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Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis | ||
Journal of Dentistry | ||
مقاله 3، دوره 19، شماره 3، آذر 2018، صفحه 181-188 اصل مقاله (489.15 K) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.30476/dentjods.2018.41810 | ||
نویسندگان | ||
Nader Navabi* 1؛ Reza Motaghi2؛ Mandana Reza Zadeh3؛ Hatam Balooch4 | ||
1Dept. of Oral Medicine, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran. | ||
2Dept. of Oral and Maxillofacial Radiology, Kerman Dental School, Kerman University of Medical Sciences, Kerman, Iran. | ||
3Internal Medicine Group, Kerman University of Medical Sciences, Kerman, Iran. | ||
4General Dentist, Private Practice, Kerman, Iran. | ||
چکیده | ||
Statement of the Problem: Reduced bone mineral density (BMD) generally affects postmenopausal women and it is classified into moderate (osteopenia) and significant osteoporosis. Based on digital panoramic radiographs (DPRs), several quantitative and qualitative assessment methods have been proposed for the diagnosis and evaluation of bone changes and as a predictor of BMD.Purpose: The aim of this study was to compare mandibular cortical width (MCW) and mandibular cortical index (MCI) derived from DPRs in evaluating the BMD in osteopenic and osteoporotic post-menopausal women.Materials and Method: In this cross-sectional study, the BMD assessment was performed using dual-energy X-ray absorptiometry (DEXA). Then, patients were divided into two groups: osteopenia and osteoporosis based on WHO criteria. Two types of T-scores including TT (trabecular) for lumbar spine, TC (cortical) for femoral neck and finally, MCW and MCI were measured based on DPRs.Results: Fifty females with the average age of 57.64±6.03 years were entered into the study. MCW significantly correlated with BMD (p< 0.05). Pearson correlation coefficient test revealed that there was almost significant relationship between MCI and BMD (p= 0.079). The area under the curve (AUC) in ROC suggested that there was a close overlap between MCW (0.773) and TC (0.783), but TT had the greatest AUC (0.996).Conclusion: The results showed that MCW is an appropriate index of osteoporosis in post-menopausal women. Although the prediction of osteoporosis is poorer at the femoral neck than lumbar.Key Words Menopause; Mandibular Cortical Index; Mandibular Cortical Width; Osteoporosis; Osteopenia; | ||
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