nach oben

Erschienen in:

23.02.2021 | Review Article

Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis

verfasst von: Akira Taguchi, Ray Tanaka, Naoya Kakimoto, Yasuhiro Morimoto, Yoshinori Arai, Takafumi Hayashi, Tohru Kurabayashi, Akitoshi Katsumata, Junichi Asaumi, Japanese Society for Oral and Maxillofacial Radiology

Erschienen in: Oral Radiology | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Osteoporotic fractures are associated with an increased risk of subsequent fractures, a higher rate of mortality, and incremental medical costs. Incidental findings, which include some measurements related to the mandibular inferior cortex and the alveolar trabecular bone pattern of the mandible determined on panoramic radiographs, are considered to be a useful tool for identifying asymptomatic individuals at risk of having osteoporosis and/or fragility fractures. We undertook a worldwide literature survey and present the following clinical recommendations. Postmenopausal female dental patients with a mandibular inferior cortical width of less than 3 mm on panoramic radiographs may be at risk of having low skeletal bone mineral density (BMD) or osteoporosis, but not fragility fractures. In addition, those with a severely eroded mandibular inferior cortex may have an increased risk of having low skeletal BMD, osteoporosis, and fragility fractures. The alveolar trabecular bone pattern of the mandible might be useful for identifying female dental patients at risk of having fragility fractures, although further investigation is necessary to confirm this possibility. These incidental findings on panoramic radiographs, when used for identifying asymptomatic postmenopausal female patients at risk of having osteoporosis in general dental practice, may be helpful in reducing the incidence of first fractures, with a consequent reduction in the secondary fractures, medical costs, and mortality associated with osteoporotic fragility fractures, without incurring any additional cost.

NIH Consensus. Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement. 2000;17:1–45.

Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997;7:407–13. https://doi.org/10.1007/pl00004148.CrossRefPubMed

Orimo H, Yaegashi Y, Hosoi T, Fukushima Y, Onoda T, Hashimoto T, Sakata K. Hip fracture incidence in Japan: estimates of new patients in 2012 and 25-year trends. Osteoporos Int. 2016;27:1777–84. https://doi.org/10.1007/s00198-015-3464-8.CrossRefPubMedPubMedCentral

Tsuboi M, Hasegawa Y, Suzuki S, Wingstrand H, Thorngren KG. Mortality and mobility after hip fracture in Japan: a ten-year follow-up. J Bone Jt Surg Br. 2007;89:461–6. https://doi.org/10.1302/0301-620X.89B4.18552.CrossRef

Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D. Risk of mortality following clinical fractures. Osteoporos Int. 2000;11:556–61. https://doi.org/10.1007/s001980070075.CrossRefPubMed

Bow CH, Cheung E, Cheung CL, Xiao SM, Loong C, Soong C, Tan KC, Luckey MM, Cauley JA, Fujiwara S, Kung AW. Ethnic difference of clinical vertebral fracture risk. Osteoporos Int. 2012;23:879–85. https://doi.org/10.1007/s00198-011-1627-9.CrossRefPubMed

Ross PD. Clinical consequences of vertebral fractures. Am J Med. 1997;103(2A):30S-42S. https://doi.org/10.1016/s0002-9343(97)90025-5.CrossRefPubMed

Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27:620–8. https://doi.org/10.1007/s00774-009-0080-8.CrossRefPubMed

Yamauchi H, Arai K, Ishii S, Morishita Y, Iinuma N, Orimo H. Current status of osteoporosis screening-Relationship with osteoporotic fractures and need for long-term care. J Jpn Osteoporos Soc. 2018;4:513–22 (in Japanese).

10.

Merlijn T, Swart KMA, van der Horst HE, Netelenbos JC, Elders PJM. Fracture prevention by screening for high fracture risk: a systematic review and meta-analysis. Osteoporos Int. 2020;31:251–7. https://doi.org/10.1007/s00198-019-05226-w.CrossRefPubMed

11.

Kanis JA, Oden A, Johnell O, Johansson H, De Laet C, Brown J, Burckhardt P, Cooper C, Christiansen C, Cummings S, Eisman JA, Fujiwara S, Glüer C, Goltzman D, Hans D, Krieg MA, La Croix A, McCloskey E, Mellstrom D, Melton LJ 3rd, Pols H, Reeve J, Sanders K, Schott AM, Silman A, Torgerson D, van Staa T, Watts NB, Yoshimura N. The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women. Osteoporos Int. 2007;18:1033–46. https://doi.org/10.1007/s00198-007-0343-y.CrossRefPubMed

12.

Oka R, Ohira M, Suzuki S, Yoshida T, Koide H, Tanaka T, Tatsuno I. Fracture risk assessment tool FRAX and for the diagnosis of osteoporosis in Japanese middle-aged and elderly women: Chiba Bone Survey. Endocr J. 2018;65:193–202. https://doi.org/10.1507/endocrj.EJ17-0331.CrossRefPubMed

13.

Taguchi A, Tanimoto K, Suei Y, Wada T, Nakagawa H, Ohama K. Diagnosis of postmenopausal osteoporosis by panoramic radiographs. J Jpn Soc Bone Morphom. 1994;4:113–8 ((in Japanese)).

14.

Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res. 1994;102:68–72. https://doi.org/10.1111/j.1600-0722.CrossRefPubMed

15.

Zebaze RM, Ghasem-Zadeh A, Bohte A, Iuliano-Burns S, Mirams M, Price RI, Mackie EJ, Seeman E. Intracortical remodelling and porosity in the distal radius and post-mortem femurs of women: a cross-sectional study. Lancet. 2010;375:1729–36. https://doi.org/10.1016/S0140-6736(10)60320-0.CrossRefPubMed

16.

Bras J, van Ooij CP, Abrahamnpijn L, Wilmink JM, Kusen GJ. Radiographic interpretation of the mandibular angular cortex: a diagnostic tool in metabolic bone loss. Part II. Renal osteodystrophy. Oral Surg Oral Med Oral Pathol. 1982;53:647–50. https://doi.org/10.1016/0030-4220(82)90356-5.CrossRefPubMed

17.

Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral Dis. 2010;16:316–27. https://doi.org/10.1111/j.1601-0825.2009.01615.x.CrossRefPubMed

18.

Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Ohtaki M. Usefulness of panoramic radiography in the diagnosis of postmenopausal osteoporosis in women. Width Morphol Infer Cortex Mandible. 1996;25:263–7. https://doi.org/10.1259/dmfr.25.5.9161180.CrossRef

19.

Bollen AM, Taguchi A, Hujoel PP, Hollender LG. Case–control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:518–24. https://doi.org/10.1067/moe.2000.107802.CrossRefPubMed

20.

Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporos Int. 2002;13:373–8. https://doi.org/10.1007/s001980200042.CrossRefPubMed

21.

Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic-based mandibular indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol. 2002;31:361–7. https://doi.org/10.1038/sj.dmfr.4600729.CrossRefPubMed

22.

Yaşar F, Akgünlü F. The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol. 2006;35:1–9. https://doi.org/10.1259/dmfr/97652136.CrossRefPubMed

23.

Igarashi Y, Takamori H, Yosue T. The correlation between mandibular cortical parameters on panoramic radiographs and the bone densities of the jaw and skeletal bones. Jpn Soc Oral Implant. 2006;19:3–13 ((in Japanese)).

24.

Vlasiadis KZ, Skouteris CA, Velegrakis GA, Fragouli I, Neratzoulakis JM, Damilakis J, Koumantakis EE. Mandibular radiomorphometric measurements as indicators of possible osteoporosis in postmenopausal women. Maturitas. 2007;58:226–35. https://doi.org/10.1016/j.maturitas.2007.08.014.CrossRefPubMed

25.

Taguchi A, Ohtsuka M, Tsuda M, Nakamoto T, Kodama I, Inagaki K, Noguchi T, Kudo Y, Suei Y, Tanimoto K. Risk of vertebral osteoporosis in post-menopausal women with alterations of the mandible. Dentomaxillofac Radiol. 2007;36:143–8. https://doi.org/10.1259/dmfr/50171930.CrossRefPubMed

26.

Devlin H, Karayianni K, Mitsea A, Jacobs R, Lindh C, van der Stelt P, Marjanovic E, Adams J, Pavitt S, Horner K. Diagnosing osteoporosis by using dental panoramic radiographs: the OSTEODENT project. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:821–8. https://doi.org/10.1016/j.tripleo.2006.12.027.CrossRefPubMed

27.

Okabe S, Morimoto Y, Ansai T, Yoshioka I, Tanaka T, Taguchi A, Kito S, Wakasugi-Sato N, Oda M, Kuroiwa H, Ohba T, Awano S, Takata Y, Takehara T. Assessment of the relationship between the mandibular cortex on panoramic radiographs and the risk of bone fracture and vascular disease in 80-year-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:433–42. https://doi.org/10.1016/j.tripleo.2007.09.013.CrossRefPubMed

28.

Miliuniene E, Alekna V, Peciuliene V, Tamulaitiene M, Maneliene R. Relationship between mandibular cortical bone height and bone mineral density of lumbar spine. Stomatologija. 2008;10:72–5.PubMed

29.

Devlin H, Allen P, Graham J, Jacobs R, Nicopoulou-Karayianni K, Lindh C, Marjanovic E, Adams J, Pavitt S, van der Stelt P, Horner K. The role of the dental surgeon in detecting osteoporosis: the OSTEODENT study. Br Dent J. 2008;204:E16. https://doi.org/10.1038/sj.bdj.2008.317.CrossRefPubMed

30.

Jagelaviciene E, Kubilius R, Krasauskiene A. The relationship between panoramic radiomorphometric indices of the mandible and calcaneus bone mineral density. Med (Kaunas). 2010;46:95–103.

31.

Leite AF, Figueiredo PT, Guia CM, Melo NS, de Paula AP. Correlations between seven panoramic radiomorphometric indices and bone mineral density in postmenopausal women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:449–56. https://doi.org/10.1016/j.tripleo.2009.02.028.CrossRefPubMed

32.

Marandi S, Bagherpour A, Imanimoghaddam M, Hatef M, Haghighi A. Panoramic-based mandibular indices and bone mineral density of femoral neck and lumbar vertebrae in women. J Dent (Tehran). 2010;7:98–106.

33.

Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. Dentomaxillofac Radiol. 2010;39:290–4.CrossRef

34.

Johari Khatoonabad M, Aghamohammadzade N, Taghilu H, Esmaeili F, Jabbari KH. Relationship among panoramic radiography findings, biochemical markers of bone turnover and hip BMD in the diagnosis of postmenopausal osteoporosis. Iran J Radiol. 2011;8:23–8.PubMedPubMedCentral

35.

Khojastehpour L, Afsa M, Dabbaghmanesh MH. Evaluation of correlation between width and morphology of mandibular inferior cortex in digital panoramic radiography and postmenopausal osteoporosis. Iran Red Crescent Med J. 2011;13:181–6.PubMedPubMedCentral

36.

Taguchi A, Sugino N, Miki M, Kozai Y, Mochizuki N, Osanai H, Yamada S, Kuroiwa H, Fujiki T, Uchida K, Yoshinari N, Kashima I. Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs. Dentomaxillofac Radiol. 2011;40:154–9. https://doi.org/10.1259/dmfr/30045588.CrossRefPubMedPubMedCentral

37.

Ferreira Leite A, de Souza Figueiredo PT, Ramos Barra F, Santos de Melo N, de Paula AP. Relationships between mandibular cortical indexes, bone mineral density, and osteoporotic fractures in Brazilian men over 60 years old. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:648–56. https://doi.org/10.1016/j.tripleo.2011.06.014.CrossRefPubMed

38.

Jagelaviciene E, Krasauskiene A, Zalinkevicius R, Kubilius R, Vaitkeviciene I. The relationship between the calcaneal bone mineral density and the mental index in post-menopausal females. Dentomaxillofac Radiol. 2013;42:20120050. https://doi.org/10.1259/dmfr.20120050.CrossRefPubMedPubMedCentral

39.

Božič M, Ihan HN. A novel method of dental panoramic tomogram analysis: a perspective tool for a screening test for osteoporosis. J Craniomaxillofac Surg. 2013;41:808–15. https://doi.org/10.1016/j.jcms.2013.01.033.CrossRefPubMed

40.

Bhatnagar S, Krishnamurthy V, Pagare SS. Diagnostic efficacy of panoramic radiography in detection of osteoporosis in post-menopausal women with low bone mineral density. J Clin Imaging Sci. 2013;3:23. https://doi.org/10.4103/2156-7514.113140.CrossRefPubMedPubMedCentral

41.

Gaur B, Chaudhary A, Wanjari PV, Sunil M, Basavaraj P. Evaluation of panoramic radiographs as a screening tool of osteoporosis in postmenopausal women: a cross sectional study. J Clin Diagn Res. 2013;7:2051–5. https://doi.org/10.7860/JCDR/2013/5853.3403.CrossRefPubMedPubMedCentral

42.

Mansour S, AlGhamdi AS, Javed F, Marzouk H, Khan EA. Panoramic radiomorphometric indices as reliable parameters in predicting osteoporosis. Am J Med Sci. 2013;346:473–8. https://doi.org/10.1097/MAJ.0b013e3182972148.CrossRefPubMed

43.

Papamanthos M, Varitimidis S, Dailiana Zh, Kogia E, Malizos K. Computer-assisted evaluation of Mandibular Cortical Width (MCW) index as an indicator of osteoporosis. Hippokratia. 2014;18:251–7.PubMedPubMedCentral

44.

Nagi R, Devi BKY, Rakesh N, Reddy SS, Santana N, Shetty N. Relationship between femur bone mineral density, body mass index and dental panoramic mandibular cortical width in diagnosis of elderly postmenopausal women with osteoporosis. J Clin Diagn Res. 2014;8:ZC36-40. https://doi.org/10.7860/JCDR/2014/9210.4748.CrossRefPubMedPubMedCentral

45.

Shakeel MK, Daniel MJ, Srinivasan SV, Koliyan R, Kumar JV. Comparative analysis of linear and angular measurements on digital orthopantomogram with calcaneus bone mineral density. J Clin Diagn Res. 2015;9:12–6. https://doi.org/10.7860/JCDR/2015/13606.6163.CrossRef

46.

Miliuniene E, Alekna V, Peciuliene V, Tamulaitiene M. Evaluation of bone mineral density in postmenopausal women with alterations of the mandible cortical bone. Stomatologija. 2016;18:86–91.PubMed

47.

Kim OS, Shin MH, Song IH, Lim IG, Yoon SJ, Kim OJ, Lee YH, Kim YJ, Chung HJ. Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women. Gerodontology. 2016;33:185–92. https://doi.org/10.1111/ger.12134.CrossRefPubMed

48.

Ohtsuki H, Kawakami M, Kawakami T, Takahashi K, Kirita T, Komasa Y. Risk of osteoporosis in elderly individuals attending a dental clinic. Int Dent J. 2017;67:117–22. https://doi.org/10.1111/idj.12263.CrossRefPubMed

49.

Carmo JZB, Medeiros SF. Mandibular inferior cortex erosion on dental panoramic radiograph as a sign of low bone mineral density in postmenopausal women. Rev Bras Ginecol Obstet. 2017;39:663–9. https://doi.org/10.1055/s-0037-1606622.CrossRefPubMed

50.

Jonasson GB, Sundh V, Hakeberg M, Ahlqwist M, Lissner L, Hange D. Evaluation of clinical and radiographic indices as predictors of osteoporotic fractures: a 10-year longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125:487–94. https://doi.org/10.1016/j.oooo.2017.11.009.CrossRefPubMed

51.

Grocholewicz K, Janiszewska-Olszowska J, Aniko-Włodarczyk M, Preuss O, Trybek G, Sobolewska E, Lipski M. Panoramic radiographs and quantitative ultrasound of the radius and phalanx III to assess bone mineral status in postmenopausal women. BMC Oral Health. 2018;18:127. https://doi.org/10.1186/s12903-018-0593-4.CrossRefPubMedPubMedCentral

52.

Balto KA, Gomaa MM, Feteih RM, AlAmoudi NM, Elsamanoudy AZ, Hassanien MA, Ardawi MM. Dental panoramic radiographic indices as a predictor of osteoporosis in postmenopausal Saudi women. J Bone Metab. 2018;25:165–73. https://doi.org/10.11005/jbm.2018.25.3.165.CrossRefPubMedPubMedCentral

53.

Navabi N, Motaghi R, Rezazadeh M, Balooch H. Relationship between two panoramic radiography indices and bone mineral density of postmenopausal women with osteopenia and osteoporosis. J Dent (Shiraz). 2018;19:181–8.

54.

Lee K, Taguchi A, Ishii K, Suei Y, Fujita M, Nakamoto T, Ohtsuka M, Sanada M, Tsuda M, Ohama K, Tanimoto K, White SC. Visual assessment of the mandibular cortex on panoramic radiographs to identify postmenopausal women with low bone mineral densities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:226–31. https://doi.org/10.1016/j.tripleo.2004.11.052.CrossRefPubMed

55.

Cadarette SM, Jaglal SB, Murray TM, McIsaac WJ, Joseph L, Brown JP, Canadian Multicentre Osteoporosis Study. Evaluation of decision rules for referring women for bone densitometry by dual-energy X-ray absorptiometry. JAMA. 2001;286:57–63. https://doi.org/10.1001/jama.286.1.57.CrossRefPubMed

56.

Taguchi A, Sanada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, Tanimoto K, Kodama I, Tsuda M, Ohama K. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res. 2003;18:1689–94. https://doi.org/10.1359/jbmr.2003.18.9.1689.CrossRefPubMed

57.

Horner K, Karayianni K, Mitsea A, Berkas L, Mastoris M, Jacobs R, Lindh C, van der Stelt P, Marjanovic E, Adams J, Pavitt S, Devlin H. The mandibular cortex on radiographs as a tool for osteoporosis risk assessment: the OSTEODENT Project. J Clin Densitom. 2007;10:138–46. https://doi.org/10.1016/j.jocd.2007.02.004.CrossRefPubMed

58.

Sutthiprapaporn P, Taguchi A, Nakamoto T, Ohtsuka M, Mallick PC, Tsuda M, Kodama I, Kudo Y, Suei Y, Tanimoto K. Diagnostic performance of general dental practitioners after lecture in identifying post-menopausal women with low bone mineral density by panoramic radiographs. Dentomaxillofac Radiol. 2006;35:249–52. https://doi.org/10.1259/dmfr/16882209.CrossRefPubMed

59.

Taguchi A, Ohtsuka M, Nakamoto T, Naito K, Tsuda M, Kudo Y, Motoyama E, Suei Y, Tanimoto K. Identification of post-menopausal women at risk of osteoporosis by trained general dental practitioners using panoramic radiographs. Dentomaxillofac Radiol. 2007;36:149–54. https://doi.org/10.1259/dmfr/31116116.CrossRefPubMed

60.

Sugino N, Uchida K, Mochizuki N, Kuroiwa H, Osanai H, Yamada S, Fujiki T, Kitamura Y, Taguchi A. Usefulness of the cortical shape of the inferior border of the mandible on panoramic radiographs for identifying individuals with osteoporosis in general practice at our radiology clinic. Dent Radiol. 2017;57:75–80 ((in Japanese)).

61.

Taguchi A, Asano A, Ohtsuka M, Nakamoto T, Suei Y, Tsuda M, Kudo Y, Inagaki K, Noguchi T, Tanimoto K, Jacobs R, Klemetti E, White SC, Horner K, OSPD International Collaborative Group. Observer performance in diagnosing osteoporosis by dental panoramic radiographs: results from the osteoporosis screening project in dentistry (OSPD). Bone. 2008;43:209–13. https://doi.org/10.1016/j.bone.2008.03.014.CrossRefPubMed

62.

Shintaku WH, Enciso R, Covington JS, Migliorati CA. Can dental students be taught to use dental radiographs for osteoporosis screening? J Dent Educ. 2013;77:598–603.CrossRef

63.

Jowitt N, MacFarlane T, Devlin H, Klemetti E, Horner K. The reproducibility of the mandibular cortical index. Dentomaxillofac Radiol. 1999;28:141–4. https://doi.org/10.1038/sj/dmfr/4600427.CrossRefPubMed

64.

Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol. 1999;28:173–81. https://doi.org/10.1038/sj/dmfr/4600435.CrossRefPubMed

65.

Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, Tanimoto K, Tsuda M, Sanada M, Ohama K, Takahashi J, Rohlin M. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporos Int. 2003;14:659–64. https://doi.org/10.1007/s00198-003-1419-y.CrossRefPubMed

66.

Taguchi A, Suei Y, Sanada M, Ohtsuka M, Nakamoto T, Sumida H, Ohama K, Tanimoto K. Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis. AJR Am J Roentgenol. 2004;183:1755–60.CrossRef

67.

Halling A, Persson GR, Berglund J, Johansson O, Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int. 2005;16:999–1003. https://doi.org/10.1007/s00198-004-1796-x.CrossRefPubMed

68.

Taguchi A, Tsuda M, Ohtsuka M, Kodama I, Sanada M, Nakamoto T, Inagaki K, Noguchi T, Kudo Y, Suei Y, Tanimoto K, Bollen AM. Use of dental panoramic radiographs in identifying younger postmenopausal women with osteoporosis. Osteoporos Int. 2006;17:387–94. https://doi.org/10.1007/s00198-005-2029-7.CrossRefPubMed

69.

Amorim MA, Takayama L, Jorgetti V, Pereira RM. Comparative study of axial and femoral bone mineral density and parameters of mandibular bone quality in patients receiving dental implants. Osteoporos Int. 2007;18:703–9. https://doi.org/10.1007/s00198-006-0295-7.CrossRefPubMed

70.

Erdogan O, Incki KK, Benlidayi ME, Seydaoglu G, Kelekci S. Dental and radiographic findings as predictors of osteoporosis in postmenopausal women. Geriatr Gerontol Int. 2009;9:155–64. https://doi.org/10.1111/j.1447-0594.2009.00518.x.CrossRefPubMed

71.

Kiswanjaya B, Yoshihara A, Deguchi T, Hanada N, Miyazaki H. Relationship between the mandibular inferior cortex and bone stiffness in elderly Japanese people. Osteoporos Int. 2010;21:433–8. https://doi.org/10.1007/s00198-009-0996-9.CrossRefPubMed

72.

Jonasson G, Sundh V, Hakeberg M, Hassani-Nejad A, Lissner L, Ahlqwist M. Mandibular bone changes in 24 years and skeletal fracture prediction. Clin Oral Investig. 2013;17:565–72. https://doi.org/10.1007/s00784-012-0745-x.CrossRefPubMed

73.

Bodade PR, Mody RN. Panoramic radiography for screening postmenopausal osteoporosis in India: a pilot study. Oral Health Dent Manag. 2013;12:65–72.PubMed

74.

Al-Dam A, Blake F, Atac A, Amling M, Blessmann M, Assaf A, Hanken H, Smeets R, Heiland M. Mandibular cortical shape index in non-standardised panoramic radiographs for identifying patients with osteoporosis as defined by the German Osteology Organization. J Craniomaxillofac Surg. 2013;41:e165–9. https://doi.org/10.1016/j.jcms.2012.11.044.CrossRefPubMed

75.

Martínez-Maestre MÁ, Corcuera Flores JR, Machuca G, González-Cejudo C, Torrejón R, Castelo-Branco C. Panoramic radiomorphometry and vertebral fractures in Spanish postmenopausal women. Maturitas. 2013;76:364–9. https://doi.org/10.1016/j.maturitas.2013.08.011.CrossRefPubMed

76.

Geary S, Selvi F, Chuang SK, August M. Identifying dental panoramic radiograph features for the screening of low bone mass in postmenopausal women. Int J Oral Maxillofac Surg. 2015;44:395–9. https://doi.org/10.1016/j.ijom.2014.11.008.CrossRefPubMed

77.

Yamada S, Uchida K, Iwamoto Y, Sugino N, Yoshinari N, Kagami H, Taguchi A. Panoramic radiography measurements, osteoporosis diagnoses and fractures in Japanese men and women. Oral Dis. 2015;21:335–41. https://doi.org/10.1111/odi.12282.CrossRefPubMed

78.

Jagelavičienė E, Krasauskienė A, Žalinkevičius R, Vaitkevičienė I, Kubilius R. Relationship between the mandibular cortical index and calcaneal bone mineral density in postmenopausal women. Med (Kaunas). 2016;52:125–31. https://doi.org/10.1016/j.medici.2016.02.005.CrossRef

79.

Pallagatti S, Parnami P, Sheikh S, Gupta D. Efficacy of panoramic radiography in the detection of osteoporosis in post-menopausal women when compared to dual energy X-ray absorptiometry. Open Dent J. 2017;30(11):350–9. https://doi.org/10.2174/1874210601711010350.CrossRef

80.

Munhoz L, Aoki EM, Cortes ARG, de Freitas CF, Arita ES. Osteoporotic alterations in a group of different ethnicity Brazilian postmenopausal women: an observational study. Gerodontology. 2018;35:101–9. https://doi.org/10.1111/ger.12322.CrossRefPubMed

81.

Kalinowski P, Różyło-Kalinowska I, Piskórz M, Bojakowska-Komsta U. Correlations between periodontal disease, mandibular inferior cortex index and the osteoporotic fracture probability assessed by means of the fracture risk assessment body mass index tool. BMC Med Imaging. 2019;19:41. https://doi.org/10.1186/s12880-019-0337-1.CrossRefPubMedPubMedCentral

82.

Munhoz L, Gil Choi IG, Miura DK, Watanabe PCA, Arita ES. Bone mineral density and mandibular osteoporotic alterations in panoramic radiographs: Correlation by peripheral bone densitometry in men. Indian J Dent Res. 2020;31:457–64. https://doi.org/10.4103/ijdr.IJDR_440_18.CrossRefPubMed

83.

Deguchi T, Yoshihara A, Hanada N, Miyazaki H. Relationship between mandibular inferior cortex and general bone metabolism in older adults. Osteoporos Int. 2008;19:935–40. https://doi.org/10.1007/s00198-007-0526-6.CrossRefPubMed

84.

Morita I, Nakagaki H, Taguchi A, Kato K, Murakami T, Tsuboi S, Hayashizaki J, Inagaki K, Noguchi T. Relationships between mandibular cortical bone measures and biochemical markers of bone turnover in elderly Japanese men and women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:777–83. https://doi.org/10.1016/j.tripleo.2009.03.043.CrossRefPubMed

85.

Vlasiadis KZ, Damilakis J, Velegrakis GA, Skouteris CA, Fragouli I, Goumenou A, Matalliotakis J, Koumantakis EE. Relationship between BMD, dental panoramic radiographic findings and biochemical markers of bone turnover in diagnosis of osteoporosis. Maturitas. 2008;59:226–33. https://doi.org/10.1016/j.maturitas.2008.01.006.CrossRefPubMed

86.

Hashimoto M, Ito A, Yoneyama M, Takizawa H, Miyamura K. Construction of osteoporosis identification system by panoramic radiographs. J Jpn Dent Assoc. 2007;60:626–33 ((in Japanese)).

87.

Tosoni GM, Lurie AG, Cowan AE, Burleson JA. Pixel intensity and fractal analyses: detecting osteoporosis in perimenopausal and postmenopausal women by using digital panoramic images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:235–41. https://doi.org/10.1016/j.tripleo.2005.08.020.CrossRefPubMed

88.

Kavitha MS, Park SY, Heo MS, Chien SI. Distributional variations in the quantitative cortical and trabecular bone radiographic measurements of mandible, between male and female populations of Korea, and its utilization. PLoS ONE. 2016;11:e0167992. https://doi.org/10.1371/journal.pone.0167992.CrossRefPubMedPubMedCentral

89.

Taguchi A, Sugino N, Yamada S, Iwamoto Y, Uchida K, Kamimura M. Diagnostic performance for identifying osteoporotic postmenopausal women without prevalent fractures by dental panoramic radiographs. J Bone Miner Res. 2014;29 (Suppl 1). https://www.asbmr.org/education/AbstractDetail?aid=7dc5bb7e-6384-4d4f-a368-14b4043abaff. Accessed 14 Sept 2014

90.

Sundh V, Hange D, Ahlqwist M, Hakeberg M, Lissner L, Jonasson G. FRAX and mandibular sparse trabeculation as fracture predictors: a longitudinal study from 1980 to 2002. Eur J Oral Sci. 2017;125:135–40. https://doi.org/10.1111/eos.12341.CrossRefPubMed

91.

Geraets W, Jonasson G, Hakeberg M. Predicting fractures using trabecular patterns on panoramic radiographs. Clin Oral Investig. 2018;22:377–84. https://doi.org/10.1007/s00784-017-2122-2.CrossRefPubMed

92.

Lindh C, Petersson A, Rohlin M. Assessment of the trabecular pattern before endosseous implant treatment: diagnostic outcome of periapical radiography in the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:335–43. https://doi.org/10.1016/s1079-2104(96)80363-5.CrossRefPubMed

93.

Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jönsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8:136. https://doi.org/10.1007/s11657-013-0136-1.CrossRefPubMedPubMedCentral

94.

Benson BW, Prihoda TJ, Glass BJ. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol. 1991;71:349–56. https://doi.org/10.1016/0030-4220(91)90314-3.CrossRefPubMed

95.

Arifin AZ, Asano A, Taguchi A, Nakamoto T, Ohtsuka M, Tsuda M, Kudo Y, Tanimoto K. Computer-aided system for measuring the mandibular cortical width on dental panoramic radiographs in identifying postmenopausal women with low bone mineral density. Osteoporos Int. 2006;17:753–9. https://doi.org/10.1007/s00198-005-0045-2.CrossRefPubMed

96.

Kavitha MS, Asano A, Taguchi A, Heo MS. The combination of a histogram-based clustering algorithm and support vector machine for the diagnosis of osteoporosis. Imaging Sci Dent. 2013;43:153–61. https://doi.org/10.5624/isd.2013.43.3.153.CrossRefPubMedPubMedCentral

97.

Tanaka R, Tanaka T, Yeung AWK, Taguchi A, Katsumata A, Bornstein MM. Mandibular radiomorphometric indices and tooth loss as predictors for the risk of osteoporosis using panoramic radiographs. Oral Health Prev Dent. 2020;18:773–82. https://doi.org/10.3290/j.ohpd.a45081.CrossRefPubMed

98.

Muramatsu C, Horiba K, Hayashi T, Fukui T, Hara T, Katsumata A, Fujita H. Quantitative assessment of mandibular cortical erosion on dental panoramic radiographs for screening osteoporosis. Int J Comput Assist Radiol Surg. 2016;11:2021–32. https://doi.org/10.1007/s11548-016-1438-8.CrossRefPubMed

99.

Lee JS, Adhikari S, Liu L, Jeong HG, Kim H, Yoon SJ. Osteoporosis detection in panoramic radiographs using a deep convolutional neural network-based computer-assisted diagnosis system: a preliminary study. Dentomaxillofac Radiol. 2019;48:20170344. https://doi.org/10.1259/dmfr.20170344.CrossRefPubMed

100.

Lee KS, Jung SK, Ryu JJ, Shin SW, Choi J. Evaluation of transfer learning with deep convolutional neural networks for screening osteoporosis in dental panoramic radiographs. J Clin Med. 2020;9:392. https://doi.org/10.3390/jcm9020392.CrossRefPubMedCentral

101.

Aliaga I, Vera V, Vera M, García E, Pedrera M, Pajares G. Automatic computation of mandibular indices in dental panoramic radiographs for early osteoporosis detection. Artif Intell Med. 2020;103:101816. https://doi.org/10.1016/j.artmed.2020.101816.CrossRefPubMed

102.

Ren J, Fan H, Yang J, Ling H. Detection of trabecular landmarks for osteoporosis prescreening in dental panoramic radiographs. Annu Int Conf IEEE Eng Med Biol Soc. 2020;2020:2194–7. https://doi.org/10.1109/EMBC44109.2020.9175281.CrossRefPubMed

103.

Yoshihara H, Hosoki H, Yoshida M, Kume Y, Otomi Y, Amano M, Yuasa M, Yamada K, Suito H, Maeda N, Kawata N, Harada M, Honda E. Changes in image examinations at the department of oral radiology—the number of intraoral and panoramic radiographs. J Oral Health Biosci. 2019;32:1–9 ((in Japanese)).

104.

Christell H, Gullberg J, Nilsson K, Heidari Olofsson S, Lindh C, Davidson T. Willingness to pay for osteoporosis risk assessment in primary dental care. Health Econ Rev. 2019;9:14. https://doi.org/10.1186/s13561-019-0232-z.CrossRefPubMedPubMedCentral

105.

Taguchi Y, Inoue Y, Kido T, Arai N. Treatment costs and cost drivers among osteoporotic fracture patients in Japan: a retrospective database analysis. Arch Osteoporos. 2018;13:45. https://doi.org/10.1007/s11657-018-0456-2.CrossRefPubMedPubMedCentral

Titel: Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis
verfasst von: Akira Taguchi
Ray Tanaka
Naoya Kakimoto
Yasuhiro Morimoto
Yoshinori Arai
Takafumi Hayashi
Tohru Kurabayashi
Akitoshi Katsumata
Junichi Asaumi
Japanese Society for Oral and Maxillofacial Radiology
Publikationsdatum: 23.02.2021
Verlag: Springer Singapore
Erschienen in: Oral Radiology / Ausgabe 2/2021
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI: https://doi.org/10.1007/s11282-021-00518-6

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis

Abstract

Neu im Fachgebiet Zahnmedizin

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Parodontalbehandlung verbessert Prognose bei Katheterablation

Newsletter

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2021

Diagnosis of root fractures using cone-beam computed tomography: difference of vertical and horizontal root fracture

Evaluation of motion artifacts in cone-beam computed tomography with three different patient positioning

Ultrasound-guided sialo-irrigation for the treatment of chronic sialodochitis with sialolithiasis

Correction to: Preliminary study: evaluating the reliability of CBCT images for tongue space measurements in the field of orthodontics

Sialo-cutaneous fistula with ectopic submandibular gland sialolith, revealing a hidden ipsilateral enlarged and elongated styloid process: a consideration based on CT findings

Applying the paralleling technique in intraoral periapical radiographs for Japanese patients by analyzing CT images

Neu im Fachgebiet Zahnmedizin

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Parodontalbehandlung verbessert Prognose bei Katheterablation

Newsletter