Abstract :
Background: Osteoporosis is a pandemic, chronic, silent skeletal condition that can cause bone fractures and possibly disability if left untreated. In clinical practice, it frequently goes unnoticed until a fracture develops. Therefore, the study aims to evaluate visually the diagnostic efficacy of panoramic-based mandibular cortex index and trabecular patterns in aged women.
Materials and Methods: Archival Panoramic radiographs of 800 aged women were examined and narrowed to controls (114) and study patients (116). Panoramic-based index i.e., mandibular cortical thickness, and trabecular patterns were visually evaluated.
Results: Dense homogeneous trabeculation and sparse trabeculation were found to be more sensitive and specific on the right side when evaluating Region of Interest 1, while Region of Interest 2 revealed sparse trabeculation. Mandibular Cortical Index in study patients revealed Osteoporotic MCI to be statistically significant when comparing the control. Overall, the control group had a statistically significantly higher Normal MCI (100%), Osteopenia MCI (76.5%), and dense homogeneous trabeculation (100%) score of the right mandibular cortex index than the study group.
Conclusion: Indicators from panoramic radiography may be helpful in triage screening procedures to detect osteoporosis.
Keyword :
Mandibular cortex index, Aged women, Osteoporosis, Panoramic radiography, Trabecular pattern.