Cone Beam Computed Tomography of Bonejaws in Patients With Primary Osteoporosis: A Systematic Review.

IF 5.3 2区医学

Current Osteoporosis Reports Pub Date : 2026-05-21 DOI:10.1007/s11914-026-00972-3

Irene Frassineti, Lorenzo Cinci, Andrea Magnini, Maria Pisano, Luigi Barbato, Francesco Cairo, Luisella Cianferotti, Cosimo Nardi

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引用次数: 0

Abstract

Purpose of review: This study aimed to investigate the potential of Cone Beam Computed Tomography (CBCT) parameters to identify primary osteoporosis in jawbones.

Recent findings: Early diagnosis of osteoporosis is crucial but challenging. Dual X-ray Absorptiometry (DXA) is the gold standard to measure bone density, nevertheless it has limitations including cost, radiation dose, and 2D imaging. CBCT is a volumetric imaging technique commonly used in dentistry that showed promise as an alternative tool due to its high spatial resolution and excellent analysis of bone structures. Mandibular and maxillary CBCT indices showed a strong correlation with Bone Mineral Density (BMD) assessed by DXA. Regional indices (Anterior, Molar, and Posterior), quantitative indices (Computed Tomography Mandibular Index, Computed Tomography Index Superior and Inferior), Radiographic Density, Fractal Dimension, and the qualitative index named Computed Tomography Cortical Index seemed appropriate for the detection of primary osteoporosis. Morphometric parameters for trabecular bone did not show differences between osteoporotic and non-osteoporotic patients. Future studies should assess diagnostic accuracy of such CBCT indices and formulate standardized measurement protocols.

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骨锥束计算机断层扫描在原发性骨质疏松患者中的应用：一项系统综述。

综述目的：本研究旨在探讨锥形束计算机断层扫描（CBCT）参数在识别颌骨原发性骨质疏松症中的潜力。最近的研究发现：骨质疏松症的早期诊断是至关重要的，但具有挑战性。双x线吸收仪（DXA）是测量骨密度的金标准，但它有成本、辐射剂量和二维成像等方面的局限性。CBCT是一种通常用于牙科的体积成像技术，由于其高空间分辨率和出色的骨结构分析而显示出作为替代工具的希望。下颌和上颌CBCT指数与DXA评估的骨密度（BMD）有很强的相关性。区域指标（前、臼齿、后）、定量指标（计算机断层扫描下颌指数、计算机断层扫描上、下指数）、x线密度、分形维数和定性指标计算机断层扫描皮质指数适合于原发性骨质疏松症的检测。骨小梁的形态学参数在骨质疏松和非骨质疏松患者之间没有差异。未来的研究应评估这些CBCT指标的诊断准确性，并制定标准化的测量方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Osteoporosis Reports ENDOCRINOLOGY & METABOLISM-

CiteScore

8.40

自引率

2.30%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.