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Osteoporosis is a pandemic, chronic, silent skeletal condition that can cause bone fractures and possibly disability if left untreated. In clinical practice, it frequently goes unnoticed until a fracture develops. Therefore, the study aims to evaluate visually the diagnostic efficacy of panoramic-based mandibular cortex index and trabecular patterns in aged women. Archival Panoramic radiographs of 800 aged women were examined and narrowed to controls (114) and study patients (116). Panoramic-based index i.e., mandibular cortical thickness, and trabecular patterns were visually evaluated. Dense homogeneous trabeculation and sparse trabeculation were found to be more sensitive and specific on the right side when evaluating Region of Interest 1, while Region of Interest 2 revealed sparse trabeculation. Mandibular Cortical Index in study patients revealed Osteoporotic MCI to be statistically significant when comparing the control. Overall, the control group had a statistically significantly higher Normal MCI (100%), Osteopenia MCI (76.5%), and dense homogeneous trabeculation (100%) score of the right mandibular cortex index than the study group. Indicators from panoramic radiography may be helpful in triage screening procedures to detect osteoporosis.
Vishnurao et al. (Thu,) studied this question.