Evidence map›Paper›PMID 41528664›Full record

ReviewThe Saudi dental journal2026

The role of dental radiographs in assessing bone mineral density: a systematic review of literature.

Chalini Sundar, Sundar Ramalingam, Darshan Devang Divakar, S Saravana Kumar, Annapoorani Manoharan

Abstract readReview
In one paragraph

Review in The Saudi dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chalini SundarPh.D. Student, Faculty of Health Sciences, JSS Academy of Higher Education and Research, Vacoas-Phoenix, Mauritius. chalini.sundar@gmail.com.ORCID http://orcid.org/0000-0001-6732-8738
Sundar RamalingamDepartment of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia.ORCID http://orcid.org/0000-0002-2343-5379
Darshan Devang DivakarFaculty of Health Sciences, JSS Academy of Higher Education and Research, Vacoas-Phoenix, Mauritius.ORCID http://orcid.org/0000-0002-4007-3453
S Saravana KumarDepartment of Pharmacology, Government Thiruvarur Medical College (Affiliated to the Tamilnadu Dr. MGR Medical University), Thiruvarur, India.ORCID http://orcid.org/0009-0009-7978-4904
Annapoorani ManoharanDepartment of Plastic and Reconstructive Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital (Affiliated to the Tamilnadu Dr. MGR Medical University), Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone mineral density (BMD) is a critical indicator of skeletal health, with implications for systemic conditions such as osteoporosis and localized oral diseases. Dental radiographs, routinely employed in clinical practice, offer a non-invasive means to assess bone quality, yet their role in quantifying BMD and diagnosing metabolic bone disorders remains underexplored. This systematic review of literature examines the diagnostic efficacy of dental radiographs in evaluating BMD. A comprehensive analysis of existing studies in databases such as PubMed, Scopus, Web of Science, ScienceDirect, and SpringerLink was conducted to identify patterns, methodologies, and gaps in the current understanding of radiographic bone assessment for early detection of osteoporosis. The search covered studies published between January 2001 and August 2025, utilizing a search string including "Dental Radiographs" [Mesh] OR "Panoramic Radiography" [Mesh] OR "Periapical Radiography" OR "Cone-Beam Computed Tomography" [Mesh])AND ("Bone Mineral Density" [Mesh] OR "Osteoporosis" [Mesh]) AND ("DXA" OR "Dual-Energy X-ray Absorptiometry" [Mesh]) AND ("Correlation" OR "Assessment" OR "Evaluation"). Database searching yielded 1,247 records relevant to the study objective. After duplicate removal and meticulous screening, 17 studies met the inclusion criteria and were included in the review. The findings of the reviewed studies indicate that dental radiographs, particularly panoramic and periapical imaging, show moderate correlation with dual-energy X-ray absorptiometry (DXA) in detecting osteoporosis. However, precision varies with imaging technique and anatomical region. Quantitative analyses of trabecular patterns and cortical thickness further suggest that dental radiographs can serve as supplementary tools for early BMD screening, especially in high-risk populations. However, inconsistencies in diagnostic thresholds and limited standardization across studies highlight the need for further research. This review underscores the potential of dental radiographs as accessible screening tools, while emphasizing the need to refine analytical protocols to enhance their reliability in clinical and research settings.

Indexed as

BMDBone mineral densityCone-beam computed tomographyDental radiographsDual-energy x-ray absorptiometryOsteoporosisPanoramic radiography

Identifiers

PMID41528664
PMCPMC12799815

What OpenQuestion holds

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Registered trials

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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.