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Evaluation of osseous changes in dental panoramic radiography of thalassemia patients using mandibular indexes and fractal size analysis

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Abstract

Objective

This study aimed to evaluate the radiomorphometric indexes and fractal dimension (FD) on dental panoramic radiography (DPR) of Thalassemia Major (TM) patients.

Methods

In 59 TM patients and in 59 healthy control subjects, mandibular cortical index (MCI), mandibular cortical width (MCW), panoramic mandibular index (PMI), and FD of four different regions (FD1-4) were evaluated and compared using DPRs.

Results

The distribution of MCI in TM patients was similar to control subjects (p > 0.05). The mean MCW was significantly lower in TM patients (p = 0.001). There was no significant difference in PMI between TM patients and control subjects. The mean of FD measured in the supracortical area above the angle of mandible (FD2), in the anterior to the mental foramen (FD4) and mean FD of four different regions was significantly lower in TM patients (p = 0.003, p = 0.001, and p = 0.014, respectively).

Conclusions

The radiomorphometric indices and fractal dimensions evaluated in the panoramic radiograph are capable of identifying thalassemia patients’ jaw bone, and the results of DPR scanning can be used to refer these patients to appropriate medical investigation.

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Funding

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Authors and Affiliations

  1. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Bolu Abant İzzet Baysal University, Gölköy, 14000, Bolu, Turkey

    Seval Bayrak & Duygu Göller Bulut

  2. Dentistry Faculty, Dentomaxillofacial Radiology Department, Ankara University, Ankara, Turkey

    Kaan Orhan

  3. OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, Oral &Maxillofacial Surgery, University of Leuven, University Hospitals Leuven, Leuven, Belgium

    Kaan Orhan

  4. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Kocaeli University, Kocaeli, Turkey

    Enver Alper Sinanoğlu

  5. Türkiye Public Hospitals Agency, Ministry of Health, Ankara, Turkey

    Emine Şebnem Kurşun Çakmak

  6. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Near East University, Nicosia, Cyprus

    Melis Mısırlı

  7. Medicine Faculty, Department of Biostatistics and Medical Informatics, Istanbul Medeniyet University, Istanbul, Turkey

    Handan Ankaralı

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  1. Seval Bayrak
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Correspondence to Seval Bayrak.

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Bayrak, S., Göller Bulut, D., Orhan, K. et al. Evaluation of osseous changes in dental panoramic radiography of thalassemia patients using mandibular indexes and fractal size analysis. Oral Radiol 36, 18–24 (2020). https://doi.org/10.1007/s11282-019-00372-7

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  • DOI: https://doi.org/10.1007/s11282-019-00372-7

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