Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis

Statement of the Problem: Reduced bone mineral density (BMD) generally affects postmenopausal women and it is classified into moderate (osteopenia) and significant osteoporosis. Based on digital panoramic radiographs (DPRs), several quantitative and qualitative assessment methods have been proposed for the diagnosis and evaluation of bone changes and as a predictor of BMD.
The aim of this study was to compare mandibular cortical width (MCW) and mandibular cortical index (MCI) derived from DPRs in evaluating the BMD in osteopenic and osteoporotic post-menopausal women.
In this cross-sectional study, the BMD assessment was performed using dual-energy X-ray absorptiometry (DEXA). Then, patients were divided into two groups: osteopenia and osteoporosis based on WHO criteria. Two types of T-scores including TT (trabecular) for lumbar spine, TC (cortical) for femoral neck and finally, MCW and MCI were measured based on DPRs.
Fifty females with the average age of 57.64±6.03 years were entered into the study. MCW significantly correlated with BMD (p The results showed that MCW is an appropriate index of osteoporosis in post-menopausal women. Although the prediction of osteoporosis is poorer at the femoral neck than lumbar.