CHSJ

Curr Health Sci J, vol. 35, no. 4, 2009

Mandibular Panoramic Indexes Predictors of Skeletal Osteoporosis for Implant Therapy

[Original paper]

M. MELESCANU-IMRE(1), E. PREOTEASA(1)


(1)Department of Prosthodontics, Dental Medical School, University of Medicine and Pharmacy, „Carol Davila” Bucharest


Abstract:

The aim of this study is to evaluate the relationship between osteoporosis and mandibular panoramic indexes in order to assess the possibility of using these parameters as an indicator of osteoporosis. Bone quality relates to bone turnover rate, architecture, damage accumulation, and degree of matrix mineralization. Risk factors for osteoporosis can be categorized as no modifiable (sex, age, early menopause, body frame, race, heredity) or modifiable (lack of calcium, exercise, smoking, alcohol, systemic diseases etc). Various studies have demonstrated that individuals with osteoporosis have altered morphology of the mandible and various investigators reported different aspects:  mandibular bone mineral density and cortical index (MCI), mandibular alveolar bone mass, inferior Cortex of the Mandible, alveolar bone resorption, the number of teeth present and special considerations for implant therapy in osteoporotic patients. In conclusion, this paper is a review of the literature on the possible association between osteoporosis and oral bone loss, with an emphasis on radiological studies and dentists are a potentially valuable resource for initial patient screening for signs of osteoporosis, as individuals with osteoporosis have altered architecture of the inferior border of the mandible as seen on panoramic radiographs.


Keywords: osteoporosis, mandibular bone, panoramic index, implant therapy



Corresponding: Marina Melescanu-Imre, MD, Assistant Professor, Department of Prosthodontics, Dental Medical School, University of Medicine and Pharmacy, Carol Davila"; Bucharest, RomAnia; melim.marina@gmail.com


DOI 10.12865/CHSJ.35.04.02 - Download PDF
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