Fogorvosi szemle, 2016 (109. évfolyam, 1-4. szám)
2016-09-01 / 3. szám
87 FOGORVOSI SZEMLE ■ 109. évf. 3. sz. 2016. 23. Mulligan R, Sobel S: Osteoporosis: Diagnostic testing, interpretation, and correlations with oral health-implications for dentistry. Dent Clin North Am 2005: 463-484. 24. Nagi R, Yashoda Devi BK, Rakesh N, Reddy SS, Santana S, Shetty N: Relationship between femur bone mineral density, body mass index and dental panoramic mandibular cortical width in diagnosis of elderly postmenopausal women with osteoporosis. J Clin Diagn Res 2014: 36-40. 25. Nagy É: A csontritkulásos betegek szűrésének és gondozásának jelentősége a háziorvosi gyakorlatban. Hippocrates 2001 : 36-41. 26. Nakamoto, T, Taguchi A, Ohtsuka M: Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporos Int 2003: 659-664. 27. Nilas L, Nörglrd H, Pödenphant J, Gotfredsen A, Christiansen C: Bone composition in the distal forearm. Scand J Clin Lab Invest 1987: 41-46. 28. Osteoporosis in the European Community: Action Plan. A Report of the European Union Osteoporosis Consultation Panel. 2003. http://ec.europa.eu/health/ph_projects/2002/promotion/fp_promotion_2002_a1_04_en.pdf (Utolsó elérés: 2016.02.14.) 29. Somogyi P, Kricsfalusy M, Gaál J, Cserháti P: Csípőtáji törések jelentősége a magyarországi adatok tükrében. Osteologiai Közlemények 20t0: 67-72. 30. Somogyi P: Osteoporosis szűrés lehetőségei és tapasztalatai Magyarországon. Népegészségügy 2011: 345-350. 31. Svedbom A, Hernlund E, Ivergard M, Compston J, Cooper C, Stenmark J, et al.: Osteoporosis in the European Union: a compendium of country-specific reports. Arch Osteoporos 2013: 8: 137. 32. Taguchi A: Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral Dis 2010: 316-327. 33. Taguchi A, Tanimoto K, Suei Y: Oral signs as indicators of possible osteoporosis in elderly women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995: 612-616. 34. Tóth ZsO, Udvar O, Angyal J: Kormeghatározás panoráma röntgenfelvételek alapján. Fogorv Szle 2014: 93-98. 35. White SC, Rudolph DJ: Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999: 628-635. 36. WHO Scientific Group: Prevention and Management of Osteoporosis. WHO Technical Report Series No 921. Geneva: WHO Press 2003. http://apps.who.int/iris/bitstream/10665/42841/1/WHO _TRS_921.pdf (Utolsó elérés: 2016.02.14.) Fehér M, Kuki A, Mohácsi R, Birinyi L, Angyal J Precision evaluation of panoramic morphometric index measurements performed by experienced clinicians and dental students Osteoporosis is a chronic degenerative disease of bones in which the primary type of it affects generally women after postmenopause. According to the literature the panoramic indices are valuable morphometric and visual tools to detect the disorder in an early and asymptomatic stage. The goals of study were to evaluate the reproducibility of mandibular cortical and panoramic indices and to assess population-specific index parameters. Panoramic radiographs of 50 osteoporotic (age = 65,1 ± 5,9) and 36 control (age = 66,4 ± 7,1) women were evaluated for the cortical (MCI) and panoramic (PMI) indices by 2 experienced clinicians and 40 dental students with basic clinical experiences. Statistical analysis of data was preformed using SPSS software. The result of MCI and PMI indexes demonstrated high interobserver agreement between the two clinicians but in MCI data, recorded by the clinicians and students, showed statistically significant differences. On the other hand the mean and threshold values of the indices proved to be different from what we had expected from other surveys. Although the panoramic images are taken for specific dental indications that would improve the screening efficiency of osteoporosis when the clinician recognizes the signs of it on the radiographs. Key words: panoramic radiography, osteoporosis, cortical index, mandibular index, reproducibility
