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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Digital orthopantomograms in osteoporosis detection: mandibular density and mandibular radiographic indices as skeletal BMD predictors</title>
<author><name sortKey="Savic Pavicin, I" sort="Savic Pavicin, I" uniqKey="Savic Pavicin I" first="I" last="Savic Pavicin">I. Savic Pavicin</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dumancic, J" sort="Dumancic, J" uniqKey="Dumancic J" first="J" last="Dumancic">J. Dumancic</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jukic, T" sort="Jukic, T" uniqKey="Jukic T" first="T" last="Jukic">T. Jukic</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Badel, T" sort="Badel, T" uniqKey="Badel T" first="T" last="Badel">T. Badel</name>
<affiliation><nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Badanjak, A" sort="Badanjak, A" uniqKey="Badanjak A" first="A" last="Badanjak">A. Badanjak</name>
<affiliation><nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24969554</idno>
<idno type="pmc">4170843</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4170843</idno>
<idno type="RBID">PMC:4170843</idno>
<idno type="doi">10.1259/dmfr.20130366</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002313</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002313</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Digital orthopantomograms in osteoporosis detection: mandibular density and mandibular radiographic indices as skeletal BMD predictors</title>
<author><name sortKey="Savic Pavicin, I" sort="Savic Pavicin, I" uniqKey="Savic Pavicin I" first="I" last="Savic Pavicin">I. Savic Pavicin</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dumancic, J" sort="Dumancic, J" uniqKey="Dumancic J" first="J" last="Dumancic">J. Dumancic</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jukic, T" sort="Jukic, T" uniqKey="Jukic T" first="T" last="Jukic">T. Jukic</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Badel, T" sort="Badel, T" uniqKey="Badel T" first="T" last="Badel">T. Badel</name>
<affiliation><nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Badanjak, A" sort="Badanjak, A" uniqKey="Badanjak A" first="A" last="Badanjak">A. Badanjak</name>
<affiliation><nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Dentomaxillofacial Radiology</title>
<idno type="ISSN">0250-832X</idno>
<idno type="eISSN">1476-542X</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Objectives:</title>
<p>To determine the correlation of skeletal bone mineral density (BMD) with mandibular density and mandibular radiographic indices estimated on digital panoramic radiographs.</p>
</sec>
<sec><title>Methods:</title>
<p>Study comprised 112 female subjects older than 45 years. Digital panoramic radiographs were taken, and patients were referred to densitometric measuring (dual energy X-ray absorptiometry) of BMD in the hip bones and lumbar spine regions (L1–L4). On the radiographs, mandibular bone density was estimated and the following indices were measured by the DIGORA<sup>®</sup>
software (Soredex, Tuusula, Finland): mental index (MI), gonial index (GI), antegonial index (AI), panoramic mandibular index (PMI) and alveolar crest resorption degree (M/M). Mandibular cortical index (MCI) was visually estimated.</p>
</sec>
<sec><title>Results:</title>
<p>Mandibular density and visual index MCI are significant predictors of hip and spine BMD. Mandibular density was marked by a significant square trend: it decreased until the age of 54 years and remained constant until the age of 64 years when it started to increase. Significant correlations were found between MI, AI and PMI values and BMD in the hip but not in the lumbar spine region. The GI and M/M values did not show statistically significant correlations with BMD of either region.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Mandibular bone density and mandibular radiographic indices are useful in detecting patients with decreased BMD. The applicability of orthopantomograms in diagnosing osteoporosis/osteopenia should be recognized as the potential greatest benefit of this everyday diagnostic method in dental practice.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="publisher-id">dmfr</journal-id>
<journal-title-group><journal-title>Dentomaxillofacial Radiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0250-832X</issn>
<issn pub-type="epub">1476-542X</issn>
<publisher><publisher-name>The British Institute of Radiology.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24969554</article-id>
<article-id pub-id-type="pmc">4170843</article-id>
<article-id pub-id-type="publisher-manuscript">13366</article-id>
<article-id pub-id-type="doi">10.1259/dmfr.20130366</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Digital orthopantomograms in osteoporosis detection: mandibular density and mandibular radiographic indices as skeletal BMD predictors</article-title>
<alt-title alt-title-type="left-running-head">Digital orthopantomograms in osteoporosis detection</alt-title>
<alt-title alt-title-type="right-running-head">IS Pavicin <italic>et al</italic>
</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Savic Pavicin</surname>
<given-names>I</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Dumancic</surname>
<given-names>J</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jukic</surname>
<given-names>T</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Badel</surname>
<given-names>T</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Badanjak</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<aff id="aff1"><label><sup>1</sup>
</label>
<addr-line>Department of Dental Anthropology, University of Zagreb, School of Dental Medicine, Zagreb, Croatia</addr-line>
</aff>
<aff id="aff2"><label><sup>2</sup>
</label>
<addr-line>Clinic for Nuclear Medicine and Oncology, Clinical Hospital Center “Sestre milosrdnice”, Zagreb, Croatia</addr-line>
</aff>
<aff id="aff3"><label><sup>3</sup>
</label>
<addr-line>Department of Removable Prosthodontics, University of Zagreb, School of Dental Medicine, Zagreb, Croatia</addr-line>
</aff>
<aff id="aff4"><label><sup>4</sup>
</label>
<addr-line>University Clinic for Diabetes, Endocrinology and Metabolic Diseases “Vuk Vrhovac”, University of Zagreb, School of Medicine, Zagreb, Croatia</addr-line>
</aff>
</contrib-group>
<author-notes><corresp id="cor1">Correspondence to: Dr Jelena Dumancic. E-mail: <email xlink:href="dumancic@sfzg.hr">dumancic@sfzg.hr</email>
</corresp>
<fn id="fn1"><p>This study was supported by the grant of the Croatian Ministry of Science, Education and Sports, Grant No. 065-0650445-0441.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2014</year>
<string-date>October 2014</string-date>
</pub-date>
<pub-date pub-type="epub"><day>5</day>
<month>8</month>
<year>2014</year>
</pub-date>
<volume>43</volume>
<issue>7</issue>
<elocation-id>20130366</elocation-id>
<history><date date-type="received"><day>9</day>
<month>10</month>
<year>2013</year>
<string-date>Received on October 9, 2013</string-date>
</date>
<date date-type="rev-recd"><day>20</day>
<month>6</month>
<year>2014</year>
<string-date>Revised on June 20, 2014</string-date>
</date>
<date date-type="accepted"><day>25</day>
<month>6</month>
<year>2014</year>
<string-date>Accepted on June 25, 2014</string-date>
</date>
</history>
<permissions><copyright-statement>© 2014 The Authors. Published by the British Institute of Radiology</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>The British Institute of Radiology</copyright-holder>
</permissions>
<self-uri content-type="pdf" xlink:href="dmfr.20130366.pdf"></self-uri>
<abstract><sec><title>Objectives:</title>
<p>To determine the correlation of skeletal bone mineral density (BMD) with mandibular density and mandibular radiographic indices estimated on digital panoramic radiographs.</p>
</sec>
<sec><title>Methods:</title>
<p>Study comprised 112 female subjects older than 45 years. Digital panoramic radiographs were taken, and patients were referred to densitometric measuring (dual energy X-ray absorptiometry) of BMD in the hip bones and lumbar spine regions (L1–L4). On the radiographs, mandibular bone density was estimated and the following indices were measured by the DIGORA<sup>®</sup>
software (Soredex, Tuusula, Finland): mental index (MI), gonial index (GI), antegonial index (AI), panoramic mandibular index (PMI) and alveolar crest resorption degree (M/M). Mandibular cortical index (MCI) was visually estimated.</p>
</sec>
<sec><title>Results:</title>
<p>Mandibular density and visual index MCI are significant predictors of hip and spine BMD. Mandibular density was marked by a significant square trend: it decreased until the age of 54 years and remained constant until the age of 64 years when it started to increase. Significant correlations were found between MI, AI and PMI values and BMD in the hip but not in the lumbar spine region. The GI and M/M values did not show statistically significant correlations with BMD of either region.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Mandibular bone density and mandibular radiographic indices are useful in detecting patients with decreased BMD. The applicability of orthopantomograms in diagnosing osteoporosis/osteopenia should be recognized as the potential greatest benefit of this everyday diagnostic method in dental practice.</p>
</sec>
</abstract>
<kwd-group><kwd>panoramic radiography</kwd>
<x xml:space="preserve">; </x>
<kwd>mandible</kwd>
<x xml:space="preserve">; </x>
<kwd>bone density</kwd>
<x xml:space="preserve">; </x>
<kwd>osteoporosis</kwd>
<x xml:space="preserve">; </x>
<kwd>radiographic indices</kwd>
</kwd-group>
<counts><fig-count count="6"></fig-count>
<table-count count="3"></table-count>
<ref-count count="37"></ref-count>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
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