Case-control study on self-reported osteoporotic fractures and mandibular cortical bone
Identifieur interne : 008F84 ( Main/Exploration ); précédent : 008F83; suivant : 008F85Case-control study on self-reported osteoporotic fractures and mandibular cortical bone
Auteurs : Anne-Marie Bollen [États-Unis] ; Akira Taguchi [États-Unis] ; Philippe P. Hujoel [États-Unis] ; Lars G. Hollender [États-Unis]Source :
- Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology [ 1079-2104 ] ; 2000.
English descriptors
- KwdEn :
- Basal height, Bollen, Bone mineral density, Cortex, Cortical thickness, Foramen, Fracture, Fracture groups, Fracture history, Gonial angle, Hormone replacement therapy, Inferior border, Inferior edge, Lower border, Mandible, Mandibular, Mandibular cortex, Mental foramen, Morphologic condition, Normal cortex, Oral pathol, Oral surg, Oral surgery, Osteoporosis, Osteoporotic, Osteoporotic fracture, Osteoporotic fractures, Panoramic, Panoramic radiograph, Panoramic radiographs, Pathology october, Pathology volume, Prosthet dent, Radiograph, Radiographic, Radiographic exposure, Traumatic, Traumatic fracture history, Traumatic fractures.
- Teeft :
- Basal height, Bollen, Bone mineral density, Cortex, Cortical thickness, Foramen, Fracture, Fracture groups, Fracture history, Gonial angle, Hormone replacement therapy, Inferior border, Inferior edge, Lower border, Mandible, Mandibular, Mandibular cortex, Mental foramen, Morphologic condition, Normal cortex, Oral pathol, Oral surg, Oral surgery, Osteoporosis, Osteoporotic, Osteoporotic fracture, Osteoporotic fractures, Panoramic, Panoramic radiograph, Panoramic radiographs, Pathology october, Pathology volume, Prosthet dent, Radiograph, Radiographic, Radiographic exposure, Traumatic, Traumatic fracture history, Traumatic fractures.
Abstract
Abstract: Objectives. The purpose of this case-control study was to determine whether the radiographic appearance of the mandibular cortical bone in patients who were elderly and noninstitutionalized was related to a self-reported history of osteoporotic fractures. Study Design. Patients who had a billing statement at the School of Dentistry dated between 1993 and 1996, who were older than 60, and who had a panoramic radiograph were invited to be interviewed regarding fracture history (circumstances and year of fracture) and risk factors for osteoporosis. Cases (n = 93) were individuals reporting osteoporotic fractures (fractures occurring after minor impact). Controls (n = 394) were individuals reporting traumatic fractures (n = 105) or no fractures (n = 289). Blinded to case-control status, we evaluated the mandibular cortex on a panoramic radiograph and classified them as normal (even and sharp endosteal margin), moderately eroded (evidence of lacunar resorption or endosteal cortical residues), or severely eroded (unequivocal porosity). In addition, cortical thickness was measured below the mental foramen. Results. After adjustment for potentially confounding factors, the odds ratio for an osteoporotic fracture associated with moderately eroded and severely eroded mandibular cortices was 2.0 (95% CI, 1.2 to 3.3) and 8.0 (95% CI, 2.0 to 28.9), respectively. After adjusting for all potentially confounding factors, we found that the cortex was 0.54 mm (or 12%) thinner in subjects with an osteoporotic fracture compared with controls (95% CI, 0.25 to 0.84 mm). Conclusions. Subjects with a self-reported history of osteoporotic fractures tend to have increased resorption and thinning of the mandibular lower cortex. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:518-24)
Url:
DOI: 10.1067/moe.2000.107802
Affiliations:
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Le document en format XML
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<term>Bone mineral density</term>
<term>Cortex</term>
<term>Cortical thickness</term>
<term>Foramen</term>
<term>Fracture</term>
<term>Fracture groups</term>
<term>Fracture history</term>
<term>Gonial angle</term>
<term>Hormone replacement therapy</term>
<term>Inferior border</term>
<term>Inferior edge</term>
<term>Lower border</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular cortex</term>
<term>Mental foramen</term>
<term>Morphologic condition</term>
<term>Normal cortex</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral surgery</term>
<term>Osteoporosis</term>
<term>Osteoporotic</term>
<term>Osteoporotic fracture</term>
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<term>Prosthet dent</term>
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<term>Traumatic</term>
<term>Traumatic fracture history</term>
<term>Traumatic fractures</term>
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<term>Bollen</term>
<term>Bone mineral density</term>
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<term>Cortical thickness</term>
<term>Foramen</term>
<term>Fracture</term>
<term>Fracture groups</term>
<term>Fracture history</term>
<term>Gonial angle</term>
<term>Hormone replacement therapy</term>
<term>Inferior border</term>
<term>Inferior edge</term>
<term>Lower border</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular cortex</term>
<term>Mental foramen</term>
<term>Morphologic condition</term>
<term>Normal cortex</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral surgery</term>
<term>Osteoporosis</term>
<term>Osteoporotic</term>
<term>Osteoporotic fracture</term>
<term>Osteoporotic fractures</term>
<term>Panoramic</term>
<term>Panoramic radiograph</term>
<term>Panoramic radiographs</term>
<term>Pathology october</term>
<term>Pathology volume</term>
<term>Prosthet dent</term>
<term>Radiograph</term>
<term>Radiographic</term>
<term>Radiographic exposure</term>
<term>Traumatic</term>
<term>Traumatic fracture history</term>
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<front><div type="abstract" xml:lang="en">Abstract: Objectives. The purpose of this case-control study was to determine whether the radiographic appearance of the mandibular cortical bone in patients who were elderly and noninstitutionalized was related to a self-reported history of osteoporotic fractures. Study Design. Patients who had a billing statement at the School of Dentistry dated between 1993 and 1996, who were older than 60, and who had a panoramic radiograph were invited to be interviewed regarding fracture history (circumstances and year of fracture) and risk factors for osteoporosis. Cases (n = 93) were individuals reporting osteoporotic fractures (fractures occurring after minor impact). Controls (n = 394) were individuals reporting traumatic fractures (n = 105) or no fractures (n = 289). Blinded to case-control status, we evaluated the mandibular cortex on a panoramic radiograph and classified them as normal (even and sharp endosteal margin), moderately eroded (evidence of lacunar resorption or endosteal cortical residues), or severely eroded (unequivocal porosity). In addition, cortical thickness was measured below the mental foramen. Results. After adjustment for potentially confounding factors, the odds ratio for an osteoporotic fracture associated with moderately eroded and severely eroded mandibular cortices was 2.0 (95% CI, 1.2 to 3.3) and 8.0 (95% CI, 2.0 to 28.9), respectively. After adjusting for all potentially confounding factors, we found that the cortex was 0.54 mm (or 12%) thinner in subjects with an osteoporotic fracture compared with controls (95% CI, 0.25 to 0.84 mm). Conclusions. Subjects with a self-reported history of osteoporotic fractures tend to have increased resorption and thinning of the mandibular lower cortex. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:518-24)</div>
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<tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Bollen, Anne Marie" sort="Bollen, Anne Marie" uniqKey="Bollen A" first="Anne-Marie" last="Bollen">Anne-Marie Bollen</name>
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<name sortKey="Hollender, Lars G" sort="Hollender, Lars G" uniqKey="Hollender L" first="Lars G." last="Hollender">Lars G. Hollender</name>
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