Measurement of the cortical bone by panoramic radiography for the diagnosis of osteopenia and osteoporosis in women
DOI:
https://doi.org/10.11606/issn.2176-7262.v53i1p9-13Keywords:
Osteoporosis, Panoramic Radiography, WomenAbstract
Study design: Prevalence study. Aim: Evaluating the prevalence of osteopenia and osteoporosis diagnosed by panoramic radiography through qualitative measurements of the mandibular bone cortex. Materials and methods: The Klemetti index and the Benson index were used through a digital caliper. The descriptive analysis of the date was performed in the Statistical Package for the Social Sciences (SPSS) V.20.0. Results: Of the fifty panoramic radiographs evaluated from women with a mean age of 43.04 years, 15 women (30%) were diagnosed with Klemetti's osteopenia, and there were no cases of osteoporosis in the sample. Regarding the Benson index, the results showed an average of 4.24 mm (SD: 0.54), with a minimum value of 3.30 and a maximum of 6.10 mm. Conclusion: Our findings highlight the importance of panoramic radiography for the early diagnosis of osteopenia and osteoporosis. Panoramic radiography presents low cost and ease of use by dental surgeons, being an exam widely used in several areas of dentistry.
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References
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17. Taguchi A, Tsuda M, Ohtsuka M, Kodama I, Sanada M, Nakamoto T, et al. Use of dental panoramic radiographs in identifying younger postmenopausal women with osteoporosis. Osteoporos Int. 2006;17(3):387-94.
18. Bollen AM, Taguchi A, HUJOEL PP, Hollender LG. Case-control study on selfreported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(4):518-24.
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21. Horner K, Allen PD, Graham J, Jacobs R, Boonen S, Pavitt S, et al. The relationship between the OSTEODENT index and hip fracture risk assessment using FRAX. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:243–9.
22. Delvin H. Identification of the Risk for Osteoporosis in Dental Patients. Dent Clin North Am. 2012;56(4):847-61.
23. Mahl CRW, Licks R, Fontanella VRC. Comparação de índices morfométricos obtidos na radiografia odontológica panorâmica na identificação de indivíduos com osteoporose/osteopenia. Radiol Bras 2008. 41(3):183–7.
24. Kowalchuk RM, Dalinka MK. The radiologic assessment of osteoporosis. Orthop J. 1998;11:67-72.
2. Verheij JGC, Geraets WGM, Stelt PFV, Horner K, Lindh C, Nicopouloukarayianni K, et al. Prediction of osteoporosis with dental radiographs and age. Dentomaxillofac Radiol. 2009;38:431-7.
3. Paolucci T, Saraceni VM, Piccinini G. Management of chronic pain in osteoporosis: challenges and solutions. J Pain Res. 2016;9:177-86.
4. Ardakani FE, Mirmohamadi SJ. Osteoporosis and oral bone resorption: a review. J Maxillofac Oral Surg. 2009;8:121–6.
5. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007;22(3):465-75.
6. Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, ET AL. Clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ. 2010;182:1864–73.
7. Meunier PJ, Delmas PD, Eastell R, Mcclung MR, Papapoulos S, Rizzoli R, et al. Diagnosis and management of osteoporosis in postmenopausal women: clinical guidelines. International Committee for Osteoporosis Clinical Guidelines. Clin Ther. 1999;21(6):1025-44.
8. Costa-paiva L, Horoviz A, Santos A, Fonsechi-Carvasan GA, Pinto-Neto AM. Prevalência da osteoporose em mulheres na pós-menopausa e associação com fatores clínicos e reprodutivos. RBGO. 2003;25(7):507-12.
9. Leite AF, Figueiredo PTS, Guia CM, Melo NS, Paula AP. Radiografia Panorâmica – Instrumento Auxiliar no Diagnóstico da Osteoporose. Rev Bras Reumatol. 2008;48(4):226-33.
10. Calciolari E, Donos N, Park JC, Patrie A, Mardas N. Panoramic Measures for Oral Bone Mass in Detecting Osteoporosis: A Systematic Review and Meta-Analysis. JDR Clinical Research Supplement. 2015:255-75.
11. Kim OS, Shin MH, Song IH, Lim IG, Yoon SJ, Kim OJ, et al. Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women. John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd. Gerodontology, 2014; p 7-8,
12. Klemetti E, Kolmakov S, Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res. 1994;102(1):68-72.
13. Benson BW, Prihoda TJ, GLASS BJ. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol. 1991;71(3):349-56.
14. Paschalis EP, Fratzl P, Gamsjaeger S, Hassler N, Brozek W, Eriksen EF, et al. Aging Versus Postmenopausal Osteoporosis: Bone Composition and Maturation Kinetics at Actively-Forming Trabecular Surfaces of Female Subjects Aged 1 to 84 Years. J Bone Miner Res. 2016;31(2):347-57.
15. Balaguer JR, Olmos JM. Prevalence of osteopenia and osteoporosis in postmenopausal women. Aten Primaria. 2005;35(7):342-5.
16. Camargo AJ, Arita ES, Fernández MCC, Watanabe PCA. Comparación de dos métodos radiológicos para evaluación de densidad ósea en mujeres posmenopáusicas. Int J Morphol. 2015; 33(2):732-6.
17. Taguchi A, Tsuda M, Ohtsuka M, Kodama I, Sanada M, Nakamoto T, et al. Use of dental panoramic radiographs in identifying younger postmenopausal women with osteoporosis. Osteoporos Int. 2006;17(3):387-94.
18. Bollen AM, Taguchi A, HUJOEL PP, Hollender LG. Case-control study on selfreported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(4):518-24.
19. Lindsay R, Silverman SL, Cooper C, Hanley DA, Barton I, Broy SB, et al. Risk of new vertebral fracture in the year following a fracture. JAMA. 2001;17(3):320-3.
20. Halling A, Persson GR, Berglund J, Johansson O, Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int. 2005;16(8):999-1003.
21. Horner K, Allen PD, Graham J, Jacobs R, Boonen S, Pavitt S, et al. The relationship between the OSTEODENT index and hip fracture risk assessment using FRAX. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:243–9.
22. Delvin H. Identification of the Risk for Osteoporosis in Dental Patients. Dent Clin North Am. 2012;56(4):847-61.
23. Mahl CRW, Licks R, Fontanella VRC. Comparação de índices morfométricos obtidos na radiografia odontológica panorâmica na identificação de indivíduos com osteoporose/osteopenia. Radiol Bras 2008. 41(3):183–7.
24. Kowalchuk RM, Dalinka MK. The radiologic assessment of osteoporosis. Orthop J. 1998;11:67-72.
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2020-04-27
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1.
Menezes RCB, Paula BB de, Pereira YCL. Measurement of the cortical bone by panoramic radiography for the diagnosis of osteopenia and osteoporosis in women. Medicina (Ribeirão Preto) [Internet]. 2020 Apr. 27 [cited 2024 May 17];53(1):9-13. Available from: https://www.periodicos.usp.br/rmrp/article/view/157738
