Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study

Swagathika Mishra; Ananya Tirumani; Chandini K.v; N Kavya Keerthika; Sri Veda D; Tejaswini Tirumani

doi:10.7126/cumudj.1892244

EN

Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study

Abstract

Objective: To evaluate the impact of diabetes mellitus on bone density measurements using Radiomorphometric parameters on digital panoramic radiographs and quantitative ultrasonographic heel indices for early osteoporosis detection. Materials and Methods: The study included 100 postmenopausal diabetic and non-diabetic women, undergoing panoramic radiographs. Quantitative ultrasonography of the heel was performed to obtain T-scores. Mandibular Cortical Index (MCI), Mental Index (MI), and Panoramic Mandibular Index (PMI) were assessed to quantify mandibular bone mass. Observations were compared between two observers, and interobserver variability was analyzed for reliability. Statistical analysis was performed to evaluate correlations between these indices. Results: Diabetic postmenopausal women showed reduced mandibular bone mass, with a mean MI of less than 3 mm. A C3 cortical pattern was predominantly observed in diabetic patients aged over 60 years, indicating cortical thinning. PMI measurements showed significant positive correlation with T-scores (r = 0.670 and 0.641 for the two observers, respectively; p <0.001). Conclusion: Panoramic parameters such as PMI, MI, and MCI significantly correlate with Heel Index measurements and provide effective tools for early osteoporosis detection in diabetic and non-diabetic postmenopausal women. These indices may serve as useful adjunctive screening tools in dental settings for identifying postmenopausal women at risk of reduced bone mineral density

Keywords

References

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Details

Primary Language

English

Subjects

Oral and Maxillofacial Radiology, Public Health Dentistry

Journal Section

Research Article

Authors

Swagathika Mishra
0000-0002-1386-3425
India

Ananya Tirumani ^*
0000-0001-7312-0829
India

Chandini K.v
0000-0001-9508-5059
India

N Kavya Keerthika
0000-0001-6299-6235
India

Sri Veda D
0009-0007-2359-1033
India

Tejaswini Tirumani
0009-0007-5158-3604
India

Publication Date

July 1, 2026

Submission Date

February 19, 2026

Acceptance Date

May 5, 2026

Published in Issue

Year 2026 Volume: 29 Number: 2

DOI

https://doi.org/10.7126/cumudj.1892244

IZ

https://izlik.org/JA95LG27FJ

Cite

RIS / Bibtex

APA

Mishra, S., Tirumani, A., K.v, C., Kavya Keerthika, N., D, S. V., & Tirumani, T. (2026). Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study. Cumhuriyet Dental Journal, 29(2), 356-360. https://doi.org/10.7126/cumudj.1892244

AMA

1.Mishra S, Tirumani A, K.v C, Kavya Keerthika N, D SV, Tirumani T. Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study. Cumhuriyet Dent J. 2026;29(2):356-360. doi:10.7126/cumudj.1892244

Chicago

Mishra, Swagathika, Ananya Tirumani, Chandini K.v, N Kavya Keerthika, Sri Veda D, and Tejaswini Tirumani. 2026. “Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study”. Cumhuriyet Dental Journal 29 (2): 356-60. https://doi.org/10.7126/cumudj.1892244.

EndNote

Mishra S, Tirumani A, K.v C, Kavya Keerthika N, D SV, Tirumani T (July 1, 2026) Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study. Cumhuriyet Dental Journal 29 2 356–360.

IEEE

[1]S. Mishra, A. Tirumani, C. K.v, N. Kavya Keerthika, S. V. D, and T. Tirumani, “Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study”, Cumhuriyet Dent J, vol. 29, no. 2, pp. 356–360, July 2026, doi: 10.7126/cumudj.1892244.

ISNAD

Mishra, Swagathika - Tirumani, Ananya - K.v, Chandini - Kavya Keerthika, N - D, Sri Veda - Tirumani, Tejaswini. “Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study”. Cumhuriyet Dental Journal 29/2 (July 1, 2026): 356-360. https://doi.org/10.7126/cumudj.1892244.

JAMA

1.Mishra S, Tirumani A, K.v C, Kavya Keerthika N, D SV, Tirumani T. Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study. Cumhuriyet Dent J. 2026;29:356–360.

MLA

Mishra, Swagathika, et al. “Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study”. Cumhuriyet Dental Journal, vol. 29, no. 2, July 2026, pp. 356-60, doi:10.7126/cumudj.1892244.

Vancouver

1.Swagathika Mishra, Ananya Tirumani, Chandini K.v, N Kavya Keerthika, Sri Veda D, Tejaswini Tirumani. Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study. Cumhuriyet Dent J. 2026 Jul. 1;29(2):356-60. doi:10.7126/cumudj.1892244