ArticleFrontiers in pediatrics2026
Evaluation of oral manifestations and mandibular bone fractal dimension in pediatric inflammatory bowel disease.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to evaluate oral manifestations, caries experience, and mandibular trabecular bone microarchitecture using fractal dimension (FD) analysis in children with inflammatory bowel disease (IBD), and to compare these findings with a healthy control group. Methods: In this multicenter case-control study, children with inflammatory bowel disease (IBD) and age- and gender-matched healthy controls underwent oral mucosal examination, dmft/DMFT indices, and the Community Periodontal Index of Treatment Needs (CPITN). Mandibular trabecular bone microarchitecture was evaluated using fractal dimension (FD) analysis applied to digital panoramic radiographs. The influence of medication type and duration on oral findings was additionally investigated. Results: The study included 34 children with IBD (10 had Crohn's disease and 24 had ulcerative colitis) and 34 age- and gender-matched healthy controls. No significant differences were observed between the groups regarding caries experience or CPITN scores ( Conclusion: Children with IBD, particularly those with Crohn's disease, exhibited reduced mandibular trabecular bone complexity and increased oral mucosal involvement. Fractal dimension analysis may represent a useful non-invasive tool for assessing mandibular bone microarchitecture in this population.
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