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Teşhis mi şans mı? Panoramik radyografda iki genç kadın hastanın osteoporoz teşhisi (olgu raporu)

Year 2005, Volume: 12 Issue: 3, 49 - 51, 09.04.2009

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Eylül; 12(3)








Teşhis mi şans mı? Panoramik radyografda iki genç kadın hastanın osteoporoz teşhisi (olgu raporu)



H. Hüseyin Yılmaz, M. Numan Tamer , Mustafa Yıldız, Ülkem Aydın, Derya Yıldırım



Özet

Osteoporoz; kemik mineral yoğunluğunun azalması nedeniyle, klinik olarak genellikle küçük travmalarla kemiklerde kolayca kırık oluşmasına yol açan, morbidite-mortalitesi yüksek, tedavisi pahalı olan bir metabolik kemik hastalığıdır. Bu çalışmada 26 ve 27 yaşlarındaki iki kadın hastadan alınan panoramik radyograflarda osteoporozun erken belirtileri (inferior ve angular mandibular kortekste incelme, trabeküler yapıda değişiklik) gözlenerek, kemik mineral yoğunluğu ve içeriği ölçümleri istendi. Alınan sonuçlar osteoporozu desteklemekteydi. Sonuç olarak, bu iki olguda panoramik radyografların osteoporoz tanısında yararlı

olabileceği ve genç yaştaki insanlarda bile erken tanıya yardımcı olabileceği gösterilmiştir. Ayrıca bu iki olgu göstermiştir ki dişhekimleri hastalarını osteoporozün erken teşhisi, korunması ve tedavisi yönünde harekete geçirebilecek çok hassas bir noktada bulunmaktadırlar.



Anahtar kelimeler: Osteoporoz, Panoramik Radyografi, Mandibular Korteks



Abstract



Is it diagnosıs or chance? Diagnosıs of osteoporosis on panoramic radiographs of two young women

(case report)

Osteoporosis is a metabolic bone disease that has a high morbidity-mortality rate and requires expensive treatment. The clinical diagnosis of this disease is fractures with minor trauma in bones due to a reduction in bone mineral density. Early indicators of osteoporosis (thinning in inferior and angular mandibular cortex, changes in the trabecular architecture) were determined on panoramic radiographs of 26 and 27 years old female patients. Analyses of bone mineral density and bone mineral content were performed. The results were in concordance with osteoporosis. It is concluded that panoramic radiographs may be useful in early diagnosis of osteoporosis even in younger patients. Besides, these two cases revealed that dentists can play an important role in early diagnosis, prevention and treatment of osteoporosis in patients.



Key words: Osteoporosis, Panoramic Radiography, Mandibular Cortex

References

  • Yýlmaz C. Osteoporozun patogenezi, Güncel bilgiler ýþýðýnda tüm yönleriyle osteoporoz. Eczacýbaþý ve Rhöne-Poulenc Bilimsel Kitabevi, Ankara 1997;30- 50.
  • Mohammed AR, Alder M, Mcnally MA. A pilot study of panoramic film density at selected sites in the mandible to predict osteoporosis. Int J Prosthod 1996;(9): 290-94.
  • Arasýl T. Osteoporoza giriþ ve taným, Osteoporoz. Merck Sharp and Dohme, Ankara 1997;5-10.
  • Hildebolt CF. Osteoporosis and oral bone loss. Dentomaxillofac Radiol 1997; 26:3-15.
  • White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol 1999; 88:628-35.
  • Goaz PM, White SC. Osteoporosis, Oral radiology principles and interpretation. 3. ed Mosby-Year Book, St Louis, USA 1994.
  • Kribbs PJ, Chesnut CH, Ott SM, Kilcoyne RF. Relationships between mandibular and skeletal bone in an osteoporotic population. J Prosthet Dent 1989; 62:703-7.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 1994; 102:68-72.
  • Yýlmaz HH, Akgünlü F. Panoramik radyograflarda osteoporozun erken belirtileri. SÜ Diþhek Dergisi 2002; 12:150-154.
  • Horner K, Devlin H. The relationships between two indices of mandibular bone quality and bone mineral density measured by dual energy x-ray absorptiometry. Dentomaxillofac Radiol 1998; 27:17-21.
  • Horner K, Devlin H. The relationship between mandibular bone mineral density and panoramic radiographic measurements. J Dent 1998; 26:337–43.
  • Zlataric DK, Celebic A, Kobler P. Relationship between body mass index and local quality of mandibular bone structure in elderly individuals. J Gerontol A Biol Sci Med Sci 2002; 57:588–93.
  • Zlataric DK, Celebic A. Clinical bone densitometric evaluation of the mandible in removable denture wearers dependent on the morphology of the mandibular cortex. J Prosthet Dent 2003; 90:86–91.
  • Klemetti E, Kolmakov S. Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality. Dentomaxillofac Radiol 1997; 26:22–5.
  • 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. Osteoporos Int 2003; 14:659–64.
  • 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; 25:263–7.
  • Taguchi A, Sanada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, et al. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res 2003; 18:1689–94.
  • Bollen A-M, Taguchi A, Hujoel PP, Hollender LG. Case-control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol 2000; 90:518–24.
  • Persson RE, Hollender LG, Powell LV, MacEntee MI, Wyatt CC, Kiyak HA, et al. Assessment of periodontal conditions and systemic disease in older subjects. I. Focus on osteoporosis. J Clin Periodontol 2002; 29:796–802.
  • Taguchi A, Suei Y, Sanada M, Higashi Y, Ohtsuka M, Nakamoto T, et al. Detection of vascular disease risk in women by panoramic radiography. J Dent Res 2003;82:838–43.
Year 2005, Volume: 12 Issue: 3, 49 - 51, 09.04.2009

Abstract

References

  • Yýlmaz C. Osteoporozun patogenezi, Güncel bilgiler ýþýðýnda tüm yönleriyle osteoporoz. Eczacýbaþý ve Rhöne-Poulenc Bilimsel Kitabevi, Ankara 1997;30- 50.
  • Mohammed AR, Alder M, Mcnally MA. A pilot study of panoramic film density at selected sites in the mandible to predict osteoporosis. Int J Prosthod 1996;(9): 290-94.
  • Arasýl T. Osteoporoza giriþ ve taným, Osteoporoz. Merck Sharp and Dohme, Ankara 1997;5-10.
  • Hildebolt CF. Osteoporosis and oral bone loss. Dentomaxillofac Radiol 1997; 26:3-15.
  • White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol 1999; 88:628-35.
  • Goaz PM, White SC. Osteoporosis, Oral radiology principles and interpretation. 3. ed Mosby-Year Book, St Louis, USA 1994.
  • Kribbs PJ, Chesnut CH, Ott SM, Kilcoyne RF. Relationships between mandibular and skeletal bone in an osteoporotic population. J Prosthet Dent 1989; 62:703-7.
  • Klemetti E, Kolmakov S, Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 1994; 102:68-72.
  • Yýlmaz HH, Akgünlü F. Panoramik radyograflarda osteoporozun erken belirtileri. SÜ Diþhek Dergisi 2002; 12:150-154.
  • Horner K, Devlin H. The relationships between two indices of mandibular bone quality and bone mineral density measured by dual energy x-ray absorptiometry. Dentomaxillofac Radiol 1998; 27:17-21.
  • Horner K, Devlin H. The relationship between mandibular bone mineral density and panoramic radiographic measurements. J Dent 1998; 26:337–43.
  • Zlataric DK, Celebic A, Kobler P. Relationship between body mass index and local quality of mandibular bone structure in elderly individuals. J Gerontol A Biol Sci Med Sci 2002; 57:588–93.
  • Zlataric DK, Celebic A. Clinical bone densitometric evaluation of the mandible in removable denture wearers dependent on the morphology of the mandibular cortex. J Prosthet Dent 2003; 90:86–91.
  • Klemetti E, Kolmakov S. Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality. Dentomaxillofac Radiol 1997; 26:22–5.
  • 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. Osteoporos Int 2003; 14:659–64.
  • 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; 25:263–7.
  • Taguchi A, Sanada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, et al. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res 2003; 18:1689–94.
  • Bollen A-M, Taguchi A, Hujoel PP, Hollender LG. Case-control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol 2000; 90:518–24.
  • Persson RE, Hollender LG, Powell LV, MacEntee MI, Wyatt CC, Kiyak HA, et al. Assessment of periodontal conditions and systemic disease in older subjects. I. Focus on osteoporosis. J Clin Periodontol 2002; 29:796–802.
  • Taguchi A, Suei Y, Sanada M, Higashi Y, Ohtsuka M, Nakamoto T, et al. Detection of vascular disease risk in women by panoramic radiography. J Dent Res 2003;82:838–43.
There are 20 citations in total.

Details

Primary Language English
Journal Section Olgu Sunumları
Authors

H.hüseyin Yılmaz This is me

M.numan Tamer This is me

Mustafa Yıldız This is me

Ülkem Aydın This is me

Derya Yıldırım This is me

Publication Date April 9, 2009
Submission Date April 9, 2009
Published in Issue Year 2005 Volume: 12 Issue: 3

Cite

Vancouver Yılmaz H, Tamer M, Yıldız M, Aydın Ü, Yıldırım D. Teşhis mi şans mı? Panoramik radyografda iki genç kadın hastanın osteoporoz teşhisi (olgu raporu). Med J SDU. 2009;12(3):49-51.

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