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Is there a relation between local bone quality as assessed on panoramic radiographs and alveolar bone level?

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Abstract

The aim was to explore the relation between radiographic bone quality on panoramic radiographs and relative alveolar bone level. Digital panoramic radiographs of 94 female patients were analysed (mean age, 44.5; range, 35–74). Radiographic density of the alveolar bone in the premolar region was determined using Agfa Musica® software. Alveolar bone level and bone quality index (BQI) were also assessed. Relationships between bone density and BQI on one hand and the relative loss of alveolar bone level on the other were assessed. Mandibular bone density and loss of alveolar bone level were weakly but significantly negatively correlated for the lower premolar area (r = -.27). The BQI did not show a statistically significant relation to alveolar bone level. Radiographic mandibular bone density on panoramic radiographs shows a weak but significant relation to alveolar bone level, with more periodontal breakdown for less dense alveolar bone.

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References

  1. Civitelli R, Pilgram TK, Dotson M, Muckerman J, Lewandowski N, Armamento-Villareal R, Yokoyama-Crothers N, Kardaris EE, Hauser J, Cohen S, Hildebolt CF (2002) Alveolar and postcranial bone density in postmenopausal women receiving hormone/estrogen replacement therapy: a randomized, double-blind, placebo-controlled trial. Arch Intern Med 24:1409–1415

    Article  Google Scholar 

  2. Dutré F, Jacobs R, Styven S, Steenberghe D (2006) Development of a novel digital subtraction technique for detecting subtle changes in jawbone density. Clin Oral Invest 10:235–248

    Article  Google Scholar 

  3. Elders PJ, Habets LL, Netelenbos JC, Linden LW, Stelt PF (1992) The relation between periodontitis and systemic bone mass in women between 46 and 55 years of age. J Clin Periodontol 19:492–496

    Article  PubMed  Google Scholar 

  4. Famili P, Cauley J, Suzuki JB, Weyant R (2005) Longitudinal study of periodontal disease and edentulism with rates of bone loss in older women. J Periodontol 76:11–15

    Article  PubMed  Google Scholar 

  5. Friedlander LT, Love RM, Chandler NP (2002) A comparison of phosphor-plate digital images with conventional radiographs for the perceived clarity of fine endodontic files and periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 93:321–327

    Article  Google Scholar 

  6. Geraets WG, van Ruijven LJ, Verheij JG, van Eijden TM, van der Stelt PF (2006) A sensitive method for measuring spatial orientation in bone structures. Dentomaxillofac Radiol 35:319–325

    Article  PubMed  Google Scholar 

  7. Geurs NC, Lewis CE, Jeffcoat MK (2003) Osteoporosis and periodontal disease progression. Periodontol 2000 32:105–110

    Article  PubMed  Google Scholar 

  8. Goodson JM, Haffajee AD, Socransky SS (1984) The relationship between attachment level loss and alveolar bone loss. J Clin Periodontol 11:348–359

    Article  PubMed  Google Scholar 

  9. Hausmann E, Allen K, Clerehugh V (1991) What alveolar crest level on a bite-wing radiograph represents bone loss. J Periodontol 62:570–572

    PubMed  Google Scholar 

  10. Hildebolt CF, Pilgram TK, Yokoyama-Crothers N, Vannier MW, Dotson M, Muckerman J, Armamento-Villareal R, Hauser J, Cohen S, Kardaris EE, Hanes P, Shrout MK, Civitelli R (2002) The pattern of alveolar crest height change in healthy postmenopausal women after 3 years of hormone/estrogen replacement therapy. J Periodontol 73:1279–1284

    Article  PubMed  Google Scholar 

  11. Horner K, Devlin H (1992) Clinical bone densitometric study of mandibular atrophy using dental panoramic tomography. J Dent 20:33–37

    Article  PubMed  Google Scholar 

  12. Inagaki K, Kurosu Y, Yoshinari N, Noguchi T, Krall EA, Garcia RI (2005) Efficacy of periodontal disease and tooth loss to screen for low bone mineral density in Japanese women. Calcif Tissue Int, DOI 10.1007/s00223–004–0275-x

  13. Jacobs R, van Steenberghe D (1997) Radiographic planning and assessment of endosseous oral implants. Springer, Berlin

    Google Scholar 

  14. Klemetti E, Kolmakov S, Heiskanen P, Vainio P, Lassila V (1993) Panoramic mandibular index and bone mineral densities in postmenopausal women. Oral Surg Oral Med Oral Pathol 75:774–779

    Article  PubMed  Google Scholar 

  15. Klemetti E, Kolmakov S, Kroger H (1994) Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 102:68–72

    PubMed  Google Scholar 

  16. Kribbs PJ (1990) Comparison of mandibular bone in normal and osteoporotic women. J Prosthet Dent 63:218–222

    Article  PubMed  Google Scholar 

  17. Kribbs PJ, Chesnut CH, Ott SM, Kilcoyne RF (1990) Relationships between mandibular and skeletal bone in a population of normal women. J Prosthet Dent 63:86–89

    Article  PubMed  Google Scholar 

  18. Landini G (1997) Is periodontal breakdown a fractal process? Simulations using the Weierstrass–andelbrot function. J Periodontal Res 32:300–307

    Article  PubMed  Google Scholar 

  19. Law AN, Bollen AM, Chen SK (1996) Detecting osteoporosis using dental radiographs: a comparison of four methods. J Am Dent Assoc 127:1734–1742

    PubMed  Google Scholar 

  20. Lee K, Taguchi A, Ishii K, Suei Y, Fujita M, Nakamoto T, Ohtsuka M, Sanada M, Tsuda M, Ohama K, Tanimoto K, White SC (2005) Visual assessment of the mandibular cortex on panoramic radiographs to identify postmenopausal women with low bone mineral densities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:226–231

    Article  PubMed  Google Scholar 

  21. Lekholm U, Zarb GA (1985) Patient selection and preparation. In: Brånemark P-I, Zarb GA, Albrektsson T (eds) Tissue-integrated prostheses. Osseointegration in clinical dentistry. Quintessence, Chicago, pp 199–209

    Google Scholar 

  22. Lindh C, Petersson A, Rohlin M (1996) Assessment of the trabecular pattern before endosseous implant treatment: diagnostic outcome of periapical radiography in the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:335–343

    Article  PubMed  Google Scholar 

  23. Lundström A, Jendle J, Stenström B, Toss G, Ravald N (2001) Periodontal conditions in 70-year-old women with osteoporosis. Swed Dent J 25:89–96

    PubMed  Google Scholar 

  24. McCaul LK, McHugh S, Saunders WP (2001) The influence of specialty training and experience on decision making in endodontic diagnosis and treatment planning. Int Endod J 34:594–606

    Article  PubMed  Google Scholar 

  25. Mohajery M, Brooks SL, Detroit, Arbor A (1992) Oral radiographs in the detection of early signs of osteoporosis. Oral Surg Oral Med Oral Pathol 72:112–117

  26. Mohammad AR, Hooper DA, Vermilyea SG, Mariotti A, Preshaw PM (2003) An investigation of the relationship between systemic bone density and clinical periodontal status in post-menopausal Asian-American women. Int Dent J 53:121–125

    PubMed  Google Scholar 

  27. Müller H-P, Ulbrich M (2005) Alveolar bone levels in adults as assessed on panoramic radiographs. (I) Prevalence, extent, and severity of even and angular bone loss. Clin Oral Invest 9:98–104

    Article  Google Scholar 

  28. Müller H-P, Ulbrich M, Heinecke A (2005) Alveolar bone loss in adults as assessed on panoramic radiographs. (II) Multilevel models. Clin Oral Invest 9:105–110

    Article  Google Scholar 

  29. Nackaerts O, Jacobs R, Horner K, Zhao F, Lindh C, Karayianni K, van der Stelt P, Pavitt S, Devlin H (2007) Bone density measurements in intra-oral radiographs. Clin Oral Invest (in press). DOI 10.1007/s00784-07-0107-2

  30. Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, Tanimoto K, Tsuda M, Sanada M, Ohama K, Takahashi J, Rohlin M (2003) Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporos Int 14:659–664

    Article  PubMed  Google Scholar 

  31. Nelson DA, Megyesi MS (2004) Sex and ethnic differences in bone architecture. Curr Osteoporos Rep 2:65–69

    Article  PubMed  Google Scholar 

  32. Payne JB, Reinhardt RA, Nummikoski PV, Patil KD (1999) Longitudinal alveolar bone loss in postmenopausal osteoporotic/osteopenic women. Osteoporos Int 10:34–40

    Article  PubMed  Google Scholar 

  33. Payne JB, Zachs NR, Reinhardt RA, Nummikoski PV, Patil K (1997) The association between oestrogen status and alveolar bone density changes in postmenopausal women with a history of periodontitis. J Periodontol 68:24–31

    PubMed  Google Scholar 

  34. Persson GR (2006) What has ageing to do with periodontal health and disease. Int Dent J 56(Suppl 1):240–249

    PubMed  Google Scholar 

  35. Shen EC, Gau CH, Hsieh YD, Chang CY, Fu E (2004) Periodontal status in post-menopausal osteoporosis: a preliminary clinical study in Taiwanese women. J Chin Med Assoc 67:389–393

    PubMed  Google Scholar 

  36. Soikkonen K, Ainamo A, Wolf J, Xie Q, Tilvis R, Valvanne J, Erkinjuntti T (1994) Radiographic findings in the jaws of clinically edentulous old people living at home in Helsinki, Finland. Acta Odontol Scand 52:229–233

    Article  PubMed  Google Scholar 

  37. Taguchi A, Suei Y, Ohtsuka M, Nakamoto T, Lee K, Sanada M, Tsuda M, Ohama K, Tanimoto K, Bollen AM (2005) Relationship between self-reported periodontal status and skeletal bone mineral density in Japanese postmenopausal women. Menopause 12:144–148

    Article  PubMed  Google Scholar 

  38. Taguchi A, Suei Y, Sanada M, Ohtsuka M, Nakamoto T, Sumida H, Ohama K, Tanimoto K (2004) Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis. Am J Roentgenol 183:1755–1760

    Google Scholar 

  39. Takaishi Y, Okamoto Y, Ikeo T, Morii H, Takeda M, Hide K, Arai T, Nonaka K (2005) Correlations between periodontitis and loss of mandibular bone in relation to systemic bone changes in postmenopausal Japanese women. Osteoporos Int 16: 1875–1882

    Google Scholar 

  40. van Eijden TM, van der Helm PN, van Ruijven LJ, Mulder L (2006) Structural and mechanical properties of mandibular condylar bone. J Dent Res 85:33–37

    Article  PubMed  Google Scholar 

  41. von Wowern N (2001) General and oral aspects of osteoporosis: a review. Clin Oral Investig 5:71–82

    Article  Google Scholar 

  42. von Wowern N, Klausen B, Kollerup G (1994) Osteoporosis: a risk factor in periodontal disease. J Periodontol 65:1134–1138

    Google Scholar 

  43. Walsh TF, al-Hokail OS, Fosam EB (1997) The relationship of bone loss observed on panoramic radiographs with clinical periodontal screening. J Clin Periodontol 24:153–157

    Article  PubMed  Google Scholar 

  44. White S, Pharoah MJ (eds) (2004) Oral radiology. Principles and interpretation, 5th edn. Mosby, St. Louis, MO, pp 316–317

  45. Yoshihara A, Seida Y, Hanada N, Miyazaki H (2004) A longitudinal study of the relationship between periodontal disease and bone mineral density in community-dwelling older adults. J Clin Periodontol 31:680–684

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Kapucijnenvoer 7, 3000, Leuven, Belgium

    Olivia Nackaerts, Frieda Gijbels, Anna-Maria Sanna & Reinhilde Jacobs

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  1. Olivia Nackaerts
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  2. Frieda Gijbels
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  3. Anna-Maria Sanna
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  4. Reinhilde Jacobs
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Correspondence to Reinhilde Jacobs.

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Nackaerts, O., Gijbels, F., Sanna, AM. et al. Is there a relation between local bone quality as assessed on panoramic radiographs and alveolar bone level?. Clin Oral Invest 12, 31–35 (2008). https://doi.org/10.1007/s00784-007-0139-7

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  • DOI: https://doi.org/10.1007/s00784-007-0139-7

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