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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(02): 255-261
DOI: 10.1055/s-0042-1751009
Original Article

Panoramic Indices: An Aid to Early Detection of Patients with Low Bone Mineral Density

Bheemappa F. Bangeennavar
1   Department of Oral and Maxillofacial Surgery, PMNM Dental College and Hospital, Bagalkot, Karnataka, India
,
Md. Kalim Ullah
2   Department of Dentistry, Tezpur Medical College and Hospital, Tezpur, Assam, India
,
Kajal V. Gokak
3   Department of Oral Medicine and Radiology, The KLE Academy of Higher Education and Research, KLE V.K. Institute of Dental Sciences and Hospital, Belgaum, Karnataka, India
,
Hina Ahmed
4   Department of Conservative Dental Sciences, Ibn Sina National College for Medical Studies, Jeddah, Kingdom of Saudi Arabia
,
Ashish D. Meshram
5   Department of Prosthodontics and Crown and Bridge, Mahatma Gandhi Vidyamandir's Karmaveer Bhausaheb Hiray Dental College and Hospital (MGV KBH Dental College and Hospital), Nashik, Maharashtra, India
,
Bellamkonda Pavani
6   Department of Public Health Dentistry, Sathyabama Dental College and Hospital, Chennai, Tamil Nadu, India
,
Irfan Hassan
7   Department of Maxillofacial Surgery and Rehabilitation, Oral and Maxillofacial Surgery Section, Dentistry Administration, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
,
Syed Sirajul Hassan
7   Department of Maxillofacial Surgery and Rehabilitation, Oral and Maxillofacial Surgery Section, Dentistry Administration, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
› Author Affiliations Funding None.
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Abstract

Objective An early identification of patients who are at an obvious increased risk of osteoporosis and subsequent high risk of pathological bone fractures is important to prevent morbidity and its subsequent impact on the quality of life of the affected patients. Dental professionals have a chance of identifying such cases in their very initial stages through routinely prescribed dental radiographs. The aim of this study was to assess the influence of gender and age on different parameters of alveolar bone loss using orthopantomograph (OPG) as an aid to identify patients with low bone mineral density (BMD).

Materials and Methods This study included eighty subjects in whom after taking OPGs, mandibular cortical index (MCI), mandibular cortical width (MCW), and panoramic mandibular index were assessed, while the results obtained were subjected to statistical analysis. One-way analysis of variance followed by Tukey's test was used to compare the means, while p-value less than 0.05 was considered statistically significant.

Results The findings of this study revealed a significant association between MCI and age for females, with C2 and C3 categories being more common with advancing age. Also, a significant difference could be seen in relation to gender (p-value = 0.0315) for MCW with a concomitant decrease in the values of MCW in females over 60 years of age.

Conclusion Panoramic radiographic measurements could provide valuable information and help in screening patients with low BMD.

Keywords

panoramic radiography - bone mineral density - osteoporosis


Publication History

Article published online:
24 August 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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