ArticleInternational journal of dentistry2021
Application of Fractal Analysis in Detecting Trabecular Bone Changes in Periapical Radiograph of Patients with Periodontitis.
Article in International journal of dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Accuracy of Ionizing-Radiation-Based and Non-Ionizing Imaging Assessments for the Diagnosis of Periodontitis: Systematic Review and Meta-Analysis.Journal of clinical periodontology · 2025Pooled it
- Gene sequencing applications to combat oral-cavity related disorders: a systematic review with meta-analysis.BMC oral health · 2024Pooled it
- Anatomical Evaluation of Localized Mandibular Trabecular Texture Differences in Children with Hypodontia Using Radiographic Fractal Analysis.Diagnostics (Basel, Switzerland) · 2026Article
- Trabecular bone remodelling following lateral window maxillary sinus augmentation with allograft versus xenograft: a retrospective one-year comparative fractal dimension analysis.BMC oral health · 2026Article
- Vücut kitle indeksinin mandibular kemik mimarisi üzerindeki etkileri: retrospektif fraktal boyut ve radyomorfometrik analiz.Clinical oral investigations · 2026Article
- Analysis of mandibular trabecular bone by fractal analysis in children born with oral cleft.BMC oral health · 2026Article
- Fractal Analysis and Artificial Intelligence for Radiographic Detection of Periodontal Bone Loss: A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- Condylar Bone Quality in Growing Children Is Associated With Genetic Polymorphisms in Genes Involved in Calcium and Phosphate Maintenance.BioMed research international · 2026Article
- Comparative Fractal Analysis on Orthopantomography Images of Bone Remodeling Changes at 3 Months Between Natural Socket Healing and Immediate Implant Placement.Diagnostics (Basel, Switzerland) · 2025Article
- Article
- Evaluation of the long-term structural change caused by root canal treatment in the bone around the tooth by fractal analysis.Oral radiology · 2025Article
- Assessment of bone mineral density by fractal dimension in OI patients treated with bisphosphonates.BMC oral health · 2025Article
- Review
- Evaluation of Peri-Implant Bone Changes with Fractal Analysis.Journal of clinical medicine · 2025Article
- Evaluation of growth and development period according to spheno-occipital synchondrosis fusion stages in cone-beam computed tomography with ImageJ program.Scientific reports · 2025Article
- Fractal Dimension Analysis of Mandibular Trabecular Architecture in Gingival Recession During Orthodontic Retention: A Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2025Article
- Fractal Dimension Approach for Quantitative Analysis Radiograph in Periapical Inflammation: A Systematic Review.Acta medica Philippina · 2025Article
- Investigation of the Effect of Periodontitis on Trabecular Bone Structure by Fractal Analysis.Cureus · 2025Article
- Evaluation of trabecular bone in individuals with periodontitis using fractal analysis: An observational cross-sectional study.Journal of clinical and experimental dentistry · 2023Article
- Evaluation of histogram equalization and contrast limited adaptive histogram equalization effect on image quality and fractal dimensions of digital periapical radiographs.Oral radiology · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEvaluation of detailed features of the supporting bone is an important step in diagnosis and treatment planning for teeth with clinical attachment loss. Fractal analysis can be used as a method for evaluating the complexity of trabecular bone structures. The aim of this study was to evaluate the trabecular bone changes in periapical radiographs of patients with different stages of periodontitis using fractal analysis.
methodsThis comparative cross-sectional study was performed on patients with and without clinical attachment loss in mandibular first molars. Teeth with clinical attachment loss were divided into mild, moderate, and severe periodontitis groups. Digital periapical radiographs were obtained from the mandibular first molars using the same exposure parameters. DICOM file of the radiographs was exported to ImageJ software for fractal analysis. Three regions of interest (ROIs) were considered in each radiograph: two proximal ROIs mesial and distal to the mandibular first molar and one apical ROI. Fractal dimension (FD) values were calculated using the fractal box counting approach. Statistical analysis was performed using the chi-square test, Mann-Whitney test, intraclass correlation coefficient, and ANOVA (
resultsFD values were significantly different between moderate and severe periodontitis and healthy periodontal bone (
conclusionFractal analysis is a useful tool for evaluation of bone alterations in moderate and severe periodontitis, but was not able to detect the most initial radiographic bone signs of mild periodontitis.
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