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Evaluation of panoramic radiomorphometric indices in Indian population

Year 2013, Volume: 16 Issue: 4, 273 - 281, 01.11.2013

Sumona Pal , Sunita Amrutesh

https://doi.org/10.7126/cdj.2013.1896
Cited By: 1

Abstract

Objecitves: Radiomorphometric indices on dental radiographs can be used for screening of osteoporosis. However population-specific normative data is sparse. Aim was to establish radiomorphometric indices in Indian population and to determine role of age, gender and dentition on these indices.

Materials and Methods: Cross sectional study was undertaken from January 2010 to December 2010. OPGs of 80 samples were divided into four age groups. Mental index, panoramic mandibular index, mandibular cortical index, antegonial index were measured. Relationships with age and dentition were analysed using Statistical Package for the Social Sciences SPSS12.0. Student t-test, one way analysis of variance, Chi square test was used to find the statistical significance. P value < 0.05 was considered to be significant.

Results: In most of the study population endosteal margins of the mandibular cortex were even and sharp on both sides i.e.C1 appearance except in 60-69 years females who showed increased tendency of lacunar cortical defects i.e. C2 appearance. No correlation between dentition and mandibular cortical index (MCI), mental index (MI), panoramic mandibular index (PMI) & Antegonial index (AI) (p value 0.583, 0.059, 0.491 respectively). Population’s mean of AI, MI, and PMI among males were 3.33, 3.97, 0.33 respectively and among females were 3.06, 3.64, and 0.32 respectively. (p value for AI, MI, PMI were 0.048, 0.028,0.037 respectively).

Conclusions: All indices negatively correlated with age. There was a general downward trend with age until sixth decade, when values declined sharply. No statistical significance was found between AI, MI, and PMI and dentition.

Keywords

Mandibular cortical index mental index osteoporosis panoramic radiography panoramic mandibular index.

References

  • References:
  • Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, Tanimoto K, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporosis Int 2003; 14: 659–64.
  • Nackaerts O, Jacobs R, Devlin H, Pavitt S, Bleyen E, Yan B et al. Osteoporosis detection using intraoral densitometry. Dentomaxillofac Radiol 2008; 37: 282–87.
  • Klibanski A, Adams-Campbell L, Bassford T, Blair SN, Boden SD, Dickersin K et al. NIH Consensus Dev Panel Osteopor. Osteoporosis prevention, diagnosis, and therapy. J Am Dent Assoc 2001; 285:785–95.
  • Johnell O, Kanis J A. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 2006; 17:1726- 33.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent1994; 102:68 -72.
  • Devlin H, Karayianni K, Mitsea A, Jacobs R, Lindh C, van der Stelt P et al. Diagnosing osteoporosis by using dental panoramic radiographs: The OSTEODENT project. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104:821-8.
  • 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: 387–394.
  • Dutra V, Devlin H, Susin C, Yang J, Horner K, Fernandes AR. Mandibular morphological changes in low bone mass edentulous females: evaluation of panoramic radiographs. Oral Surg OralMed Oral Pathol Oral Radiol Endod 2006; 102: 663–668.
  • Handa R, Kalla A A, Maalouf G. Osteoporosis in developing countries. Best Practice & Research Clinical Rheumatology 2008; 22(4): 693–708.
  • Ledgerton D, Horner K, Devlin H, H Worthington. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999; 28: 173 – 181
  • Ledgerton D, Horner K, Devlin H, Worthington H . Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 1997; 26: 95-100.
  • Barrett-Connor E, Siris ES, Wehren LE et al. Osteoporosis and fracture risk in women of different ethnic groups. Journal of Bone and Mineral Research 2005; 20: 185-194.
  • Mulligan R, Sobel S. Osteoporosis: Diagnostic Testing, Interpretation, and Correlations with Oral Health—Implications for Dentistry. Dent Clin N Am 2005; 49: 463–84.
  • Ledgerton D, Horner K, Devlin H. Osteoporosis research: a dental perspective. Radiography 1997; 3: 265-77.
  • Devlin H and Horner K. Mandibular Radiomorphometric Indices in the Diagnosis of Reduced Skeletal Bone Mineral Density. Osteoporos Int 2002, 13:373–78.
  • Horner K, Devlin H, Alsop CW, Hodgkinson IM, Adams JE. Mandibular bone mineral density as a predictor of skeletal osteoporosis. Br J Radiol 1996; 69: 1019-25.
  • White SC. Oral radiographic predictors of osteoporosis. Dentomaxillofac Radiol 2002; 31: 84-92.
  • Taguchi A. Panoramic radiographs for identifying individuals with undetected osteoporosis. Jap Dent Sc Rev 2009; 45, 109-120.
  • Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral diseases 2010; 16:316- 27.
  • Xie Q, Soikkonen K, Wolf J, Mattila K, Gong M, Ainamo A. Effect of head positioning in panoramic radiography on vertical measurements: an in vitro study. Dentomaxillofac Radiol 1996; 25: 61-6.
  • Schulze R, Krummenauer F, Schalldach F, d'Hoed B. Precision and accuracy of measurements in digital panoramic radiography. Dentomaxillofac Radiol 2000; 29: 52 -56.
  • Dutra V, Yang J, Devlin H, Susin C. Radiomorphometric indices and their relation to gender, age, and dental status. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99:479-84.
  • Musa I, KnezoviE-Zlataric D, Celebic A, Bosnjak A. The Influence of Gender and Age on the Values of Linear Radiomorphometric Indices Measured on the Lower Border of the Mandible. Acta Stomat Croat 2002; 36: 199-202.
  • Gulsahi A, Yuzugullu B, Imirzalıoglu P and Genc Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol 2008; 37: 288-92.
  • Jowitt N, MacFarlane T, Devlin H, Klemetti E and Horner K. The reproducibility of the mandibular cortical index. Dentomaxillofac Radiol 1999; 28: 141- 44.
  • 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; 16:999-1003.
  • Leite AF, de Souza Figueiredo PT, Guia CM, Melo NS, de Paula AP. Correlations between seven panoramic radiomorphometric indices and bone mineral density in postmenopausal women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109:449-56.
  • Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. Dentomaxillofac Radiol 2010;39:290- 4.
  • Damilakis J and Vlasiadis Have panoramic indices the power to identify women with low BMD at the axial skeleton? Physica Medica 2011; 27(1): 39-43.
  • Vla iadis KZ, Skouteris CA, Velegrakis GA, Fragouli I, Neratzoulakis. JM, Damilakis J, Koumantakis EE. Mandibular radiomorphometric measurements as indicators of possible osteoporosis in postmenopausal women. Maturitas 2007; 58,(3):226–235.
  • 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: 774 – 9.
  • Taguchi A, Tanimoto K, Suei Y, Wada T. Tooth loss and mandibular osteopenia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79:127-32.

Year 2013, Volume: 16 Issue: 4, 273 - 281, 01.11.2013

Sumona Pal , Sunita Amrutesh

https://doi.org/10.7126/cdj.2013.1896
Cited By: 1

Abstract

References

  • References:
  • Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, Tanimoto K, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporosis Int 2003; 14: 659–64.
  • Nackaerts O, Jacobs R, Devlin H, Pavitt S, Bleyen E, Yan B et al. Osteoporosis detection using intraoral densitometry. Dentomaxillofac Radiol 2008; 37: 282–87.
  • Klibanski A, Adams-Campbell L, Bassford T, Blair SN, Boden SD, Dickersin K et al. NIH Consensus Dev Panel Osteopor. Osteoporosis prevention, diagnosis, and therapy. J Am Dent Assoc 2001; 285:785–95.
  • Johnell O, Kanis J A. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 2006; 17:1726- 33.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent1994; 102:68 -72.
  • Devlin H, Karayianni K, Mitsea A, Jacobs R, Lindh C, van der Stelt P et al. Diagnosing osteoporosis by using dental panoramic radiographs: The OSTEODENT project. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104:821-8.
  • 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: 387–394.
  • Dutra V, Devlin H, Susin C, Yang J, Horner K, Fernandes AR. Mandibular morphological changes in low bone mass edentulous females: evaluation of panoramic radiographs. Oral Surg OralMed Oral Pathol Oral Radiol Endod 2006; 102: 663–668.
  • Handa R, Kalla A A, Maalouf G. Osteoporosis in developing countries. Best Practice & Research Clinical Rheumatology 2008; 22(4): 693–708.
  • Ledgerton D, Horner K, Devlin H, H Worthington. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999; 28: 173 – 181
  • Ledgerton D, Horner K, Devlin H, Worthington H . Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 1997; 26: 95-100.
  • Barrett-Connor E, Siris ES, Wehren LE et al. Osteoporosis and fracture risk in women of different ethnic groups. Journal of Bone and Mineral Research 2005; 20: 185-194.
  • Mulligan R, Sobel S. Osteoporosis: Diagnostic Testing, Interpretation, and Correlations with Oral Health—Implications for Dentistry. Dent Clin N Am 2005; 49: 463–84.
  • Ledgerton D, Horner K, Devlin H. Osteoporosis research: a dental perspective. Radiography 1997; 3: 265-77.
  • Devlin H and Horner K. Mandibular Radiomorphometric Indices in the Diagnosis of Reduced Skeletal Bone Mineral Density. Osteoporos Int 2002, 13:373–78.
  • Horner K, Devlin H, Alsop CW, Hodgkinson IM, Adams JE. Mandibular bone mineral density as a predictor of skeletal osteoporosis. Br J Radiol 1996; 69: 1019-25.
  • White SC. Oral radiographic predictors of osteoporosis. Dentomaxillofac Radiol 2002; 31: 84-92.
  • Taguchi A. Panoramic radiographs for identifying individuals with undetected osteoporosis. Jap Dent Sc Rev 2009; 45, 109-120.
  • Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral diseases 2010; 16:316- 27.
  • Xie Q, Soikkonen K, Wolf J, Mattila K, Gong M, Ainamo A. Effect of head positioning in panoramic radiography on vertical measurements: an in vitro study. Dentomaxillofac Radiol 1996; 25: 61-6.
  • Schulze R, Krummenauer F, Schalldach F, d'Hoed B. Precision and accuracy of measurements in digital panoramic radiography. Dentomaxillofac Radiol 2000; 29: 52 -56.
  • Dutra V, Yang J, Devlin H, Susin C. Radiomorphometric indices and their relation to gender, age, and dental status. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99:479-84.
  • Musa I, KnezoviE-Zlataric D, Celebic A, Bosnjak A. The Influence of Gender and Age on the Values of Linear Radiomorphometric Indices Measured on the Lower Border of the Mandible. Acta Stomat Croat 2002; 36: 199-202.
  • Gulsahi A, Yuzugullu B, Imirzalıoglu P and Genc Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol 2008; 37: 288-92.
  • Jowitt N, MacFarlane T, Devlin H, Klemetti E and Horner K. The reproducibility of the mandibular cortical index. Dentomaxillofac Radiol 1999; 28: 141- 44.
  • 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; 16:999-1003.
  • Leite AF, de Souza Figueiredo PT, Guia CM, Melo NS, de Paula AP. Correlations between seven panoramic radiomorphometric indices and bone mineral density in postmenopausal women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109:449-56.
  • Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. Dentomaxillofac Radiol 2010;39:290- 4.
  • Damilakis J and Vlasiadis Have panoramic indices the power to identify women with low BMD at the axial skeleton? Physica Medica 2011; 27(1): 39-43.
  • Vla iadis KZ, Skouteris CA, Velegrakis GA, Fragouli I, Neratzoulakis. JM, Damilakis J, Koumantakis EE. Mandibular radiomorphometric measurements as indicators of possible osteoporosis in postmenopausal women. Maturitas 2007; 58,(3):226–235.
  • 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: 774 – 9.
  • Taguchi A, Tanimoto K, Suei Y, Wada T. Tooth loss and mandibular osteopenia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79:127-32.
There are 33 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Sumona Pal

Sunita Amrutesh

Publication Date November 1, 2013
Submission Date December 25, 2012
Published in Issue Year 2013Volume: 16 Issue: 4

Cite

EndNote Pal S, Amrutesh S (November 1, 2013) Evaluation of panoramic radiomorphometric indices in Indian population. Cumhuriyet Dental Journal 16 4 273–281.

Cited By

Reference values of Orthopantomographic indices for early detection of low bone mineral density in Indian population
Journal of Oral Biology and Craniofacial Research
https://doi.org/10.1016/j.jobcr.2022.12.009

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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