COMPARISON OF RADIOMORPOMETRIC INDEX MEASUREMENTS IN THE MANDIBLE OF COMPLETELY EDENTULOUS ELDERLY AND MIDDLE-AGED INDIVIDUALS

Year 2022, Volume: 3 Issue: 3, 147 - 156, 30.09.2022

İlknur Eninanç , Tuğba Hergüner

https://doi.org/10.51972/tfsd.1095180

Abstract

Objective: The present retrospective research aims to investigate the effect of sex and age on radiomorphometric indices that enable the evaluation of changes in the mandible in elderly and middle-aged edentulous individuals.
Materials-Methods: One hundred twenty-eight edentulous individuals (64 females, 64 males) aged 45-54, 55-64, 65-74, and 75-84 years were divided into four age groups. The mental index (MI), panoramic mandibular index (PMI), mandibular cortical index (MCI), and alveolar ridge resorption degree in the premolar regions (M/M ratio) of these individuals were assessed with regard to age and sex on panoramic radiographs.
Results: A significant increase was detected in the MCI class with increasing age (p<0.05). The MI, PMI, and M/M ratio were not affected by age (p>0.05). MI and PMI values in middle-aged and elderly individuals were affected by sex, and these values were found to be lower in females (p<0.05). No significant relationship was revealed between the M/M ratio and sex (p>0.05). It was observed that the MCI class was lower in females in the 45-54 age group (p<0.05).
Conclusion: Statistically significant relationships were defined in radiomorphometric index measurements (MI, PMI, M/M ratio, MCI) in elderly and middle-aged edentulous individuals depending on age and sex. The MI and PMI are affected by sex, and MCI by age. As age progresses, the mandibular cortex structure in females becomes more erosive. Changes in mandibular cortex morphology on panoramic radiographs of elderly individuals may be the effect of increased MCI class osteoporosis.

Keywords

elderly individuals, mandibular cortical index, mental index, panoramic mandibular index, radiomorphometric index

Supporting Institution

yok

Thanks

Acknowledgments The authors thank Dr. Ziynet Çınar for statistical advice.

References

• REFERENCESReferans1-Bathla, S., Srivastava, S., Sharma, R. et al. (2018). Panoramic mandibular index: Effect of age and gender related variations in the North-Indian population. International Journal of Medical and Dental Sciences, 4(2), 765-774.
• Referans2-Benson, B. W., Prihoda, T. J., Glass, B. J. (1991). Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surgery, Oral Medicine, Oral Pathology, 71(3), 349-356.
• Referans3-Bianchi, A., Sanfilippo, F. (2002). Osteoporosis: the effect on mandibular bone resorption and therapeutic possibilities by means of implant prostheses. Int J Periodontics Restorative Dent, 22, 231-239.
• Referans4-Bodade, P. R., Mody, R. N. (2013). Panoramic radiography for screening postmenopausal osteoporosis in India: a pilot study. Oral health and dental management, 12(2), 65-72.
• Referans5-Devlin, H., Ferguson, M. (1991). Alveolar ridge resorption and mandibular atrophy. A review of the role of local and systemic factors. British dental journal, 170(3), 101-104.
• Referans6-Devlin, H., Horner, K. (2002). Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporosis international, 13(5), 373-378.
• Referans7-Devlin, H., Horner, K. (2007).A study to assess the relative influence of age and edentulousness upon mandibular bone mineral density in female subjects. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 104(1), 117-121.
• Referans8-Devlin, H., Karayianni, K., Mitsea, A. et al. (2007). Diagnosing osteoporosis by using dental panoramic radiographs: the OSTEODENT project. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 104(6), 821-828.
• Referans9-Dutra, V., Devlin, H., Susin, C. et al. (2006). Mandibular morphological changes in low bone mass edentulous females: evaluation of panoramic radiographs. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 102(5), 663-668.
• Referans10-Dutra, V., Yang, J., Devlin, H. et al. (2005). Radiomorphometric indices and their relation to gender, age, and dental status. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 99(4), 479-484.
• Referans11-Dölekoğlu, S., Gürsoy, H., Özkurt, Z. et al. (2015). Total Diş Eksikliği Olan Hastaların Panoramik Mandibular İndeks İle Değerlendirilmesi [Evaluation of Completely Edentulous Patients with the Panoramic Mandibular Index]. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 25(3), 0-0.
• Referans12-Greenwood, C., Clement, J., Dicken, A. et al. (2018). Age-related changes in femoral head trabecular microarchitecture. Aging and disease, 9(6), 976-987.
• Referans13-Gulsahi, A., Özden, Ş., Ilker Cebeci, A. et al. (2009). The relationship between panoramiv radiomorphometric indices and the femoral bone mineral density of edentulous patients. Oral Radiology, 25(1), 47-52.
• Referans14-Gulsahi, A., Yuzugullu, B., Imirzalıoglu, P. et al. (2008). Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofacial radiology, 37(5), 288-292.
• Referans15-Gulsahi A. (2015). Osteoporosis and jawbones in women. Journal of International Society of Preventive & Community Dentistry, 5(4), 263-267.
• Referans16-Hastar, E., Yilmaz, H. H., Orhan, H. (2011). Evaluation of mental index, mandibular cortical index and panoramic mandibular index on dental panoramic radiographs in the elderly. European journal of dentistry, 5(01), 60-67.
• Referans17-Heersche, JN., Bellows, CG., Ishida, Y. (1998). The decrease in bone mass associated with aging and menopause. The Journal of prosthetic dentistry, 79(1), 14-16.
• Referans18-Horner, K., Devlin, H. (1998). The relationship between mandibular bone mineral density and panoramic radiographic measurements. Journal of dentistry, 26(4), 337-343.
• Referans19-Klemetti, E., Kolmakov, S., Heiskanen, P. et al. (1993). Panoramic mandibular index and bone mineral densities in postmenopausal women. Oral Surgery, Oral Medicine, Oral Pathology, 75(6), 774-779.
• Referans20-Klemetti, E., Kolmakov, S., Kröger, H. (1994). Pantomography in assessment of the osteoporosis risk group. European Journal of Oral Sciences, 102(1), 68-72.
• Referans21-Ledgerton, D., Horner, K., Devlin, H. et al. (1997). Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofacial radiology, 26(2), 95-100.
• Referans22-Ledgerton, D., Horner, K., Devlin, H. et al. (1999). Radiomorphometric indices of the mandible in a British female population. Dentomaxillofacial radiology, 28(3), 173-181.
• Referans23-Martínez-Maestre, MÁ., Flores, JRC., Machuca, G. et al.(2013). Panoramic radiomorphometry and vertebral fractures in Spanish postmenopausal women. Maturitas, 76(4), 364-369.
• Referans24-Mercier, P. (1988). Ridge reconstruction with hydroxylapatite: Part 1. Anatomy of the residual ridge. Oral Surgery, Oral Medicine, Oral Pathology, 65(5), 505-510.
• Referans25-Moradi, M., Tofangchiha, M., Soltanmohammadi, E. et al. (2017). The influence of age, gender and dental status on the mandibular radiomorphometric and morphological indices. Annals of Dental Specialty, 5, 63-67.
• Referans26-Mostafa, R. A., El-Ashiry, M. K., Farid, M. M. (2011). Effect of age, sex, and dental status on mental and panoramic mandibular indices of the mandible: a retrospective study. Egyptian Journal of Oral and Maxillofacial Surgery, 2(1), 22-26.
• Referans27-Nemati, S., Kajan, ZD., Saberi, BV. et al. (2016). Diagnostic value of panoramic indices to predict osteoporosis and osteopenia in postmenopausal women. Journal of Oral and Maxillofacial Radiology, 4(2), 23-30.
• Referans28-Okabe, S., Morimoto, Y., Ansai, T. et al. (2008). Assessment of the relationship between the mandibular cortex on panoramic radiographs and the risk of bone fracture and vascular disease in 80-year-olds. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106(3), 433-442.
• Referans29-Papamanthos, M., Varitimidis, S., Dailiana, Z. et al. (2014). Computer-assisted evaluation of Mandibular Cortical Width (MCW) index as an indicator of osteoporosis. Hippokratia, 18(3), 251-257.
• Referans30-Von Wowern, N. (1986). Bone mass of mandibles. In vitro and in vivo analyses. Danish medical bulletin, 33(1), 23-44.
• Referans31-Yüzügüllü, B., Gulsahi, A., Imirzalioglu, P. (2009). Radiomorphometric indices and their relation to alveolar bone loss in completely edentulous Turkish patients: a retrospective study. The Journal of prosthetic dentistry, 101(3), 160-165.