在根尖周围x线片上研究前后牙槽小梁模式：对绝经后妇女骨密度的见解

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-07-22 DOI:10.1016/j.jobcr.2025.06.025

Rurie Ratna Shantiningsih , Rini Widyaningrum , Silviana Farrah Diba , Adioro Soetojo , Aga Satria Nurrachman , Eha Renwi Astuti

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引用次数: 0

摘要

背景：人口老龄化的加剧使绝经后妇女由于骨量减少而患骨质疏松症的风险更高。虽然双能x射线吸收仪（DXA）是测量骨矿物质密度（BMD）的标准，但其成本和有限的可用性推动了对替代方法的需求。分形维数（FD）分析的小梁骨模式在根尖周围x线片提供了一个经济有效的和可访问的方法。本研究探讨了FD在前、后下颌区域的差异，作为绝经后妇女骨质疏松症的潜在早期标志物。材料,方法横断面研究分析了31名绝经后妇女的骨密度和DXA扫描的t评分数据。FD分析测量前、后牙区牙槽骨密度（ABD）和D值。单因素方差分析检验区域差异，而Spearman和Pearson相关评估FD值、BMD和T-score之间的关系。结果前后侧ABD及D值差异无统计学意义(p >；0.05)。ABD与BMD呈显著正相关(r = 0.383, p <；0.05)， D值无统计学意义。t评分与前路ABD显著相关(r = - 0.357, p <；0.05)。结论虽然FD在地区间无明显差异，但根尖周x线片上的ABD，尤其是前区，可能是绝经后妇女骨质疏松风险的潜在指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Investigating anterior and posterior alveolar trabecular patterns on periapical radiographs: Insights into bone mineral density in postmenopausal women

查看原文本刊更多论文

Investigating anterior and posterior alveolar trabecular patterns on periapical radiographs: Insights into bone mineral density in postmenopausal women

Background

The increasing aging population places postmenopausal women at higher risk of osteoporosis due to reduced bone mass. While Dual-Energy X-ray Absorptiometry (DXA) is the standard for measuring Bone Mineral Density (BMD), its cost and limited availability drive the need for alternative methods. Fractal Dimension (FD) analysis of trabecular bone patterns in periapical radiographs offers a cost-effective and accessible approach. This study examines FD differences in anterior and posterior mandibular regions as a potential early marker for osteoporosis in postmenopausal women.

Materials & methods

A cross-sectional study analyzed periapical radiographs from 31 postmenopausal women with BMD and T-score data from DXA scans. FD analysis measured alveolar bone density (ABD) and D values in the anterior and posterior regions. One-way ANOVA tested regional differences, while Spearman's and Pearson's correlation assessed relationships between FD values, BMD, and T-score.

Results

No significant differences were found between anterior and posterior ABD and D values (p > 0.05). ABD showed a significant positive correlation with BMD (r = 0.383, p < 0.05), while D values did not. The T-score correlated significantly with anterior ABD (r = −0.357, p < 0.05).

Conclusion

Although no significant regional FD differences were found, ABD in periapical radiographs, particularly in the anterior region, may serve as a potential indicator for osteoporosis risk in postmenopausal women.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.