Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study
Ananya Nair,1,* Vathsala Patil,1,* Isha Bhardwaj,1,* Deepak Kumar Singhal,2 Komal Smriti,1 Yogesh Chhaparwal,1 Shubha Chhaparwal,3 Disha Prabhu3 1Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manip...
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Dove Medical Press
2025-01-01
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| author | Nair A Patil V Bhardwaj I Singhal DK Smriti K Chhaparwal Y Chhaparwal S Prabhu D |
| author_facet | Nair A Patil V Bhardwaj I Singhal DK Smriti K Chhaparwal Y Chhaparwal S Prabhu D |
| author_sort | Nair A |
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| description | Ananya Nair,1,* Vathsala Patil,1,* Isha Bhardwaj,1,* Deepak Kumar Singhal,2 Komal Smriti,1 Yogesh Chhaparwal,1 Shubha Chhaparwal,3 Disha Prabhu3 1Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India; 2Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India; 3Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India*These authors contributed equally to this workCorrespondence: Deepak Kumar Singhal, Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India, Email dk.singhal@manipal.edu Komal Smriti, Department of Oral Medicine Radiology Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India, 576104, Email komal.smriti@manipal.eduPurpose: Thyroid hormones have a catabolic effect on bone mineral homeostasis. Hypothyroid patients have shown changes in bone mineral density with increased risk for osteoporosis and bone fractures. Radiomorphometric parameters on panoramic images are good indicators of bone mineral density. The aim of the study was to compare the radiomorphometric parameters in dental panoramic images of patients diagnosed with hypothyroidism with age- and gender-matched control populations.Methods: Panoramic radiographs of 47 patients diagnosed with hypothyroidism were measured for radio morphometric indices like mental index (MI), The inferior panoramic mandibular index (PMI), antegonial index (AGI), gonial Index (GI) and mandibular cortical Index (MCI). The measurements were compared with age and gender matched 50 healthy controls.Results: The mean values of MI (3.11), PMI (0.28), and GI (1.38) were lower in hypothyroidism than in 50 healthy controls which was 3.17, 0.30 and 1.33, respectively. However, only AGI (3.14) showed statistically significant differences (p = 0.03).Conclusion: This study showed radiomorphometric parameters like MI, PMI, GI and AGI are valuable indicators of bone changes in mandible of patients with systemic diseases like hypothyroidism. Although statistically significant difference was seen only in AGI compared to healthy controls. Further studies with larger samples can provide substantial data. Applying newer technologies like machine learning can also help us determine whether mandibular morphometric parameters can predict changes in bone mineral density in hypothyroid cases.Keywords: hypothyroidism, bone mineral density, radiomorphometric indices, panoramic radiographs, osteoporosis |
| format | Article |
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| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
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| series | Clinical, Cosmetic and Investigational Dentistry |
| spelling | doaj-art-91b3482a33e64f1ea4f689c73a7eca032025-01-14T16:51:43ZengDove Medical PressClinical, Cosmetic and Investigational Dentistry1179-13572025-01-01Volume 17313799235Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional StudyNair APatil VBhardwaj ISinghal DKSmriti KChhaparwal YChhaparwal SPrabhu DAnanya Nair,1,* Vathsala Patil,1,* Isha Bhardwaj,1,* Deepak Kumar Singhal,2 Komal Smriti,1 Yogesh Chhaparwal,1 Shubha Chhaparwal,3 Disha Prabhu3 1Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India; 2Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India; 3Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India*These authors contributed equally to this workCorrespondence: Deepak Kumar Singhal, Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India, Email dk.singhal@manipal.edu Komal Smriti, Department of Oral Medicine Radiology Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India, 576104, Email komal.smriti@manipal.eduPurpose: Thyroid hormones have a catabolic effect on bone mineral homeostasis. Hypothyroid patients have shown changes in bone mineral density with increased risk for osteoporosis and bone fractures. Radiomorphometric parameters on panoramic images are good indicators of bone mineral density. The aim of the study was to compare the radiomorphometric parameters in dental panoramic images of patients diagnosed with hypothyroidism with age- and gender-matched control populations.Methods: Panoramic radiographs of 47 patients diagnosed with hypothyroidism were measured for radio morphometric indices like mental index (MI), The inferior panoramic mandibular index (PMI), antegonial index (AGI), gonial Index (GI) and mandibular cortical Index (MCI). The measurements were compared with age and gender matched 50 healthy controls.Results: The mean values of MI (3.11), PMI (0.28), and GI (1.38) were lower in hypothyroidism than in 50 healthy controls which was 3.17, 0.30 and 1.33, respectively. However, only AGI (3.14) showed statistically significant differences (p = 0.03).Conclusion: This study showed radiomorphometric parameters like MI, PMI, GI and AGI are valuable indicators of bone changes in mandible of patients with systemic diseases like hypothyroidism. Although statistically significant difference was seen only in AGI compared to healthy controls. Further studies with larger samples can provide substantial data. Applying newer technologies like machine learning can also help us determine whether mandibular morphometric parameters can predict changes in bone mineral density in hypothyroid cases.Keywords: hypothyroidism, bone mineral density, radiomorphometric indices, panoramic radiographs, osteoporosishttps://www.dovepress.com/radiomorphometric-parameters-in-mandibular-panoramic-radiographs-of-hy-peer-reviewed-fulltext-article-CCIDEhypothyroidismbone mineral densityradiomorphometric indicespanoramic radiographsosteoporosis. |
| spellingShingle | Nair A Patil V Bhardwaj I Singhal DK Smriti K Chhaparwal Y Chhaparwal S Prabhu D Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study Clinical, Cosmetic and Investigational Dentistry hypothyroidism bone mineral density radiomorphometric indices panoramic radiographs osteoporosis. |
| title | Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study |
| title_full | Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study |
| title_fullStr | Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study |
| title_full_unstemmed | Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study |
| title_short | Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study |
| title_sort | radiomorphometric parameters in mandibular panoramic radiographs of hypothyroid patients a cross sectional study |
| topic | hypothyroidism bone mineral density radiomorphometric indices panoramic radiographs osteoporosis. |
| url | https://www.dovepress.com/radiomorphometric-parameters-in-mandibular-panoramic-radiographs-of-hy-peer-reviewed-fulltext-article-CCIDE |
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