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评估甲状腺功能亢进症患者牙全景片的放射形态计量指数的骨变化。

Evaluation of osseous changes in dental panoramic radiography using radiomorphometric indices in patients with hyperthyroidism.

机构信息

Department of Periodontology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey.

Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Apr;133(4):492-499. doi: 10.1016/j.oooo.2021.10.011. Epub 2021 Oct 23.

Abstract

OBJECTIVE

The aim of the present study was to compare radiomorphometric measurements on panoramic images of patients with hyperthyroidism (HT) to those of a control population.

STUDY DESIGN

In this retrospective study, the mental index (MI), inferior panoramic mandibular index (PMI), antegonial index (AI), gonial index (GI), and mandibular cortical index (MCI) were evaluated on dental panoramic radiographs (DPRs) of 40 patients with HT and 40 healthy age- and sex-matched individuals and compared between the groups. Quantitative data (MI, PMI, AI, and GI) were analyzed with the Student t and Mann-Whitney U tests. Categorical data (MCI) were analyzed with the chi-square test.

RESULTS

Statistically significant differences between the patient and control groups were found for inferior PMI (P = .001) and AI (P = .017) values, with smaller mean values among the patients. However, the measurements of MI (P = .59) and GI (P = .164) and the MCI distribution (P = .13) were similar in both groups.

CONCLUSIONS

Evaluating the radiomorphometric indices of inferior PMI and AI on the DPRs of patients with HT who are at high risk of secondary osteoporosis could be helpful in the early diagnosis of osteoporotic changes and in formulating surgical treatment plans.

摘要

目的

本研究旨在比较甲状腺功能亢进症(HT)患者的全景图像的放射形态测量值与对照组的测量值。

研究设计

在这项回顾性研究中,我们评估了 40 例 HT 患者和 40 名年龄和性别匹配的健康个体的牙全景片(DPR)中的精神指数(MI)、下全景下颌指数(PMI)、前下颌角指数(AI)、下颌角指数(GI)和下颌皮质指数(MCI),并比较了两组之间的差异。采用 Student t 和 Mann-Whitney U 检验分析定量数据(MI、PMI、AI 和 GI)。采用卡方检验分析分类数据(MCI)。

结果

患者组和对照组在下 PMI(P=0.001)和 AI(P=0.017)值方面存在统计学显著差异,患者组的平均值较小。然而,MI(P=0.59)和 GI(P=0.164)的测量值以及 MCI 分布(P=0.13)在两组之间相似。

结论

评估 DPR 中 HT 患者下 PMI 和 AI 的放射形态指标可能有助于早期诊断骨质疏松性变化,并制定手术治疗计划。

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