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Validation of Dental Panoramic Radiography Measures for Identifying Postmenopausal Women with Spinal Osteoporosis

Akira Taguchi1, Yoshikazu Suei1, Mitsuhiro Sanada2, Masahiko Ohtsuka3, Takashi Nakamoto1, Hiroomi Sumida3, Koso Ohama2 and Keiji Tanimoto3

1 Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan.
2 Department of Obstetrics and Gynecology, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
3 Department of Oral and Maxillofacial Radiology, Division of Medical Intelligence and Informatics, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.



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  		Fig. 1. —Dental panoramic radiograph of 60-year-old woman with normal cortex. We drew line parallel to long axis of mandible and tangential to inferior border of mandible and constructed dotted line perpendicular to this tangent intersecting inferior border of mental foramen, along which mandibular cortical width was measured. Distance between two parallel solid lines is cortical width. Arrow shows mental foramen.

 


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  		Fig. 2. —57-year-old woman with normal left mandibular inferior cortex detected on dental panoramic radiograph.

 


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  		Fig. 3. —58-year-old woman with mildly to moderately eroded left mandibular inferior cortex detected on dental panoramic radiograph.

 


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  		Fig. 4. —59-year-old woman with severely eroded left mandibular inferior cortex detected on dental panoramic radiograph.

 

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