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01-12-2017 | Original Article

Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis

Authors: C. B. Brasileiro, L. L. F. H. Chalub, M. H. N. G. Abreu, I. D Barreiros, T. M. P. Amaral, A. M. Kakehasi, R. A. Mesquita

Published in: Archives of Osteoporosis | Issue 1/2017

Abstract

Summary

The aim of this study is to correlate radiometric indices from cone beam computed tomography (CBCT) images and bone mineral density (BMD) in postmenopausal women. Quantitative CBCT indices can be used to screen for women with low BMD.

Purpose

Osteoporosis is a disease characterized by the deterioration of bone tissue and the consequent decrease in BMD and increase in bone fragility. Several studies have been performed to assess radiometric indices in panoramic images as low-BMD predictors. The aim of this study is to correlate radiometric indices from CBCT images and BMD in postmenopausal women.

Methods

Sixty postmenopausal women with indications for dental implants and CBCT evaluation were selected. Dual-energy X-ray absorptiometry (DXA) was performed, and the patients were divided into normal, osteopenia, and osteoporosis groups, according to the World Health Organization (WHO) criteria. Cross-sectional images were used to evaluate the computed tomography mandibular index (CTMI), the computed tomography index (inferior) (CTI (I)) and computed tomography index (superior) (CTI (S)). Student’s t test was used to compare the differences between the indices of the groups’ intraclass correlation coefficient (ICC).

Results

Statistical analysis showed a high degree of interobserver and intraobserver agreement for all measurements (ICC > 0.80). The mean values of CTMI, CTI (S), and CTI (I) were lower in the osteoporosis group than in osteopenia and normal patients (p < 0.05). In comparing normal patients and women with osteopenia, there was no statistically significant difference in the mean value of CTI (I) (p = 0.075).

Conclusions

Quantitative CBCT indices may help dentists to screen for women with low spinal and femoral bone mineral density so that they can refer postmenopausal women for bone densitometry.

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Title: Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis
Authors: C. B. Brasileiro
L. L. F. H. Chalub
M. H. N. G. Abreu
I. D Barreiros
T. M. P. Amaral
A. M. Kakehasi
R. A. Mesquita
Publication date: 01-12-2017
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2017
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-017-0314-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis

Abstract

Summary

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusions

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