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The efficiency of dental volumetric tomography-derived radiomorphometric indices for diagnosing osteoporosis

Year 2021, , 350 - 354, 01.09.2021
https://doi.org/10.53394/akd.979352

Abstract

Objective:The aim of the present study was to assess the efficiency of dental volumetric tomography (DVT) radiomorphometric indices to detect osteoporosis in post-menopausal females, compare them with the osteopenic and normal groups and to assess the correlations of the DVT findings with the bone mineral density values measured by dual X-ray absorptiometry (DEXA).
Methods:This study consisted of 120 post-menopausal females, with age ranging from 48 to 67 years. Based on their DEXA results, they were classified into osteoporotic, osteopenic and normal groups. Dental volumetric tomographical radiomorphometric indices were measured and compared with dual energy x-ray absorptiometry parameters of the patients.
Results:Dental volumetric cortical thickness (DVT-CT) displayed significant differences between the groups and decreased in osteoporotic individuals. The mean values of dental volumetric tomographic mandibular index superior (DVT-MIS) and dental volumetric tomographic mandibular index inferior (DVT-MII) for osteoporosis group was significantly lower than osteopenic and normal groups. In both normal and osteopenic patient groups, there were significant correlations between the spine t score and DVT-MIS (p<0.05). Osteoporotic patient group displayed statistically significant relationship between spine t score and DVT-CT.
Conclusion:DVT-CT parameter which was found to be associated with the spine DEXA measurements, can be used to diagnose osteoporotic patients. Dental volumetric tomography can help clinicians as a useful tool to evaluate osteoporotic patients.

References

  • 1- Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL et al. Prevalance of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res 1997;12(11):1761-68.
  • 2- Beikler T, Flemmig. TF Implants in the medically compromised patient. Crit Rev Oral Biol Med 2003;14(4):305-16.
  • 3- Adams J.E. Dual-energy X-ray absorptiometry Grampp S. (Ed.), Radiology of Osteoporosis, Berlin, Heidelberg, Springer, 2013:87-100.
  • 4- Winzenberg T, Jones G. Dual energy X-ray absorptiometry. Austral Fam Physician 2011;40:43-4.
  • 5- World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO study group World Health Organ Tech Rep Ser, 1994:1-129.
  • 6- Maghraoui A. El, Roux C. DXA scanning in clinical practice Quart J Med 2008;101:605-17.
  • 7- Gaia BF, Sales MAO, Perrella A, Fenyo-Pereira M, Cavalcanti MGP. Comparison between cone-beam and multislice computed tomography for identification of simulated bone lesions. Braz Oral Res 2011;25(4):362-8.
  • 8- Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Investig 2006;10(1):1-7.
  • 9- Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72(1):75-80.
  • 10- Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool An assessment of precision. Dentomaxillofac Radiol 1997;26(2):95-100.
  • 11- Koh KJ, Kim KA. Utility of the computed tomography indices on cone beam computed tomography images in the diagnosis of osteoporosis in women. Imaging Science in Dentistry 2011;41:101-6.
  • 12- Yoo S, Yin FF. Dosimetric feasibility of cone-beam CT-based treatment planning compared to CT-based treatment planning. Int J Radiat Oncol Biol Phys 2006;66(5):1553-61.
  • 13- Lindh C, Petersson A, Klinge B, Nilsson M. Trabecular bone volume and bone mineral density in the mandible. Dentomaxillofac Radiol 1997;26:101-6.
  • 14- Pouilles JM, Tremollieres F, Todorovsky N, Ribot C. Precision and sensitivity of dual-energy x-ray absorptiometry in spinal osteoporosis. J Bone Miner Res 1991;6:997-1002.
  • 15- 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.
  • 16- Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 1994;102:68-72.
  • 17- Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999;28:173-81.
  • 18- Wical KE, Swoope CC. Studies of residual ridge resorption I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent 1974;32(1):7-12.
  • 19- Ishii K, Taguchi A, Nakamoto T, Ohtsuka M, Sutthiprapaporn P, Tsuda M. Diagnostic efficacy of alveolar bone loss of the mandible for identifying postmenopausal women with femoral osteoporosis. Dentomaxillofac Radiol 2007;36:28-33.
  • 20- Kayipmaz S, Akçay S, Sezgin ÖS. Osteoporotic mandibular changes caused by type 2 diabetes mellitus: a comparative study by cone beam computed tomography imaging. Oral Radiol 2017;33(2):108-16.
  • 21- Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M et al. Relationship between density variability and imaging volume size in cone-beam computerized tomographic scanning of the maxillofacial region: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(3):420-5.
  • 22- Kato CN, Tavares NPK, Barra SG, Amaral TMP, Brasileiro CB, Abreu LG, et al. Digital panoramic radiography and cone-beam CT as ancillary tools to detect low bone mineral density in post-menopausal women. Dentomaxillofac Radiol 2019;48:20180254.

Osteoporoz Teşhisinde Dental Volümetrik Tomografiden Üretilen Radyomorfometrik İndekslerin Etkinliği

Year 2021, , 350 - 354, 01.09.2021
https://doi.org/10.53394/akd.979352

Abstract

Giriş/Amaç:Bu çalışmanın amacı post-menapozal hastalarda osteoporozu saptamak için dental volumetrik tomografi (DVT) radyomorfometrik indekslerinin etkinliğini saptamak, bunları osteopenik ve normal gruplarla karşılaştırmak ve çift enerjili X-ışını absorpsiyometrisi (DEXA) ile ölçülen kemik mineral yoğunluğu değerleri ile DVT bulgularının korelasyonlarını değerlendirmektir.
Gereç ve Yöntemler:Bu çalışmaya, yaşları 48- 67 arasında değişen 120 post-menopozal hasta dahil edildi. Çalışma grubu DEXA sonuçlarına göre osteoporotik, osteopenik ve normal olarak sınıflandırıldı. Dental volumetrik tomografik radyomorfometrik indeksler ölçüldü ve hastaların çift enerjili X-ışını absorpsiyometri parametreleri ile karşılaştırıldı.
Bulgular:Dental volumetrik kortikal kalınlık (DVT-KK) gruplar arasında önemli farklılıklar gösterdi ve osteoporotik bireylerde azaldı. Osteoporoz grubunda dental volümetrik tomografik mandibular indeks superior (DVT-MIS) ve dental volümetrik tomografik mandibular indeks inferior (DVT-MII) ortalama değerleri, osteopenik ve normal gruplara göre anlamlı olarak düşüktü. Hem normal hem de osteopenik grupta, omurga t skoru ile DVT-MIS arasında anlamlı korelasyon vardı (p <0.05). Osteoporotik hasta grubu, omurga t skoru ile DVT-KK arasında istatistiksel olarak anlamlı ilişki gösterdi.
Sonuç:Omurga DEXA ölçümleri ile ilişkili olduğu bulunan DVT-KK parametresi, osteoporotik hastaları teşhis etmek için kullanılabilir. Dental volümetrik tomografi, klinisyenlere osteoporotik hastaları değerlendirmek için yararlı bir araç olarak yardımcı olabilir.

References

  • 1- Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL et al. Prevalance of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res 1997;12(11):1761-68.
  • 2- Beikler T, Flemmig. TF Implants in the medically compromised patient. Crit Rev Oral Biol Med 2003;14(4):305-16.
  • 3- Adams J.E. Dual-energy X-ray absorptiometry Grampp S. (Ed.), Radiology of Osteoporosis, Berlin, Heidelberg, Springer, 2013:87-100.
  • 4- Winzenberg T, Jones G. Dual energy X-ray absorptiometry. Austral Fam Physician 2011;40:43-4.
  • 5- World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO study group World Health Organ Tech Rep Ser, 1994:1-129.
  • 6- Maghraoui A. El, Roux C. DXA scanning in clinical practice Quart J Med 2008;101:605-17.
  • 7- Gaia BF, Sales MAO, Perrella A, Fenyo-Pereira M, Cavalcanti MGP. Comparison between cone-beam and multislice computed tomography for identification of simulated bone lesions. Braz Oral Res 2011;25(4):362-8.
  • 8- Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Investig 2006;10(1):1-7.
  • 9- Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72(1):75-80.
  • 10- Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool An assessment of precision. Dentomaxillofac Radiol 1997;26(2):95-100.
  • 11- Koh KJ, Kim KA. Utility of the computed tomography indices on cone beam computed tomography images in the diagnosis of osteoporosis in women. Imaging Science in Dentistry 2011;41:101-6.
  • 12- Yoo S, Yin FF. Dosimetric feasibility of cone-beam CT-based treatment planning compared to CT-based treatment planning. Int J Radiat Oncol Biol Phys 2006;66(5):1553-61.
  • 13- Lindh C, Petersson A, Klinge B, Nilsson M. Trabecular bone volume and bone mineral density in the mandible. Dentomaxillofac Radiol 1997;26:101-6.
  • 14- Pouilles JM, Tremollieres F, Todorovsky N, Ribot C. Precision and sensitivity of dual-energy x-ray absorptiometry in spinal osteoporosis. J Bone Miner Res 1991;6:997-1002.
  • 15- 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.
  • 16- Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 1994;102:68-72.
  • 17- Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol 1999;28:173-81.
  • 18- Wical KE, Swoope CC. Studies of residual ridge resorption I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent 1974;32(1):7-12.
  • 19- Ishii K, Taguchi A, Nakamoto T, Ohtsuka M, Sutthiprapaporn P, Tsuda M. Diagnostic efficacy of alveolar bone loss of the mandible for identifying postmenopausal women with femoral osteoporosis. Dentomaxillofac Radiol 2007;36:28-33.
  • 20- Kayipmaz S, Akçay S, Sezgin ÖS. Osteoporotic mandibular changes caused by type 2 diabetes mellitus: a comparative study by cone beam computed tomography imaging. Oral Radiol 2017;33(2):108-16.
  • 21- Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M et al. Relationship between density variability and imaging volume size in cone-beam computerized tomographic scanning of the maxillofacial region: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(3):420-5.
  • 22- Kato CN, Tavares NPK, Barra SG, Amaral TMP, Brasileiro CB, Abreu LG, et al. Digital panoramic radiography and cone-beam CT as ancillary tools to detect low bone mineral density in post-menopausal women. Dentomaxillofac Radiol 2019;48:20180254.
There are 22 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Burcu Evlice This is me 0000-0003-3384-0092

Ufuk Tatlı This is me 0000-0003-1580-9980

Tunay Sarpel This is me 0000-0002-6519-9757

Haluk Öztunç This is me 0000-0001-8321-1599

Publication Date September 1, 2021
Submission Date November 11, 2020
Published in Issue Year 2021

Cite

APA Evlice, B., Tatlı, U., Sarpel, T., Öztunç, H. (2021). The efficiency of dental volumetric tomography-derived radiomorphometric indices for diagnosing osteoporosis. Akdeniz Tıp Dergisi, 7(3), 350-354. https://doi.org/10.53394/akd.979352