Comparison of mandibular radiomorphometric indices on digital panoramic radiography and cone-beam computed tomography images in terms of osteoporosis risk detection

Authors

  • Hilal Peker Ozturk University of Health Sciences, Faculty of Gulhane Dentistry, Department of Dentomaxillofacial Radiology, Ankara, Turkey.
  • Bugra Senel University of Health Sciences, Faculty of Gulhane Dentistry, Department of Dentomaxillofacial Radiology, Ankara, Turkey.
  • Ismail Hakan Avsever University of Health Sciences, Faculty of Gulhane Dentistry, Department of Dentomaxillofacial Radiology, Ankara, Turkey
  • Aydin Ozkan University of Health Sciences, Faculty of Gulhane Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
  • Tuncer Ozen Tuncer ÖZEN Dental Clinic, Çankaya, Ankara, Turkey
  • Orhan Gulen Dentistomo Dental Imaging Center, Çankaya, Ankara, Turkey

DOI:

https://doi.org/10.5281/zenodo.7528103

Keywords:

cone beam computerized tomography, osteoporosis, panoramic radiography

Abstract

Aim:  The aim of this study was to compare the assessment of mental index, mandibular cortical index and bone quality index on digital panoramic radiography and cone-beam computed tomography.

Materials and Methods: Digital-panoramic-radiography and cone-beam-computerized-tomography images of 113 dental-patients who aged more than 45 years without systemic diseases were evaluated. The patients were divided into two groups according to mental-index (which was measured on panoramic-radiography) value set by £3 mm; the patients with osteoporosis risk and without. Mental-index was performed on both side(left-right), and the average value of two measurements was calculated. Mental-index, computerized-tomography-mental-index, mandibular-cortical-index, computerized-tomography-cortical-index and bone-quality-index were measured on digital-panoramic-radiography and cone-beam-computerized-tomography by two observers. Descriptive and logistic regression statistics were performed; p<0.05 was considered significant.

Results:  The results of both methods were consistent with each other. For observers there were statistically significant differences between the osteoporotic risk-groups and the normal-groups for computerized-tomography-mental-index (p<0.001), mandibular-cortical-index/computerized-tomography-cortical-index, bone-quality-index. According to first and second observers’ measurements the optimum threshold value of computerized-tomography-mental-index was found respectively 3.01mm and 3.03mm for the risk of osteoporosis. The correlation(weighted-kappa-test) between mandibular-cortical-index and computerized-tomography-cortical-index values for observers’ evaluations respectively (1st and 2nd observer) was moderate and high. The frequency distributions of 1,2,3 classes were found significantly different(p<0.05) in both individuals with(osteoporotic) and without(healthy) risk of osteoporosis for bone-quality-index values ​​in both digital-panoramic-radiography and cone-beam-computerized-tomography images.

Conclusions: cone-beam-computerized-tomography images can be used to assess the osteoporosis. By determining a threshold value in cone-beam-computerized-tomography, awareness of the patient can be raised by the dentist according to the status of these values, which can be easily measured on the image.

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Published

2023-01-12

How to Cite

Peker Ozturk, H., Senel, B., Avsever, I. H., Ozkan, A., Ozen, T., & Gulen, O. (2023). Comparison of mandibular radiomorphometric indices on digital panoramic radiography and cone-beam computed tomography images in terms of osteoporosis risk detection. Journal of Social and Analytical Health, 3(1), 18–25. https://doi.org/10.5281/zenodo.7528103