Correlations between seven panoramic radiomorphometric indices and bone mineral density in postmenopausal women

Objectives. The aim was to test for correlations of 7 panoramic radiomorphometric indices with lumbar spine and hip bone mineral densities (BMDs) and to test the accuracy of these indices for predicting osteoporosis and a T-score <=-2.0. Study design. Mandibular cortical indices, simple visual estimations of cortical widths, mental and antegonial indices, antegonial depth, gonial and antegonial angles, and BMD were measured in 351 postmenopausal women. Results. Associations were demonstrated between BMDs, qualitative indices, and cortical measurements. In the case of severely eroded mandibular cortices, the odds ratio (OR) for osteoporosis (according to the World Health Organization criteria) was 4.82 and the OR for a T-score <=-2.0, the threshold to begin treatment, was 10.87. In the case of very thin mandibular cortices, the ORs were 8.02 and 5.46 for osteoporosis and a T-score <=-2.0, respectively. The mental index cutoff for osteoporosis was 3.15 mm. Conclusions. Antegonial indices and gonial angles cannot be used as osteoporosis predictors. The most accurate indices were the mental index, mandibular cortical index, and visual estimation of cortical width. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 449-456)