ArticleThe British journal of radiology2018
Mandibular indexes and fractal properties on the panoramic radiographs of the patients using aromatase inhibitors.
Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Use of fractal analysis in dental images: a systematic review.Dento maxillo facial radiology · 2020Pooled it
- Mandibular trabecular fractal dimension in individuals with type 2 diabetes and hypertension: a retrospective cross-sectional panoramic radiography study.BMC oral health · 2026Article
- Longitudinal Association Between Severe Early Childhood Caries and Mandibular Condylar Trabecular Organization: A 3-Year Retrospective Controlled Study.Journal of clinical medicine · 2026Article
- Individuals diagnosed with epilepsy: a fractal analysis and radiomorphometric evaluation.BMC oral health · 2026Article
- Evaluation of bone changes in medication-related osteonecrosis of the jaw by using fractal analysis on CBCT and panoramic radiographs.BMC oral health · 2025Article
- Assessment of bone mineral density by fractal dimension in OI patients treated with bisphosphonates.BMC oral health · 2025Article
- Effects of Different Treatment Methods Used in Patients with Rheumatoid Arthritis on the Trabecular and Cortical Structure of the Mandible.Diagnostics (Basel, Switzerland) · 2025Article
- Assessment of the Mandibular Osseous Architecture in Cleft Lip and Palate Using Fractal Dimension Analysis: A Pilot Study.Journal of clinical medicine · 2024Article
- Fractal analysis of jawbone structure in patients with rheumatoid arthritis.Imaging science in dentistry · 2024Article
- Evaluation of the effect of sickle cell disease on the mandibular bone of children and adolescents by image texture and radiomorphometric analysis.Oral radiology · 2023Article
- Evaluation of bone changes on dental panoramic radiography using mandibular indexes and fractal dimension analysis in children with familial Mediterranean fever.Oral radiology · 2023Article
- Morphologic Mandibular Bone Changes on Panoramic Radiographs of Children and Adolescents with Congenital Heart Disease.Children (Basel, Switzerland) · 2023Article
- Differentiation of osteosarcoma from osteomyelitis using microarchitectural analysis on panoramic radiographs.Scientific reports · 2022Article
- Evaluation of the relationship between tooth decay and trabecular bone structure in pediatric patients using fractal analysis: a retrospective study.European oral research · 2022Article
- Fractal properties and radiomorphometric indices of the trabecular structure of the mandible in patients using systemic glucocorticoids.Oral radiology · 2022Article
- Structural complexity of the craniofacial trabecular bone in multiple myeloma assessed by fractal analysis.Imaging science in dentistry · 2022Article
- Effects of hyperlipidemia on trabecular and cortical structures of the mandible.Dento maxillo facial radiology · 2022Article
- Retrospective fractal analyses of one-year follow-up data obtained after single-visit nonsurgical endodontic retreatment on periapical radiographs.Clinical oral investigations · 2021Article
- Evaluating the effects of functional orthodontic treatment on mandibular osseous structure using fractal dimension analysis of dental panoramic radiographs.The Angle orthodontist · 2020Article
- Mandibular radiomorphometric parameters of women with cemento-osseous dysplasia.Dento maxillo facial radiology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objective: This study was conducted to evaluate fractal dimension (FD), mandibular cortical width (MCW), panoramic mandibular index (PMI), and mandibular cortical index (MCI) on panoramic radiographs to determine the mandibular cortical and trabecular bone changes in females with breast cancer undergoing aromatase inhibitors (AIs) treatment.
methods: In this retrospective study, FD analysis, PMI, MCI, and MCW were assessed over panoramic radiographs of 34 females under AI therapy as a patient group and 34 healthy age-gender matched individuals as a control group.
results: Mean FD values and MCW were slightly but not significantly lower in the patient group (1.47 ± 0.06 and 4.1 ± 1.2 respectively). FDs measured onthe supracortical area above the angulus mandibula (FD2) and anterior to the mental foramen (FD4) were significantly lower in patients (p = 0.037 and p = 0.046 respectively). Among the measured regions in patients, FD2 was significantly lower (p = 0.001). PMI was also significantly lower in patients (p = 0.001) and MCI were similar in both groups (p = 0.604).
conclusion: AI use affects bone quality and evaluating FD, PMI, and MCW in panoramic radiography can be used to determine the effect of this drug on the jaw bones in the early period. ADVANCES IN KNOWLEDGE:: Aromatase inhibitors are the most commonly used drugs in breast cancer patients. This drug is thought to have osteoporotic effects on the jawbone. This study is the first study to evaluate osteoporotic changes with measurements made on panoramic radiographs and the results of the study are significant. We think this study will shed light on the studies that will investigate the effects of the drug on the jaw bones.
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