Rajprabha, R (2020) Accuracy of Mandibular Panoramic Indices in the Assessment of Bone Mineral Density in Comparison with Dexa Scans among Post Menopause Women. Masters thesis, Ragas Dental College and Hospital, Chennai.
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Abstract
BACKGROUND: Osteoporosis is one of the major health hazards in postmenopausal women in India, and approximately 46 billion women are with osteoporosis, mainly attributed to different levels of fracture. Vitamin D deficiency along with low calcium intake, early menopause, genetic predisposition, poor knowledge of bone health and lack of diagnostic facilities attributes to increased prevalence of osteoporosis. Diagnosis of osteoporosis is done by dual energy X- ray absorptiometry (DEXA), which is considered as a gold standard procedure by WHO. Data suggests that in India, there is approximately 0.26 DXA machine per million Indian populations. In recent years emphasis has been placed on detecting postmenopausal women with low bone mineral density using panoramic radiographs and predicting these radiographs as screening tools for osteoporosis. The present study was conducted to study the role of dentist as a potentially valuable resource to identify patients with asymptomatic low bone density and to guide the dentist in proper case selection of postmenopausal patients for implant placement. AIMS AND OBJECTIVES: To evaluate the accuracy of mandibular panoramic indices in assessing bone mineral density among postmenopausal women and compare with DXA scan. To evaluate the effectiveness of mandibular panoramic indices as a guide in case selection for implant placement in elderly patients. METHODOLOGY: The study consists of 20 patients. The patients included in this study were subjected to DEXA scan and digital OPG. Mandibular cortical index (MCI) and mental index (MI) were used to measure the quantity and quality of mandibular cortex in the Digital panoramic radiograph. All the data were entered in Microsoft excel sheets and Statistical analysis was done using SPSS software. RESULTS: The result showed that there was a significant accuracy of mandibular panoramic indices in assessing bone mineral density among postmenopausal women, compared with DXA scan with a statistically significant p valve of P < 0.001. Thus, mandibular panoramic indices can be used as a guide in case selection for implant placement in postmenopausal and elderly patients seeking dental rehabilitation. CONCLUSION: Mandibular panoramic indices are effective in identifying post-menopausal women with low bone mineral density and can be used as a valuable guide in case selection for implant placement in elderly patients.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Bone mineral density, dual energy X-ray absorptiometry, mandibular panoramic indices, post-menopausal women, implants. |
| Subjects: | DENTAL > Oral Medicine and Radiology |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Feb 2021 03:10 |
| Last Modified: | 25 Feb 2021 03:10 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14517 |
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