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Clinical Oral Investigations
Published in: Clinical Oral Investigations 8/2020

01-08-2020 | Obesity | Original Article

Comparison of mandibular cortical bone among obese, overweight, and normal weight adolescents using panoramic mandibular index and mental index

Authors: Yasin Yasa, Süleyman Kutalmış Buyuk, Esra Genc

Published in: Clinical Oral Investigations | Issue 8/2020

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Abstract

Objective

The objective of this study is to evaluate the mental index (MI) and panoramic mandibular index (PMI) of a group of adolescent patients in different body mass index (BMI) percentile.

Material and methods

Subjects were divided into three different groups in accordance to their BMI percentile status: normal weight (35 subjects; mean age, 14.81 ± 2.12 years), overweight (32 subjects; mean age, 14.77 ± 2.56 years), and obese (33 subjects; mean age, 14.06 ± 2.59 years) groups. Mental index (MI) and panoramic mandibular index (PMI) were assessed on panoramic radiographs.

Results

There were statistically significant differences in PMI and MI that were observed among groups (p < 0.0001 and p < 0.001, respectivel). MI and PMI are higher in overweight and obese individuals than in normal-weight.

Conclusions

Mandibular cortex was found thicker in patients who are obese and overweight compared to normal weight patients. We can suggest that young obese individuals’ bone structure can be take in consideration in orthodontic or dental surgical treatment planning.

Clinical relevance

Dense cortical bone may cause some difficulties in orthodontic and surgical treatment. Clinicians should understand obesity and overweight-related jaw bone changes and consider these factors to treat their patients.
Literature
1.
Choudhary K, Mathur P, Garg M, Gupta PP (2017) Prevalence of overweight and obesity amongst adolescents and identification of risk factors. Int J Contemp Pediatr 4:1153CrossRef
2.
Skinner AC, Perrin EM, Skelton JA (2016) Prevalence of obesity and severe obesity in US children, 1999-2014. Obesity. 24:1116–1123CrossRef
3.
Ayatollahi SM, Ghoreshizadeh Z (2010) Prevalence of obesity and overweight among adults in Iran. Obes Rev 11:335–337CrossRef
4.
Dyer SM, Gomersall JS, Smithers LG, Davy C, Coleman DT, Street JM (2017) Prevalence and characteristics of overweight and obesity in indigenous Australian children: a systematic review. Crit Rev Food Sci Nutr Taylor & Francis 57:1365–1376CrossRef
5.
WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 894:1–253
6.
Palermo A, Tuccinardi D, Defeudis G, Watanabe M, D’Onofrio L, Lauria Pantano A et al (2016) BMI and BMD: the potential interplay between obesity and bone fragility. Int J Environ Res Public Health 13:544CrossRef
7.
Neeley WW, Dolce C, Hatch JP, Van Sickels JE, Rugh JD (2009) Relationship of body mass index to stability of mandibular advancement surgery with rigid fixation. Am J Orthod Dentofac Orthop American Association of Orthodontists 136:175–184CrossRef
8.
López-Gómez JJ, Pérez Castrillón JL, de Luis Román DA (2016) Impact of obesity on bone metabolism. Endocrinol y Nutr English Ed Elsevier Doyma 63:551–559
9.
Fischer S, Milinarsky A, Giadrosich V, Dib G, Arriagada M, Arinoviche R (2000) X-ray absorptiometry of bone obese and eutrophic children from Valparaiso. Chile J Rheumatol 27:1294–1296PubMed
10.
Correa Rodríguez M, Rueda Medina B, González Jiménez E, Navarro Pérez CF, Schmidt-RioValle J (2014) The levels of bone mineralization are influenced by body composition in children and adolescents. Nutr Hosp 30:763–768PubMed
11.
Jeddi M, Dabbaghmanesh MH, Ranjbar Omrani G, Ayatollahi SMT, Bagheri Z, Bakhshayeshkaram M (2015) Relative importance of lean and fat mass on bone mineral density in Iranian children and adolescents. Int J Endocrinol Metab Kowsar Medical Institute 13:e25542
12.
Wetzsteon RJ, Petit MA, Macdonald HM, Hughes JM, Beck TJ, McKay HA (2008) Bone structure and volumetric BMD in overweight children: a longitudinal study. J Bone Miner Res 23:1946–1953CrossRef
13.
van Leeuwen J, Koes BWW, Paulis WDD, van Middelkoop M (2017) Differences in bone mineral density between normal-weight children and children with overweight and obesity: a systematic review and meta-analysis. Obes Rev 18:526–546CrossRef
14.
Scheiner S, Hellmich C, Müller C, Bonitz L, Kober C (2015) X-ray physics- and bone composition-based estimation of thickness characteristics from clinical mandibular radiographs. Comput Med Imaging Graph 45:36–46CrossRef
15.
Ledgerton D, Horner K, Devlin H, Worthington H (1997) Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofacial Radiol 26:95–100CrossRef
16.
Muramatsu C, Horiba K, Hayashi T, Fukui T, Hara T, Katsumata A et al (2016) Quantitative assessment of mandibular cortical erosion on dental panoramic radiographs for screening osteoporosis. Int J Comput Assist Radiol Surg 11:2021–2032CrossRef
17.
Kwon A, Huh K, Yi W, Lee S, Choi S, Heo M (2017) Is the panoramic mandibular index useful for bone quality evaluation ? Imaging Sci Dent 47:87–92CrossRef
18.
Ducher G, Bass SL, Naughton GA, Eser P, Telford RD, Daly RM (2009) Overweight children have a greater proportion of fat mass relative to muscle mass in the upper limbs than in the lower limbs: implications for bone strength at the distal forearm. Am J Clin Nutr 90:1104–1111CrossRef
19.
Kemp JP, Sayers A, Smith GD, Tobias JH, Evans DM (2016) Using Mendelian randomization to investigate a possible causal relationship between adiposity and increased bone mineral density at different skeletal sites in children. Int J Epidemiol 45:1560–1572CrossRef
20.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R et al (2000) CDC growth charts: United States. Adv Data 314:1–27
21.
Benson BW, Prihoda TJ, Glass BJ (1991) Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surgery, Oral Med. Oral Pathol 71:349–356CrossRef
22.
Kim CH (2016) Measurements of adiposity and body composition. Korean J Obes 25:115–120CrossRef
23.
Yeler DY, Koraltan M, Hocaoglu TP, Arslan C, Erselcan T, Yeler H (2016) Bone quality and quantity measurement techniques in dentistry. Cumhur Dent J:73–86
24.
25.
26.
27.
Molteni R (2013) Prospects and challenges of rendering tissue density in Hounsfield units for cone beam computed tomography. Oral Surg. Oral Med. Oral Pathol, Oral Radiol 116:105–19
28.
Guerra ENS, Almeida FT, Bezerra FV, Figueiredo PTDS, Silva MAG, De Luca CG et al (2017) Capability of CBCT to identify patients with low bone mineral density: a systematic review. Dentomaxillofacial Radiol 46:20160475
29.
Tözüm TF, Dursun E, Uysal S (2016) Radiographic fractal and clinical resonance frequency analyses of posterior mandibular dental implants. Implant Dent 25:789–795CrossRef
30.
Jowitt N, MacFarlane T, Devlin H, Klemetti E, Homer K (1999) The reproducibility of the mandibular cortical index. Dentomaxillofacial Radiol 28:141–144CrossRef
31.
Bozdag G, Sener S (2015) The evaluation of MCI, MI, PMI and GT on both genders with different age and dental status. Dentomaxillofacial Radiol 44:20140435CrossRef
32.
Lenchik L, Register TC, Hsu FC, Lohman K, Nicklas BJ, Freedman BI, Langefeld CD, Carr JJ, Bowden DW (2003) Adiponectin as a novel determinant of bone mineral density and visceral fat. Bone 33:646–651CrossRef
33.
Dimitri P, Jacques RM, Paggiosi M, King D, Walsh J, Taylor ZA et al (2015) Leptin may play a role in bone microstructural alterations in obese children. J Clin Endocrinol Metab 100:594–602CrossRef
34.
35.
36.
Jonasson G, Bankvall G, Kiliaridis S (2001) Estimation of skeletal bone mineral density by means of the trabecular pattern of the alveolar bone, its interdental thickness, and the bone mass of the mandible. Oral Surg. Oral Med Oral Pathol Oral Radiol Endod 92:346–352CrossRef
37.
Manzoni P, Brambilla P, Pietrobelli A, Beccaria L, Bianchessi A, Mora S et al (1996) Influence of body composition on bone mineral content in children and adolescents. Am J Clin Nutr 64:603–607CrossRef
38.
Bridges T, King G, Mohammed A (1988) The effect of age on tooth movement and mineral density in the alveolar tissues of the rat. Am J Orthod Dentofac Orthop Mosby 93:245–250CrossRef
39.
40.
Rothe LE, Bollen AM, Little RM, Herring SW, Chaison JB, Chen CSK et al (2006) Trabecular and cortical bone as risk factors for orthodontic relapse. Am J Orthod Dentofac Orthop 130:476–484CrossRef
41.
Saloom HF, Papageorgiou SN, Carpenter GH, Cobourne MT (2017) Impact of obesity on orthodontic tooth movement in adolescents: a prospective clinical cohort study. J Dent Res 96:547–554CrossRef
Metadata
Title
Comparison of mandibular cortical bone among obese, overweight, and normal weight adolescents using panoramic mandibular index and mental index
Authors
Yasin Yasa
Süleyman Kutalmış Buyuk
Esra Genc
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 8/2020
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-019-03158-7

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