Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women

Objective The purpose of this study was to determine whether digital panoramic radiographs could be used for the diagnosis of osteoporosis through evaluation of the radiographs based on the correlation with bone mineral density (BMD). Methods One hundred and ninety‐four post‐menopausal women were se...

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Veröffentlicht in:Gerodontology 2016-06, Vol.33 (2), p.185-192
Hauptverfasser: Kim, Ok-Su, Shin, Min-Ho, Song, In-Hwa, Lim, Il-Gu, Yoon, Suk-Ja, Kim, Ok-Joon, Lee, Young-Hoon, Kim, Young-Joon, Chung, Hyun-Ju
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container_end_page 192
container_issue 2
container_start_page 185
container_title Gerodontology
container_volume 33
creator Kim, Ok-Su
Shin, Min-Ho
Song, In-Hwa
Lim, Il-Gu
Yoon, Suk-Ja
Kim, Ok-Joon
Lee, Young-Hoon
Kim, Young-Joon
Chung, Hyun-Ju
description Objective The purpose of this study was to determine whether digital panoramic radiographs could be used for the diagnosis of osteoporosis through evaluation of the radiographs based on the correlation with bone mineral density (BMD). Methods One hundred and ninety‐four post‐menopausal women were selected from participants who had participated in the Dong‐gu study. Panoramic radiographic indices measured are mental index (MI), mandibular cortical index (MCI) and simple visual estimation (SVE). BMD at the lumbar spine and proximal femur was measured by dual‐energy X‐ray absorptiometry (DXA). The Pearson's correlation test was performed to analyse the correlation between MI and age and BMD at the lumbar spine, femoral neck and total hip. Multiple linear regression analysis was performed to analyse the association of MI, MCI and SVE with BMD after adjusting for age, height and weight. To determine the optimal cut‐off point of MI for the diagnosis of osteoporosis, the receiver operating characteristic analysis was performed. Results The MI was positively correlated with BMDs: lumbar spine: r = 0.36, femoral neck: r = 0.59 and total hip: r = 0.58 (p 
doi_str_mv 10.1111/ger.12134
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Methods One hundred and ninety‐four post‐menopausal women were selected from participants who had participated in the Dong‐gu study. Panoramic radiographic indices measured are mental index (MI), mandibular cortical index (MCI) and simple visual estimation (SVE). BMD at the lumbar spine and proximal femur was measured by dual‐energy X‐ray absorptiometry (DXA). The Pearson's correlation test was performed to analyse the correlation between MI and age and BMD at the lumbar spine, femoral neck and total hip. Multiple linear regression analysis was performed to analyse the association of MI, MCI and SVE with BMD after adjusting for age, height and weight. To determine the optimal cut‐off point of MI for the diagnosis of osteoporosis, the receiver operating characteristic analysis was performed. Results The MI was positively correlated with BMDs: lumbar spine: r = 0.36, femoral neck: r = 0.59 and total hip: r = 0.58 (p &lt; 0.001). As age increased, MI decreased (r = −0.46). BMD at the lumbar spine and total hip were significantly lower in participants with reduction of mandibular width, thinning and resorption of mandibular cortex by the MI, SVE and MCI, respectively. The optimal cut‐off value of MI for the diagnosis of spinal osteoporosis was 2.22 mm. Conclusion Thickness and morphological changes of mandibular inferior cortical bone are associated with BMD, independent of age, height and weight. These results suggest that MI, MCI and SVE may be useful indices for the diagnosis of osteoporosis in a Korean population.</description><identifier>ISSN: 0734-0664</identifier><identifier>EISSN: 1741-2358</identifier><identifier>DOI: 10.1111/ger.12134</identifier><identifier>PMID: 24913816</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Bone Density ; Dentistry ; Female ; Humans ; mandible ; Mandible - diagnostic imaging ; Mandible - pathology ; Middle Aged ; osteoporosis ; Osteoporosis, Postmenopausal - diagnostic imaging ; Osteoporosis, Postmenopausal - pathology ; panoramic ; radiography ; Radiography, Panoramic ; Republic of Korea</subject><ispartof>Gerodontology, 2016-06, Vol.33 (2), p.185-192</ispartof><rights>2014 John Wiley &amp; Sons A/S and The Gerodontology Association. Published by John Wiley &amp; Sons Ltd</rights><rights>2014 John Wiley &amp; Sons A/S and The Gerodontology Association. Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4294-f96136075169b902824fd7098f4fcc7a63d69e0d58b74b216972ddf175657d763</citedby><cites>FETCH-LOGICAL-c4294-f96136075169b902824fd7098f4fcc7a63d69e0d58b74b216972ddf175657d763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fger.12134$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fger.12134$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24913816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Ok-Su</creatorcontrib><creatorcontrib>Shin, Min-Ho</creatorcontrib><creatorcontrib>Song, In-Hwa</creatorcontrib><creatorcontrib>Lim, Il-Gu</creatorcontrib><creatorcontrib>Yoon, Suk-Ja</creatorcontrib><creatorcontrib>Kim, Ok-Joon</creatorcontrib><creatorcontrib>Lee, Young-Hoon</creatorcontrib><creatorcontrib>Kim, Young-Joon</creatorcontrib><creatorcontrib>Chung, Hyun-Ju</creatorcontrib><title>Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women</title><title>Gerodontology</title><addtitle>Gerodontology</addtitle><description>Objective The purpose of this study was to determine whether digital panoramic radiographs could be used for the diagnosis of osteoporosis through evaluation of the radiographs based on the correlation with bone mineral density (BMD). Methods One hundred and ninety‐four post‐menopausal women were selected from participants who had participated in the Dong‐gu study. Panoramic radiographic indices measured are mental index (MI), mandibular cortical index (MCI) and simple visual estimation (SVE). BMD at the lumbar spine and proximal femur was measured by dual‐energy X‐ray absorptiometry (DXA). The Pearson's correlation test was performed to analyse the correlation between MI and age and BMD at the lumbar spine, femoral neck and total hip. Multiple linear regression analysis was performed to analyse the association of MI, MCI and SVE with BMD after adjusting for age, height and weight. To determine the optimal cut‐off point of MI for the diagnosis of osteoporosis, the receiver operating characteristic analysis was performed. Results The MI was positively correlated with BMDs: lumbar spine: r = 0.36, femoral neck: r = 0.59 and total hip: r = 0.58 (p &lt; 0.001). As age increased, MI decreased (r = −0.46). BMD at the lumbar spine and total hip were significantly lower in participants with reduction of mandibular width, thinning and resorption of mandibular cortex by the MI, SVE and MCI, respectively. The optimal cut‐off value of MI for the diagnosis of spinal osteoporosis was 2.22 mm. Conclusion Thickness and morphological changes of mandibular inferior cortical bone are associated with BMD, independent of age, height and weight. These results suggest that MI, MCI and SVE may be useful indices for the diagnosis of osteoporosis in a Korean population.</description><subject>Aged</subject><subject>Bone Density</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>mandible</subject><subject>Mandible - diagnostic imaging</subject><subject>Mandible - pathology</subject><subject>Middle Aged</subject><subject>osteoporosis</subject><subject>Osteoporosis, Postmenopausal - diagnostic imaging</subject><subject>Osteoporosis, Postmenopausal - pathology</subject><subject>panoramic</subject><subject>radiography</subject><subject>Radiography, Panoramic</subject><subject>Republic of Korea</subject><issn>0734-0664</issn><issn>1741-2358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PwyAYgInR6Jwe_AOGox6qfBXao5lzGudnNB4JKzDRtlRYo_570U1vciEved4n4QFgD6MjnM7x3IQjTDBla2CABcMZoXmxDgZIUJYhztkW2I7xBSGSC0I3wRZhJaYF5gNgTt3cLVQNO9X6oBpXwaC08_OguucIVTCwj8b2NbQ-QO3UvPXRRegt9HFhfOfDz-xaeOmDUS3s0ntjWt-pPibvu0_DDtiwqo5md3UPwePZ-GF0nk1vJhejk2lWMVKyzJYcU45Ejnk5KxEpCLNaoLKwzFaVUJxqXhqk82Im2IwkShCtLRY5z4UWnA7BwdLbBf_Wm7iQjYuVqWvVGt9HiUWBc4YLTBJ6uESr9IEYjJVdcI0KnxIj-V1Vpqryp2pi91faftYY_Uf-ZkzA8RJ4d7X5_N8kJ-P7X2W23HCp4sffhgqvkgsqcvl0PZHTOza6u72i8pJ-AbstkMY</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Kim, Ok-Su</creator><creator>Shin, Min-Ho</creator><creator>Song, In-Hwa</creator><creator>Lim, Il-Gu</creator><creator>Yoon, Suk-Ja</creator><creator>Kim, Ok-Joon</creator><creator>Lee, Young-Hoon</creator><creator>Kim, Young-Joon</creator><creator>Chung, Hyun-Ju</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women</title><author>Kim, Ok-Su ; Shin, Min-Ho ; Song, In-Hwa ; Lim, Il-Gu ; Yoon, Suk-Ja ; Kim, Ok-Joon ; Lee, Young-Hoon ; Kim, Young-Joon ; Chung, Hyun-Ju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4294-f96136075169b902824fd7098f4fcc7a63d69e0d58b74b216972ddf175657d763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Bone Density</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>mandible</topic><topic>Mandible - diagnostic imaging</topic><topic>Mandible - pathology</topic><topic>Middle Aged</topic><topic>osteoporosis</topic><topic>Osteoporosis, Postmenopausal - diagnostic imaging</topic><topic>Osteoporosis, Postmenopausal - pathology</topic><topic>panoramic</topic><topic>radiography</topic><topic>Radiography, Panoramic</topic><topic>Republic of Korea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Ok-Su</creatorcontrib><creatorcontrib>Shin, Min-Ho</creatorcontrib><creatorcontrib>Song, In-Hwa</creatorcontrib><creatorcontrib>Lim, Il-Gu</creatorcontrib><creatorcontrib>Yoon, Suk-Ja</creatorcontrib><creatorcontrib>Kim, Ok-Joon</creatorcontrib><creatorcontrib>Lee, Young-Hoon</creatorcontrib><creatorcontrib>Kim, Young-Joon</creatorcontrib><creatorcontrib>Chung, Hyun-Ju</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gerodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Ok-Su</au><au>Shin, Min-Ho</au><au>Song, In-Hwa</au><au>Lim, Il-Gu</au><au>Yoon, Suk-Ja</au><au>Kim, Ok-Joon</au><au>Lee, Young-Hoon</au><au>Kim, Young-Joon</au><au>Chung, Hyun-Ju</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women</atitle><jtitle>Gerodontology</jtitle><addtitle>Gerodontology</addtitle><date>2016-06</date><risdate>2016</risdate><volume>33</volume><issue>2</issue><spage>185</spage><epage>192</epage><pages>185-192</pages><issn>0734-0664</issn><eissn>1741-2358</eissn><abstract>Objective The purpose of this study was to determine whether digital panoramic radiographs could be used for the diagnosis of osteoporosis through evaluation of the radiographs based on the correlation with bone mineral density (BMD). Methods One hundred and ninety‐four post‐menopausal women were selected from participants who had participated in the Dong‐gu study. Panoramic radiographic indices measured are mental index (MI), mandibular cortical index (MCI) and simple visual estimation (SVE). BMD at the lumbar spine and proximal femur was measured by dual‐energy X‐ray absorptiometry (DXA). The Pearson's correlation test was performed to analyse the correlation between MI and age and BMD at the lumbar spine, femoral neck and total hip. Multiple linear regression analysis was performed to analyse the association of MI, MCI and SVE with BMD after adjusting for age, height and weight. To determine the optimal cut‐off point of MI for the diagnosis of osteoporosis, the receiver operating characteristic analysis was performed. Results The MI was positively correlated with BMDs: lumbar spine: r = 0.36, femoral neck: r = 0.59 and total hip: r = 0.58 (p &lt; 0.001). As age increased, MI decreased (r = −0.46). BMD at the lumbar spine and total hip were significantly lower in participants with reduction of mandibular width, thinning and resorption of mandibular cortex by the MI, SVE and MCI, respectively. The optimal cut‐off value of MI for the diagnosis of spinal osteoporosis was 2.22 mm. Conclusion Thickness and morphological changes of mandibular inferior cortical bone are associated with BMD, independent of age, height and weight. These results suggest that MI, MCI and SVE may be useful indices for the diagnosis of osteoporosis in a Korean population.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24913816</pmid><doi>10.1111/ger.12134</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Bone Density
Dentistry
Female
Humans
mandible
Mandible - diagnostic imaging
Mandible - pathology
Middle Aged
osteoporosis
Osteoporosis, Postmenopausal - diagnostic imaging
Osteoporosis, Postmenopausal - pathology
panoramic
radiography
Radiography, Panoramic
Republic of Korea
title Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women
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