ArticleMaxillofacial plastic and reconstructive surgery2019
Early diagnosis of jaw osteomyelitis by easy digitalized panoramic analysis.
Article in Maxillofacial plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 25 citations in OpenAlex.
- Integration of Digital Denture Technology in the Prosthodontic Management of Pediatric Osteopetrosis: A Case Report.Case reports in dentistry · 2026Article
- Exploring Atypical Origins of Trismus: Surgical Solutions for Rare Pathologies-Insights from Rare Clinical Cases.Diagnostics (Basel, Switzerland) · 2025Article
- Chronic Osteomyelitis of the Jaw. Osteomyelitis.Journal of clinical and experimental dentistry · 2025Review
- Clinical significance of drug cessation on medication-related osteonecrosis of the jaw in patients with osteoporosis.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2023Article
- A Rare Case of MandibularDentistry journal · 2022Article
- Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review.Dentistry journal · 2022Review
- Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw.BMC musculoskeletal disorders · 2021Article
- Article
- [Imaging features of osteomyelitis of the jaws with different diagnostic methods. A review].Revista cientifica odontologica (Universidad Cientifica del Sur)Review
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5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteomyelitis is an intraosseous inflammatory disease characterized by progressive inflammatory osteoclasia and ossification. The use of quantitative analysis to assist interpretation of osteomyelitis is increasingly being considered. The objective of this study was to perform early diagnosis of osteomyelitis on digital panoramic radiographs using basic functions provided by picture archiving and communication system (PACS), a program used to show radiographic images.
methodsThis study targeted a total of 95 patients whose symptoms were confirmed as osteomyelitis under clinical, radiologic, pathological diagnosis over 11 years from 2008 to 2017. Five categorized patients were osteoradionecrosis, bisphosphonate-related osteonecrosis of jaw (BRONJ, suppurative and sclerosing type), and bacterial osteomyelitis (suppurative and sclerosing type), and the control group was 117 randomly sampled. The photographic density in a certain area of the digital panoramic radiograph was determined and compared using the "measure area rectangle," one of the basic PACS functions in INFINITT PACS® (INFINITT Healthcare, Seoul, South Korea). A conditional inference tree, one type of decision making tree, was generated with the program R for statistical analysis with SPSS®.
resultsIn the conditional inference tree generated from the obtained data, cases where the difference in average value exceeded 54.49 and the difference in minimum value was less than 54.49 and greater than 12.81 and the difference in minimum value exceeded 39 were considered suspicious of osteomyelitis. From these results, the disease could be correctly classified with a probability of 88.1%. There was no difference in photographic density value of BRONJ and bacterial osteomyelitis; therefore, it was not possible to classify BRONJ and bacterial osteomyelitis by quantitative analysis of panoramic radiographs based on existing research.
conclusionsThis study demonstrates that it is feasible to measure photographic density using a basic function in PACS and apply the data to assist in the diagnosis of osteomyelitis.
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