Evidence map›Paper›PMID 38842551›Full record

ArticleRadiologie (Heidelberg, Germany)2024

Thickness of the hard palate : A new criterion for the diagnosis of osteoporosis?

Daniela Kildal, Tobias Riether, Tilmann Blasenbrey, Dritan Turhani, Gerald Antoch, Meinrad Beer, Margrit-Ann Geibel

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Article in Radiologie (Heidelberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Daniela KildalUpper Valais Hospital Center Visp (SZO), Radiology, Hôpital du Valais, 3930, Visp, Switzerland. Daniela.Kildal@hopitalvs.ch.
Tobias RietherDento- and Maxillofacial Surgery, University Hospital Ulm, 89070, Ulm, Germany.
Tilmann BlasenbreyDental radiology, University Hospital Ulm, 89070, Ulm, Germany.
Dritan TurhaniCenter for Oral and Maxillofacial Surgery, Danbue University, 3500, Krems an der Donau, Austria.
Gerald AntochInstitute for Diagnostic and Interventional Radiology, University Hospital Düsseldorf, 40225, Düsseldorf, Germany.
Meinrad BeerDiagnostic and Interventional Radiology, University Hospital Ulm, 89070, Ulm, Germany.
Margrit-Ann GeibelDento- and Maxillofacial Surgery, University Hospital Ulm, 89070, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe were looking for an osteoporosis screening in computed tomography (CT) exams, simple and without additional examinations. We hypothesized that the criterion of "decreasing cortical thickness", may have an influence on the hard palate. Therefore, we investigated whether thickness of the hard palate (HPT) may serve as an indicator of osteoporosis for patients imaged for other reasons.

methodsPatients with dual-energy x-ray absorptiometry (DXA) and CT were identified by a radiology information system (RIS)-based, full-text search. Measurement of thickness of hard palate done in existing CT image by radiologist and dentist and compared with available findings and DXA measurements.

resultsWe identified a "test group": 57 patients with DXA and CT available out of 449 patient population and we selected further 70 patients without bone diseases as "control groups". The measurements showed that HPT correlated with age and bone density. The mean HPT was 2.4 mm in normal, 0.9 mm in osteopenia, 0.8 mm in osteoporosis and 5.3 mm in osteopetrosis case. No bone "healthy" patient fell below 1 mm. The relationship between bone density and HPT has not been described previously. HPT was highest in the bone-healthy group and decreased with age, osteopenia, and osteoporosis. Osteopetrosis, as a disease with increased bone density showed an increase in HPT.

conclusionsHPT correlates with bone disease. We propose a new criterion for assessment on CT and digital volume tomography (DVT) or cone beam computed tomography (CBCT). A threshold of 1.0 mm when applying a simple measurement of HPT on Head CT or DVT may serve as an indicator for potential osteopenia or osteoporosis as incidental finding without extra imaging further diagnosis and treatment leading to early notice of Osteoporosis.

Indexed as

Absorptiometry, PhotonOsteoporosisPalate, HardTomography, X-Ray ComputedAdultAgedAged, 80 and overBone DensityFemaleHumansMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificityComputed tomographyIncidental findingsOsteopeniaOsteopetrosisOsteoporosis

Identifiers

PMID38842551
PMCPMC11602784

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.