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The use of visual assessment of dental radiographs for identifying women at risk of having osteoporosis: the OSTEODENT project

Lindh, C, Horner, K, Jonasson, G, Olsson, P, Rohlin, M, Jacobs, R, Karayianni, K, van der Stelt, P, Adams, J, Marjanovic, E, Pavitt, S and Devlin, H (2008) The use of visual assessment of dental radiographs for identifying women at risk of having osteoporosis: the OSTEODENT project. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106 (2). 285 - 293 . ISSN 1079-2104

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Abstract

Objective. The objective of this study was to investigate the diagnostic accuracy of visual assessment of the trabecular pattern in intraoral periapical radiographs to identify female subjects at risk of having osteoporosis.Study design. Six hundred female subjects underwent intraoral periapical radiography of the maxillary and mandibular premolar region. Five observers assessed the trabecular pattern as dense, heterogeneous, or sparse, with the aid of reference images. All patients received a central dual energy x-ray absorptiometry (DXA) examination of the hip and lumbar spine.Results. With sparse trabecular pattern as indicative of osteoporosis, mean specificity was high (91.6 for the upper jaw and 90.8 for the lower jaw) while the sensitivity was low (28.2 for the upper and lower jaw). The mean intraobserver agreement was comparable for radiographs of the upper and lower jaw (median kappa(w) 0.53 and 0.57, respectively).Conclusion. Visual assessment of the trabecular pattern in intraoral periapical radiographs of premolar regions is a potential method to identify women at risk of having osteoporosis.

Item Type: Article
Keywords: Bone-mineral density, Trabecular pattern, Architecture, Fractures, Precision, Spine
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds)
Depositing User: Symplectic Publications
Date Deposited: 10 Jun 2011 09:19
Last Modified: 28 Jun 2014 04:03
Published Version: http://dx.doi.org/10.1016/j.tripleo.2007.09.008
Publisher: Mosby-Elsevier
Identification Number: 10.1016/j.tripleo.2007.09.008
URI: http://eprints.whiterose.ac.uk/id/eprint/43035

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