ArticleJournal of clinical and experimental dentistry2023
Evaluation of trabecular bone in individuals with periodontitis using fractal analysis: An observational cross-sectional study.
Article in Journal of clinical and experimental dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- 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
- CBCT-based submandibular fossa depth classification and panoramic fractal dimension analysis in the posterior mandible.Scientific reports · 2026Article
- Fractal analysis of trabecular bone changes in different stages of periodontal disease on panoramic radiographs.BMC oral health · 2026Article
- Article
- Mandibular trabecular microarchitecture as a radiographic biomarker of bone health in children with 22q11.2 deletion syndrome.BMC pediatrics · 2026Article
- Evaluation of trabecular bone structure using fractal analysis in patients with peri-implant health and disease.BMC oral health · 2026Article
- Fractal Analysis and Artificial Intelligence for Radiographic Detection of Periodontal Bone Loss: A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- Digitally Guided Modified Intentional Replantation for a Tooth with Hopeless Periodontal Prognosis: A Case Report.Diagnostics (Basel, Switzerland) · 2025Article
- Automated fractal analysis for mandibular bone evaluation in type 1 diabetes mellitus using a novel single click approach.Scientific reports · 2025Article
- Evaluation of Peri-Implant Bone Changes with Fractal Analysis.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: It is very difficult to objectively evaluate the negative changes in bone structure due to periodontitis. The present study was aimed to evaluate the trabecular bone structure between healthy individuals and periodontitis patients by fractal analysis (FA) on digital panoramic radiographs. Material and Methods: The study included 50 periodontally healthy individuals (control group), 50 individuals with Stage 1 periodontitis (S1-P group), 50 individuals with Stage 2 periodontitis (S2-P), and 50 individuals with Stage 3 periodontitis (S3-P), a total of 200 individuals were included. The fractal dimension (FD) value of the trabecular bone in the interdental space between mandibular first molar and second premolar tooth roots was evaluated using Image J program. The mean FD values of the two regions were calculated by box counting method. Results: There was a statistically significant difference between the groups in terms of all periodontal parameter values ( Conclusions: FD evaluation can give an objective result about the effect of periodontitis on alveolar bone. The FD values of trabecular bone are different in healthy individuals and individuals with different stages of periodontitis. The findings suggested that a negative correlation between the periodontal data with the sites in which FD was measured and as the periodontitis stage progresses, FD decreases.
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Registered trials
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