TODENTJ-25-03-2019_TODENTJ-11-350
1553507054
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
06
30
2017
11
1
Efficacy of Panoramic Radiography in the Detection of Osteoporosis in Post-Menopausal Women When Compared to Dual Energy X-Ray Absorptiometry
Shambulingappa
Pallagatti
Priyanka
Parnami
Soheyl
Sheikh
Deepak
Gupta
Objective:
It is a well-known fact that osteoporosis affects the people with old age and remains unnoticeable until the patient presents with fracture. Various studies in the literature reveal that panoramic radiographs may prove to be beneficial in the detection of Osteoporosis in patients. Henceforth this present study was aimed to validate the use of Klemetti Index (KI) on panoramic radiographs so as to detect osteoporosis in the patients at an early stage.
Methods:
60 postmenopausal women were selected. A panoramic radiograph was taken to grade their mandibular cortex on the basis of Klemetti Index. All the panoramic radiographs were evaluated by 5 different Oral Medicine and Radiology specialists. Later all the patients were subjected to dual energy X-ray absorptimetry (DEXA) scan for bone mineral density evaluation. The results were evaluated statistically.
Results:
The average accuracy of the five observers to demonstrate normal bone, osteopenia and osteoporosis when compared to DEXA scan was 58.08%, 63.3% and 64.74% respectively. The observations of the 5 observers on the basis of KI were not statistically different from the BMD evaluation done with the help of DEXA Scan.
Conclusion:
Panoramic radiographs can be used as a screening tool for the evaluation as well as early detection of osteoporosis with the usage of Klemetti Index.
06
30
2017
350
359
TODENTJ-11-350
1
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10.2174/1874210601711010350
1553507054
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Kanis JA.
Assessment of fracture risk and its applications in screening for postmenopausal osteoporosis WHO Technical Report Series.
Geneva: WHO 1994.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Dervis E.
100
349
2005
10.1016/j.tripleo.2005.04.010
Dervis E.
Oral implications of osteoporosis.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2005;
100
(3)
: 349-56.
Osteoporos. Int.
Kanis J.A.
16
229
2005
10.1007/s00198-004-1811-2
Kanis JA, Johnell O.
Requirements for DXA for the management of osteoporosis in Europe.
Osteoporos Int
2005;
16
(3)
: 229-38.
Osteoporos Int.
Boonen S
16
239
2005
Boonen S, Body JJ, Boutsen Y, et al.
Evidence-based guidelines for the treatment of postmenopausal osteoporosis- A consensus document of the Belgian bone club.
Osteoporos Int
2005;
16
: 239-54.
Bone
Bjarnason N.H.
26
561
2000
10.1016/S8756-3282(00)00272-6
Bjarnason NH, Christiansen C.
Early response in biochemical markers predicts long-term response in bone mass during hormone replacement therapy in early postmenopausal women.
Bone
2000;
26
(6)
: 561-9.
Osteoporos. Int.
Farahmand B.Y.
16
1583
2005
10.1007/s00198-005-2024-z
Farahmand BY, Michaëlsson K, Ahlbom A, Ljunghall S, Baron JA.
Survival after hip fracture.
Osteoporos Int
2005;
16
(12)
: 1583-90.
Arch. Oral Biol.
Sewón L.
49
355
2004
10.1016/j.archoralbio.2003.11.004
Sewón L, Laine M, Karjalainen S, Doroguinskaia A, Lehtonen-Veromaa M.
Salivary calcium reflects skeletal bone density of heavy smokers.
Arch Oral Biol
2004;
49
(5)
: 355-8.
J. Clin. Endocrinol. Metab.
Ralston S.H.
87
2460
2002
10.1210/jcem.87.6.8621
Ralston SH.
Genetic control of susceptibility to osteoporosis.
J Clin Endocrinol Metab
2002;
87
(6)
: 2460-6.
J. Clin. Invest.
Mann V.
107
899
2001
10.1172/JCI10347
Mann V, Hobson EE, Li B, et al.
A COL1A1 Sp1 binding site polymorphism predisposes to osteoporotic fracture by affecting bone density and quality.
J Clin Invest
2001;
107
(7)
: 899-907.
Woolf AD, Akesson K.
An atlas of investigation and management. In:
Oxford Centre for Innovation.
Mill Street, Oxford OX2 0JX, UK. 2008.
Clinical Publishing
Osteoporos. Int.
Cadarette S.M.
15
361
2004
10.1007/s00198-003-1552-7
Cadarette SM, McIsaac WJ, Hawker GA, et al.
The validity of decision rules for selecting women with primary osteoporosis for bone mineral density testing.
Osteoporos Int
2004;
15
(5)
: 361-6.
Osteoporos. Int.
Espallargues M.
12
811
2001
10.1007/s001980170031
Espallargues M, Sampietro-Colom L, Estrada MD, et al.
Identifying bone-mass-related risk factors for fracture to guide bone densitometry measurements: a systematic review of the literature.
Osteoporos Int
2001;
12
(10)
: 811-22.
J. Dent.
Horner K.
20
33
1992
10.1016/0300-5712(92)90007-Y
Horner K, Devlin H.
Clinical bone densitometric study of mandibular atrophy using dental panoramic tomography.
J Dent
1992;
20
(1)
: 33-7.
J. Bone Miner. Res.
Taguchi A.
18
1689
2003
10.1359/jbmr.2003.18.9.1689
Taguchi A, Sanada M, Krall E, et al.
Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover.
J Bone Miner Res
2003;
18
(9)
: 1689-94.
Dentomaxillofac. Radiol.
Taguchi A.
36
143
2007
10.1259/dmfr/50171930
Taguchi A, Ohtsuka M, Tsuda M, et al.
Risk of vertebral osteoporosis in post-menopausal women with alterations of the mandible.
Dentomaxillofac Radiol
2007;
36
(3)
: 143-8.
Gerodontology
Kim O.S.
33
185
2016
10.1111/ger.12134
Kim OS, Shin MH, Song IH, et al.
Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women.
Gerodontology
2016;
33
(2)
: 185-92.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Dervis E.
100
349
2005
10.1016/j.tripleo.2005.04.010
Dervis E.
Oral implications of osteoporosis.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2005;
100
(3)
: 349-56.
No To Hattatsu JBMR
34
S1
2002
10.1002/jbmr.5650170102
Program & Abstracts.
No To Hattatsu JBMR
2002;
34
(Suppl.)
: S1-S317.
Osteoporos. Int.
Halling A.
16
999
2005
10.1007/s00198-004-1796-x
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.
J. Dent.
Devlin H.
19
116
1991
10.1016/0300-5712(91)90102-5
Devlin H, Horner K.
Measurement of mandibular bone mineral content using the dental panoramic tomogram.
J Dent
1991;
19
(2)
: 116-20.
Osteoporos. Int.
White S.C.
16
339
2005
10.1007/s00198-004-1692-4
White SC, Taguchi A, Kao D, et al.
Clinical and panoramic predictors of femur bone mineral density.
Osteoporos Int
2005;
16
(3)
: 339-46.
Dentomaxillofac. Radiol.
Taguchi A.
25
263
1996
10.1259/dmfr.25.5.9161180
Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Ohtaki M.
Usefulness of panoramic radiography in the diagnosis of postmenopausal osteoporosis in women. Width and morphology of inferior cortex of the mandible.
Dentomaxillofac Radiol
1996;
25
(5)
: 263-7.
Arch. Intern. Med.
Siris E.S.
164
1108
2004
10.1001/archinte.164.10.1108
Siris ES, Chen YT, Abbott TA, et al.
Bone mineral density thresholds for pharmacological intervention to prevent fractures.
Arch Intern Med
2004;
164
(10)
: 1108-12.
Scand. J. Dent. Res.
Klemetti E.
102
68
1994
Klemetti E, Kolmakov S, Kröger H.
Pantomography in assessment of the osteoporosis risk group.
Scand J Dent Res
1994;
102
(1)
: 68-72.
Meeting Abstracts of the 12th World Congress on the Menopause Climacteric 2008;11 (sup-2):3-304.
Dentomaxillofac. Radiol.
Cakur B.
38
255
2009
10.1259/dmfr/22559806
Cakur B, Dagistan S, Sahin A, Harorli A, Yilmaz A.
Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women.
Dentomaxillofac Radiol
2009;
38
(5)
: 255-61.
Maturitas
Hill K.
23
113
1996
10.1016/0378-5122(95)00968-X
Hill K.
The demography of menopause.
Maturitas
1996;
23
(2)
: 113-27.
Int. J. Morphol.
Watanbe P.C.
25
875
2007
Watanbe PC, Issa JP, Oliveira TM, et al.
Morphodigital study of the mandibular trabecular bone in panoramic radiographs.
Int J Morphol
2007;
25
(4)
: 875-80.
Oral Surg. Oral Med. Oral Pathol.
Klemetti E.
75
774
1993
10.1016/0030-4220(93)90438-A
Klemetti E, Kolmakov S, Heiskanen P, Vainio P, Lassila V.
Panoramic mandibular index and bone mineral densities in postmenopausal women.
Oral Surg Oral Med Oral Pathol
1993;
75
(6)
: 774-9.
Oral Surg. Oral Med. Oral Pathol.
Mohajery M.
73
112
1992
10.1016/0030-4220(92)90167-O
Mohajery M, Brooks SL.
Oral radiographs in the detection of early signs of osteoporosis.
Oral Surg Oral Med Oral Pathol
1992;
73
(1)
: 112-7.
Scand. J. Dent. Res.
Klemetti E.
102
68
1994
Klemetti E, Kolmakov S, Kröger H.
Pantomography in assessment of the osteoporosis risk group.
Scand J Dent Res
1994;
102
(1)
: 68-72.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Taguchi A.
79
127
1995
10.1016/S1079-2104(05)80088-5
Taguchi A, Tanimoto K, Suei Y, Wada T.
Tooth loss and mandibular osteopenia.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
1995;
79
(1)
: 127-32.
Dentomaxillofac. Radiol.
Yaşar F.
35
1
2006
10.1259/dmfr/97652136
Yaşar F, Akgünlü F, Akgulnu F.
The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis.
Dentomaxillofac Radiol
2006;
35
(1)
: 1-9.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Bollen A.M.
90
518
2000
10.1067/moe.2000.107802
Bollen AM, Taguchi A, Hujoel PP, Hollender LG, Wash S.
Case-control study on self-reported osteoporotic fractures and mandibular cortical bone.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2000;
90
(4)
: 518-24.