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使用全景片和口内片识别有骨质疏松症风险的绝经后女性——综述

Identification of postmenopausal women at risk of osteoporosis using panoramic and intraoral radiographs- a review.

作者信息

Aggarwal A, Panat S R

机构信息

Department of Oral Medicine and Radiology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.

出版信息

Minerva Stomatol. 2012 Jul-Aug;61(7-8):323-8.

PMID:22976515
Abstract

Osteoporosis is one of the most common human bone diseases affecting millions of people, including over one-third of females above the age of 65. Osteoporosis is characterized by decreased bone density and weakened bones. There is evidence that osteoporosis affects the craniofacial and oral structures, although the contribution of osteoporosis in the loss of periodontal attachments, teeth, and height of the residual ridge has not been clearly elucidated. Therefore, the relationship between systemic osteoporosis and oral health is still a complex problem of great interest to a large number of researchers and clinicians. In addition, the dentist could screen patients with unrecognized osteoporosis using information already available in the dental office. The purpose of screening is to identify individuals who are likely to benefit from treatment. The fact that dental radiographs are regularly made on a large fraction of the adult population makes their potential use as a marker of skeletal health an exciting avenue of research. The purpose of this article was to review the use of various intraoral as well as panoramic radiographs to promote early identification of patients at risk for osteoporosis.

摘要

骨质疏松症是最常见的人类骨骼疾病之一,影响着数百万人,包括超过三分之一的65岁以上女性。骨质疏松症的特征是骨密度降低和骨骼变弱。有证据表明骨质疏松症会影响颅面和口腔结构,尽管骨质疏松症在牙周附着丧失、牙齿和剩余牙槽嵴高度丧失中的作用尚未明确阐明。因此,全身性骨质疏松症与口腔健康之间的关系仍然是众多研究人员和临床医生非常感兴趣的复杂问题。此外,牙医可以利用牙科诊所已有的信息对未被识别的骨质疏松症患者进行筛查。筛查的目的是识别可能从治疗中受益的个体。由于很大一部分成年人口定期进行牙科X光检查,因此将其作为骨骼健康标志物的潜在用途成为一个令人兴奋的研究途径。本文的目的是综述各种口腔内X光片以及全景X光片在促进早期识别骨质疏松症高危患者方面的应用。

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引用本文的文献

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The 2nd Metacarpal Cortical Index as a Simple Screening Tool for Osteopenia.第二掌骨皮质指数作为骨质疏松症的一种简易筛查工具。
J Bone Metab. 2020 Nov;27(4):261-266. doi: 10.11005/jbm.2020.27.4.261. Epub 2020 Nov 30.
2
Relationship between Two Panoramic Radiography Indices and Bone Mineral Density of Postmenopausal Women with Osteopenia and Osteoporosis.两种全景X线摄影指标与骨质疏松症和骨质减少绝经后女性骨密度的关系
J Dent (Shiraz). 2018 Sep;19(3):181-188.
3
Prediction of lumbar spine bone mineral density from the mandibular cortical width in postmenopausal women.
根据绝经后女性下颌骨皮质宽度预测腰椎骨密度
J Res Med Sci. 2013 Nov;18(11):951-5.