back to 2012, vol. 18, b. 4
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2012, vol. 18, book 4
Subject Collection: Oral and Dental Medicine
Pages: 229-231
DOI: 10.5272/jimab.2012184.229
Published online: 16 July 2012

J of IMAB 2012; 18(4):229-231
Stefka Peycheva*, Hristina Lalabonova*, Hristo Daskalov**
* Department of Maxillo-facial surgery; ** Department of Oral surgery
Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.

Osteoporosis is a condition characterized by a loss on bone mineral density and there is micro- architectural deterioration in bone tissue leading to fracture.
Dental radiographs are the most frequently used imaging modalities for teeth and jaw pathology.
The purposes of this study were to review the role of panoramic radiograph in routine dental treatment for an initial evaluation of osteoporosis and to discuss the reliability and accuracy of reported panoramic indices.
We present to the dental society the Klemetti index (Mandibular cortical index- MCI). In this technique the inferior cortex both sides of the mandible, distal to the foramen mentale, is classified into three groups, according to the mandibular bone thickness, shape and porosity.
C1- normal cortex- the endosteal margin of the cortex is even and sharp on both sides.
C2- mildly to moderately eroded cortex, the endosteal margin has resorptive cavities with cortical residues one to three layers thick on one or both sides.
C3- Severely eroded cortex, the cortical layer forms endosteal cortical residues and is clearly porous.
Patients having positive findings related to MCI should be evaluated further for potential risk of osteoporosis and could be referred to a medical specialist for densitometry.
In conclusion, valuation of mandibular cortical index (thickness and shape of inferior cortex of mandible), measured from panoramic radiography was a simple technique in osteoporosis screeming of dental patients, giving the maximum benefit of being radiographed.

Key words: Mandibula, Klemetti index (Mandibular cortical index- MCI), Panoramic radiography, Osteoporosis, Dental treatment.

- Download FULL TEXT /PDF 1825 KB/
Please cite this article as: Peycheva S, Lalabonova H, Daskalov H. EARLY DETECTION OF OSTEOPOROSIS IN PATIENTS OVER 55 USING ORTHOPANTOMOGRAPHY. J of IMAB. 2012; 18(4):229-231. doi:10.5272/jimab.2012184.229

1. Alexandra Lozano, Anna-Maria Borisova. Endocrinology. Sofia; Marin Drinov; 2000; 1100.
2. Horner K, Devlin H, Harvey L. Detecting patients with low skeletal bone mass. J Dent. 2002 May;30(4):171-175. [PubMed]
3. Klemetti E, Kolmakow S. Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality. Dentomaxillofac Radiol. 1997 Jan;26(1):22-25. [PubMed]
4. Klemetti E, Kolmakow S. Kröger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res. 1994 Feb;102(1):68-72. [PubMed]
5. Nakamoto T, A Taguchi, M Ohtsuka, Suei Y, Fujita M, Tanimoto K, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners' diagnostic performance. Osteoporos Int. 2003 Aug;14(8):659-64. Epub 2003 Jun 24. [PubMed] [CrossRef]
6. Kositbowornchai S. Osteoporosis Detection on Panoramic. Journal of the Dental Association of Thailand 2009 Oct-Dec;59(4). 213-221.

Accepted for publication: 05 May 2012
Issue published online: 16 July 2012

back to Online Journal