Evaluation of osteoporosis in diabetic individuals using digital intra oral periapical radiographs

Autores/as

  • Sunil Mutalik
  • Megha Goyal
  • Sanghamesh B.
  • Kruthika S. Guttal
  • Venkatesh G. Naikmasur
  • Vimi S. Mutalik

DOI:

https://doi.org/10.7213/aor.v7i2.23122

Palabras clave:

Bone mineral density, Diabetes mellitus, Digital intraoral periapical radiographs, Osteoporosis

Resumen

Introduction: Osteoporosis is a major cause of fractures in middle aged individuals. There has been drastic increase in the number of osteoporotic patients over the past two decades. The relationship of osteoporosis and diabetes continues to be a topic of debate among research workers. Detection of osteoporosis is very important for oral diagnostics as it can bring changes in treatment plan and modifications in oral procedures. Current literature is directed at diagnosing this condition on dental radiographs. Objectives: The present study was aimed at detecting osteoporosis using digital dental radiographs of premolar and molar region using Adobe Photoshop CS2 software. Materials and methods: A total of 40 patients visiting the dental department who were already diagnosed with type II diabetes for minimum of 1 year Arch Oral Res. 2011 May/Aug.;7(2)169-75 Mutalik S, Goyal M, Sanghamesh B, Guttal SK, Naikmasur VG, Mutalik VS. 170 obesity, hyperglycemia and advanced glycation end products. Albright and Reifenstein were first to report low mineral density and risk of fracture in diabetic subjects in 1948 (3). The relationship between diabetes and osteoporosis continues to be debated among the research workers. A recent meta-analysis showed that diabetic patients had higher hip bone mineral density (BMD) than non-Diabetic controls suggesting that BMD values may not reflect bone fragility in diabetic patients (4). Bone density is determined by several modalities ranging from quantitative computed tomography (qCT) to dual energy x-ray absorptiometry (DEXA) or peripheral ultrasound measurement. Each modality has been shown to be independently predictive of fracture risk, yet each has its own limitations (5). Introduction Osteoporosis is a systemic skeletal disease characterized by reduced bone mineral density and micro architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. It is one of the most common diseases of modern society, affecting the old-and middle-aged individuals (1). Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. The metabolic dysregulation associated with DM causes secondary pathophysiologic changes in multiple organ systems that impose a tremendous burden on the health care system (2). Diabetes affects bone mineral density through were selected randomly for the study. Digital intra oral periapical (IOPA) radiographs of lower premolarmolar region were obtained by paralleling technique. The images were then converted into bitmap file format and assessed using adobe Photoshop CS2 software. The number of trabeculae in a specified area were counted and compared with age and sex matched healthy individuals with normal glycemic control. Results: Mean number of trabeculae/mm2 in normal individuals was 0.1987 ± 0.0244, and in diabetic group 0.1737 ± 0.0279. The difference was statistically significant (p < 0.05). Conclusion: This study confirmed that the number of trabeculae/mm2 in diabetic individuals was less compared to that seen in normal individuals.

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Publicado

2011-11-28

Cómo citar

Mutalik, S., Goyal, M., B., S., Guttal, K. S., Naikmasur, V. G., & Mutalik, V. S. (2011). Evaluation of osteoporosis in diabetic individuals using digital intra oral periapical radiographs. Archives of Oral Research, 7(2). https://doi.org/10.7213/aor.v7i2.23122

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