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P 103<br />
Title<br />
AGE RELATED OSTEOPOROTIC AND SPONDyLOTIC CHANGES IN PANORAMIC RADIOGRAPHS<br />
Authors<br />
R. MOHÁCSI, L. bIRINyI, L. PATAKy, J. ANGyAL<br />
Affiliations<br />
1 Faculty of Dental Sciences, University of Debrecen, DEBRECEN, HUNGARY, 2 Department of<br />
Obstetrics and Gynecology, University of Debrecen, DEBRECEN, HUNGARY, 3 Dept. of Oral and<br />
Maxillofacial Surgery and Independent Section of Radiology, Faculty of Dentistry Semmelweis<br />
Univ., BUDAPEST, HUNGARY, 4 Faculty of Dental Sciences, University of Debrecen, DEBRECEN,<br />
HUNGARY<br />
Body<br />
Both degenerative changes of cervical spine and osteoporosis are conditions that frequently<br />
occur in elderly and may markedly impair the quality of life. On panoramic (PAN) radiographs<br />
signs of osteoporosis and, when anterior part of the cervical spine is depicted, vertebral degeneration<br />
also can be identified.<br />
Objective: The purpose of this study to evaluate age dependent radiomorphometric changes in<br />
PAN pictures of the mandible and the depicted are<strong>as</strong> of the cervical vertebrae in postmenopausal<br />
women.<br />
Methods: 50 postmenopausal women who were managed with osteoporosis in Osteoporosis<br />
Center of our University were underwent PAN radiography in accordance with standard clinical<br />
protocols and radiation safety legislations. Only the c<strong>as</strong>es w<strong>here</strong> anterior parts of the upper<br />
four cervical vertebrae were depicted were involved in this study. The patients were divided<br />
into twol groups: Group 1 (mean age 60,4+/-3,0) and Group 2 (mean age 70,1+/-3,8). Bone<br />
mineral density (BMD) of the lumbar spine w<strong>as</strong> me<strong>as</strong>ured with a DXA and PAN indices, namely<br />
mandibular cortical (MCI) and PAN mandibular index (PMI) were calculated. Two matched<br />
control groups with negative anamnesis of osteoporosis were selected.<br />
Results: MCI values of Group 1 were higher without significant differences, but in Group 2<br />
PMI parameters proved to be significantly lower. Despite the significant differences that were<br />
found comparing the BMD of the three MCI subgroups, no proportional relation w<strong>as</strong> observed<br />
between mean values of subgroups. Degenerative changes were found more frequently in older<br />
women.<br />
Conclusions: Dentists should be either aware of cervical vertebral changes or signs of osteoporosis<br />
on PAN radiographs.<br />
Keywords<br />
PANORAMIC RADIOGRAPHY,OSTEOPOROSIS, POSTMENOPAUSAL,SPONDYLOSIS<br />
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