Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : ZC35 - ZC39

Assessment of Panoramic Radiomorphometric Indices of Mandible in Diabetes Mellitus Patients and Non Diabetic Individuals

Anju P David, Beena Varma, SeemaKurup, Dhanya Mary Sam, MS Aravind, Marina Lazar Chandy

1. Postgraduate Student, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. 2. Professor and Head, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. 3. Professor, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. 4. Postgraduate Student, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. 5. Assistant Professor, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. 6. Assistant Professor, Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.

Correspondence Address :
Dr. Beena Varma,
Professor and Head, Department of Oral Medicine and Radiology, Amrita School of Dentistry,
Amrita Vishwa Vidyapeetham University, Kochi-682041, Kerala, India.
E-mail: beenavarmar@gmail.com

Abstract

Introduction: Bone health is a crucial concern in diabetes. There are evidences for relating diabetes mellitus as a risk factor for osteoporotic fractures. Because of the large number of patients with diabetes, this condition cannot be neglected in the daily routine of dental clinics. Previous studies revealed that the thickness of the inferior cortex of the mandible can be used to predict occurrence of osteoporosis in patients. Apart from this, literature also supports the fact that panoramic radiomorphometric indices are significantly correlated with mandibular bone mineral density.

Aim: To measure radiomorphometric indices of mandible on panoramic radiographs of diabetics and non diabetic individuals so that diabetes induced mandibular bony changes could be assessed.

Materials and Methods: This cross-sectional study was done on 100 people who were divided in to 4 groups of 25 subjects each. Group 1 consisted of healthy controls; Group 2 consisted of type 2 diabetes mellitus subjects; Group 3 consisted of type 2 diabetics on calcium supplements and Group 4 had subjects with type 1 diabetes. A panoramic radiograph was taken for all sample population. Images were saved and viewed in DICOM format. After taking DICOM printout, all indices were manually drawn and measurements were taken. Kruskal wallis test was used to compare panoramic indices between groups. Since it was significant, dunn bonferroni test was applied.

Results: MI (Mental Index), AI (Antegonial Index) and GI (Gonial Index) showed statistically significant difference between diabetics and healthy controls. PMI (Panoramic Mandibular Index) had no appreciable variation between diabetics and non diabetics.

Conclusion: There was a significant reduction of bone mineral density in type 1 as well as type 2 diabetics. Thus MI, AI and GI can be considered as a primary screening tool for better appreciation of diabetic bone mineral density.

Keywords

Bone density, Mandibular bone, Panoramic radiography

How to cite this article :

Anju P David, Beena Varma, SeemaKurup, Dhanya Mary Sam, MS Aravind, Marina Lazar Chandy. ASSESSMENT OF PANORAMIC RADIOMORPHOMETRIC INDICES OF MANDIBLE IN DIABETES MELLITUS PATIENTS AND NON DIABETIC INDIVIDUALS. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 18 ]; 11:ZC35-ZC39. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=ZC35-ZC39&id=10914

DOI and Others

DOI: 10.7860/JCDR/2017/28690.10914

Date of Submission: Mar 25, 2017
Date of Peer Review: May 23, 2017
Date of Acceptance: Sep 18, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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