SynthesisJournal of dental research2015
Panoramic measures for oral bone mass in detecting osteoporosis: a systematic review and meta-analysis.
Synthesis in Journal of dental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03304743 (Dental Panoramic Radiographs to Screen for Post-menopausal Osteoporosis), which is not on this map. Cited by 76 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Dental Panoramic Radiographs to Screen for Post-menopausal Osteoporosis
Who cites it
76 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Diagnostic accuracy of artificial intelligence models in detecting osteoporosis using dental images: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Pooled it
- Radiomorphometric indices of the mandible as indicators of decreased bone mineral density and osteoporosis - meta-analysis and systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Pooled it
- Use of fractal analysis in dental images for osteoporosis detection: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Pooled it
- Mandibular cortical index in the screening of postmenopausal at low mineral density risk: a systematic review.Dento maxillo facial radiology · 2021Pooled it
- The accuracy of panoramic radiography as a screening of bone mineral density in women: a systematic review.Dento maxillo facial radiology · 2020Pooled it
- Capability of CBCT to identify patients with low bone mineral density: a systematic review.Dento maxillo facial radiology · 2017Pooled it
- Mandibular Radiographic Assessment in Sickle Cell Disease: A Systematic Review of Radiomorphometric Indices and Fractal Dimension.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryPooled it
- Radiographic Peri-Implant Bone Changes in Osteoporotic Women Treated With a Ti-Zr, Bone Level Tapered Implant With a Hydrophilic Surface: A 12-Month Prospective Case-Series.Clinical oral implants research · 2025Trial
- Opportunistic screening for osteoporosis using dental radiographic indices.Hormones (Athens, Greece) · 2026Article
- Radiomics-based quantitative assessment of the mandibular cortical index on panoramic radiographs.Scientific reports · 2026Article
- Evaluation of the Effects of Diabetes Mellitus and Periodontitis on Alveolar Bone Radiodensity Using Hounsfield Unit Measurement and Fractal Analysis.Journal of imaging informatics in medicine · 2026Article
- Osteoporosis Diagnostics in Dental Radiology (Panoramic Radiograph): The Mini Osteoporosis Pre-Screening (MOPS).Diagnostics (Basel, Switzerland) · 2026Article
- Mandibular Cortical Thickness Predicts Skull BMD in Adolescents.Calcified tissue international · 2026Article
- The performance of radiomorphometric indices in sex differentiation compared to the W index.European oral research · 2026Article
- A Logistic Regression Model for Predicting Osteoporosis Using Alveolar Bone Mineral Density Measured on Intraoral Radiographs Combined with Panoramic Mandibular Cortical Index.Journal of clinical medicine · 2025Article
- Integration of Multi-Scale Predictive Tools of Bone Fragility: A Structural and Material Property Perspective.Materials (Basel, Switzerland) · 2025Review
- Development of AI-Based Predictive Models for Osteoporosis Diagnosis in Postmenopausal Women from Panoramic Radiographs.Journal of clinical medicine · 2025Article
- Evaluation of mandibular bone quality with respect to enzyme inducement potential of antiepileptic drugs via fractal analysis.BMC oral health · 2025Article
- Association Between Mandibular Cortical Erosion and Bone Mineral Density Assessed by Phalangeal Ultrasound and Dual Energy X-Ray Absorptiometry in Spanish Women.Diagnostics (Basel, Switzerland) · 2025Article
- Retrospective Analysis of Dental Implant Stability in Relation to Mandibular Bone Density and Cortical Thickness in Osteopenic and Osteoporotic Patients.Journal of clinical medicine · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Different quantitative and qualitative indices calculated on oral panoramic radiographs have been proposed as useful tools to screen for reduced skeletal bone mineral density (BMD). Our aim was to systematically review the literature on linear and qualitative panoramic measures and to assess the accuracy of these indices by performing a meta-analysis of their sensitivity and specificity. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was followed. Fifty studies were included in the qualitative appraisal and 19 were considered for meta-analysis. The methodological quality of the retrieved studies, assessed with the QUADAS-2 tool, was on average low. Three indices were reported by most of the studies: mandibular cortical width, panoramic mandibular index, and the Klemetti index. Mandibular cortical width presented with a better accuracy in excluding osteopenia/osteoporosis (specificity), since patients with a cortical width more than 4 mm had a normal BMD in 90% of the cases. Almost all studies used a cutoff of 0.3 for the panoramic mandibular index, resulting in an estimated sensitivity and specificity in detecting reduced BMD, respectively, of 0.723 (SE 0.160; 95% confidence interval [CI], 0.352-0.926) and 0.733 (SE 0.066; 95% CI, 0.587-0.841). The presence of any kind of mandibular cortical erosion gave an estimated sensitivity and specificity in detecting reduced BMD, respectively, of 0.789 (SE 0.031; 95% CI, 0.721-0.843) and 0.562 (SE 0.047; 95% CI, 0.47-0.651) and a sensitivity and specificity in detecting osteoporosis, respectively, of 0.806 (SE 0.105; 95% CI, 0.528-0.9200) and 0.643 (SE 0.109; 95% CI, 0.417-0.820). The mandibular cortical width, panoramic mandibular index, and Klemetti index are overall useful tools that potentially could be used by dentists to screen for low BMD. Their limitations are mainly related to the experience/agreement between different operators and the different image quality and magnification of the panoramic radiographs.
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