| Identification of post-menopausal women at risk of osteoporosis by trained general dental practitioners using panoramic radiographs. | |
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MedLine Citation:
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PMID: 17463099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: An eroded inferior cortex of the mandible on panoramic radiographs may be useful for identifying post-menopausal women with low bone mineral density (BMD), or osteoporosis. The purpose of this study was to assess whether trained general dental practitioners (GDPs) can identify post-menopausal women with undetected low skeletal BMD as well as spinal fractures by panoramic radiographs in their clinics. METHODS: Out of 455 women aged 50 years and older who visited the dental clinics of 22 trained GDPs and had panoramic radiographic assessment for the examination of dental diseases between June and December 2004, 168 post-menopausal women were diagnosed as having low skeletal BMD based on cortical erosion findings. Of these women, 39 women aged 50-84 years (mean age (SD, standard deviation), 64.8 (7.4) years) with no previous diagnosis of osteoporosis participated in this study. BMD at the lumbar spine and femoral neck was measured using dual energy X-ray absorptiometry (DXA). Spine fractures were assessed on lateral radiographs obtained at the time of the DXA assessment. RESULTS: Two women (5.1%) had normal BMD (BMD T-score>-1.0), 21 women (53.9%) had osteopenia (BMD T-score of -2.5 to -1.0) and 16 women (41.0%) had osteoporosis (BMD T-score<-2.5). Eight women (20.5%) had fractures at the thoracic spine, lumbar spine, or both. CONCLUSIONS: Our results suggest that a high percentage of post-menopausal women with undetected low skeletal BMD as well as spinal fractures may be identified based on trained GDPs' analyses of their panoramic radiographs. |
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Authors:
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A Taguchi; M Ohtsuka; T Nakamoto; K Naito; M Tsuda; Y Kudo; E Motoyama; Y Suei; K Tanimoto |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Dento maxillo facial radiology Volume: 36 ISSN: 0250-832X ISO Abbreviation: Dentomaxillofac Radiol Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-04-27 Completed Date: 2007-07-30 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7609576 Medline TA: Dentomaxillofac Radiol Country: England |
Other Details:
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Languages: eng Pagination: 149-54 Citation Subset: D |
Affiliation:
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Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi Minami-ku, Hiroshima 734-8553, Japan. akiro@hiroshima-u.ac.jp |
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| MeSH Terms | |
Descriptor/Qualifier:
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Absorptiometry, Photon Age Factors Aged Aged, 80 and over Clinical Competence Female Femur Neck / radiography General Practice, Dental* Humans Logistic Models Lumbar Vertebrae / radiography Mandibular Diseases / radiography* Middle Aged Osteoporosis, Postmenopausal / radiography* Radiography, Panoramic* Risk Spinal Diseases / radiography Spinal Fractures / radiography Thoracic Vertebrae / radiography |
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