (p < 0.05). In the group with CBCT scans, the correlations between CTMI with vertebral and femoral T-score, CTI(I) with vertebral and femoral T-score, and CTI(S) with vertebral and femoral T-score were statistically significant (p < 0.05).Conclusionsin CBCT images, quantitative indexes of CTMI, CTI(I), and CTI(S), and in panoramic images, quantitative indexes of MI and AI and qualitative index of TP can be used to predict the possibility of osteoporosis in postmenopausal women.

Evaluation of mandibular cortical and trabecular radiomorphometry in familial Mediterranean fever patients

The objective of this retrospective study was to evaluate the mandibular cortical and trabecular morphology and microarchitecture of patients with familial Mediterranean fever (FMF) and compare them to those of healthy individuals by examining radiomorphometric indices on panoramic radiographs. We examined a group of 56 FMF patients aged 5 to 71 years and an age- and sex-matched control group of individuals with no systemic diseases. We classified the FMF and control groups according to age and sex and the FMF group according to colchicine use. We evaluated the quantitative radiomorphometic indices of gonial index, antegonial index, molar cortical thickness, mental index, panoramic mandibular index, and lacunarity, and the qualitative mandibular cortical index on all panoramic radiographs and performed between and within group analysis. Mean gonial index, antegonial index, and molar cortical thickness values of the FMF group were significantly smaller than those of the control group. Significantly fewer patients in the FMF group were classified as mandibular cortical index type 1 compared to the control group. There were no significant differences in quantitative index values according to colchicine use in the FMF group or regarding the categorical parameters of age, sex, and mandibular cortical index classification. Radiomorphometric values of the mandibular basal cortex posterior to the mental foramen differ significantly in FMF patients compared to healthy counterparts. Dentists should note mandibular morphologic changes indicative of low bone density when examining panoramic images of patients with this disease.

Mandibular Radiomorphometric Characteristics of Individuals with Bilateral or Unilateral Cleft Lip and Palate.

This study aimed to investigate and compare the mandibular radiomorphometric characteristics of patients with unilateral or bilateral cleft lip and palate (CLP) with those of individuals without CLP and to determine whether there was a difference. Retrospective cohort study. Orthodontic Department in Faculty of Dentistry. Mandibular cortical bone thickness was measured on high-quality panoramic radiographs taken from 46 patients with unilateral or bilateral CLP aged 13-15 years and 21 control patients. Three radiomorphometric indices [antegonial index (AI), mental index (MI), and panoramic mandibular index (PMI)] were measured bilaterally. AutoCAD software was used for MI, PMI, and AI measurements. Left MI values were significantly lower in individuals with unilateral cleft lip and palate (UCLP; 0.029 ± 0.04) than in individuals with bilateral cleft lip and palate (BCLP; 0.033 ± 0.07). In addition, right MI values of individuals with right UCLP (0.26 ± 0.06) were significantly lower than those of individuals with left UCLP (0.34 ± 0.06) or BCLP (0.32 ± 0.08). No difference was observed between individuals with BCLP and left UCLP. These values did not differ between groups. Antegonial index and PMI values did not differ between individuals with different types of CLP or when compared with control patients. In patients with UCLP, cortical bone thickness was found to be reduced on the cleft side compared to the intact side. Patients with UCLP with a right-sided cleft had a more substantial decrease in cortical bone thickness.