scholarly journals Identification of post-menopausal women at risk of osteoporosis by trained general dental practitioners using panoramic radiographs

2007 ◽  
Vol 36 (3) ◽  
pp. 149-154 ◽  
Author(s):  
A Taguchi ◽  
M Ohtsuka ◽  
T Nakamoto ◽  
K Naito ◽  
M Tsuda ◽  
...  
Keyword(s):  
At Risk ◽  
Panoramic Radiographs ◽  
Menopausal Women ◽  
Dental Practitioners ◽  
Post Menopausal

scholarly journals THE ANALYSIS OF MANDIBULAR TRABECULAE ALVEOLAR PROCESS ON POST-MENOPAUSAL WOMEN THROUGH PANORAMIC RADIOGRAPH

2017 ◽  
Vol 20 (2) ◽  
pp. 52-56
Author(s):  
Azhari Azhari
Keyword(s):  
Bone Quality ◽  
Process Analysis ◽  
Secondary Data ◽  
Panoramic Radiograph ◽  
Distal Portion ◽  
Alveolar Process ◽  
Cross Sectional ◽  
Panoramic Radiographs ◽  
Menopausal Women ◽  
Post Menopausal

The alveolar process is the most supporting tooth containing trabeculae and has the highest metabolic rate in the mandibular body of post-menopausal women. The decreasing in estrogens level on post-menopausal women results a faster reaction than men for 2-3 times. This research aims to determine the bone quality based on trabeculae alveolar process analysis using panoramic radiographs. The research methodology was to conduct 67 samples of panoramic radiographs from RSGM Unpad.  This research applied observational analytic methodology by taking cross-sectional data using secondary data on three groups of bone quality based on measurement using DEXA t-score (normal, osteopenia and osteoporosis). The panoramic radiograph data processing was conducted with Image J software by separating the background and foreground (trabeculae). A focus of 30x30 mm ROI in the alveolar distal portion of the left and right mandibular second premolar teeth, and calculation of trabecular area. Result: average of normal trabecular area: 82.35%, osteopenia: 73.9% and osteoporosis: 68.7% respectively. The difference between normal and osteoporosis was discovered, but no difference was found between normal and osteopenia with p <0.05. This research concludes that the region of interest trabecular of alveolar process with panoramic radiograph can be used to detect osteoporosis on post-menopausal women.

scholarly journals Quantitative and qualitative index for diagnosing osteopenia and osteoporosis in post-menopausal women

2015 ◽  
Vol 21 (1) ◽  
pp. 1 ◽  
Author(s):  
Lituânia Fialho de Miranda ◽  
Denise Sabbagh Haddad ◽  
Emiko Saito Arita ◽  
Plauto Christopher Aranha Watanabe
Keyword(s):  
Panoramic Radiography ◽  
Kappa Statistic ◽  
Mandibular Bone ◽  
Panoramic Radiographs ◽  
Age Related ◽  
Menopausal Women ◽  
Left And Right ◽  
Forearm Bone ◽  
Post Menopausal ◽  
Qualitative Index

<p><strong>Objective:</strong> The objective of this study was to devise a qualitatively and quantitatively reliable index for screening changes in mandibular bone density based on digital panoramic radiographs.</p><p><strong>Methods:</strong> A total of 252 panoramic radiographs and forearm bone densitometry scans of menopausal and post-menopausal women were examined. Diagnosis of osteopenia or osteoporosis was confirmed by comparing forearm densitometry diagnostic reports against diagnoses from radiographs.</p><p><strong>Results:</strong> Pearson’s tests showed a significant association between assessments by the Quantitative and Qualitative Panoramic Index (QQPI) based on panoramic radiography of the mandible and by densitometry (p &lt; 0.001). The Kappa statistic also revealed significant agreement between the two methods of assessment (p &lt; 0.001). A significant association was also found between results of panoramic radiographic assessments of left and right mandible sides (Kappa = 0.676; p &lt; 0.001).</p><p><strong>Conclusion:</strong> These results allowed confirmation of panoramic radiography as a useful method for detecting morphologic age-related changes in the mandible and creation of a single Quantitative and Qualitative Panoramic Index (QQPI) to aid the diagnosis of mandibular osteopenia/osteoporosis.</p>

P3456'Heart, arteries and women', an innovative healthcare pathway based on collaboration between gynecologists and cardiologists for women at cardiovascular risk: design and evaluation at five years

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Madika ◽  
P Nasserdine ◽  
S Langlet ◽  
B Letombe ◽  
P Devos ◽  
...  
Keyword(s):  
At Risk ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Adverse Pregnancy Outcome ◽  
University Hospital ◽  
Obese Women ◽  
Menopausal Women ◽  
Artery Disease ◽  
Post Menopausal ◽  
Cardiovascular Evaluation

Abstract Introduction In women, cardiovascular diseases are the leading cause of death worldwide. Prevention and diagnosis typically occur at late stages and less frequently than is men and treatments are not optimal in women. Preventive measures must be implemented, and management approaches improved. To this end, an innovative coordinated healthcare pathway was initiated at the our University Hospital for women at risk of cardiovascular diseases. Purpose The objective of this study was to describe the design of the healthcare pathway and to assess its relevance to improve prevention, diagnosis and treatment in women at cardiovascular risk. Methods The healthcare pathway “Heart, arteries and women” implemented at our University Hospital since January 1st, 2013 is based on collaboration between gynecologists and cardiologists. Women after an adverse pregnancy outcome and women at menopause with increased cardiovascular risk were referred by the gynecologist to the cardiologist for complete cardiovascular evaluation if eligible (Figure 1). Screening for both traditional and nontraditional cardiovascular risk factor and cardiovascular diseases if indicated, lifestyle counseling and adjustment of medical treatment were performed for each woman. The present study focused on post-menopausal women at risk or high cardiovascular risk according to American Heart Association (AHA) classification who had a complete cardiovascular evaluation through the healthcare pathway between January 1st, 2013 and December 31st, 2017. Results We included 690 post-menopausal women with a mean age of 58±8 years. According to AHA classification, 339 women (50,8%) were at high risk and 351 (49,2%) at risk. Cardiovascular risk control was poor with 146 current smokers (21,2%) and 264 obese women (38,3%). Only 320 women (46,4%) reached the targeted blood pressure of <140/90 mmHg and 169 (24.5%) attained their low-density lipoprotein (LDL)-cholesterol target. Among the 212 women treated for diabetes, 45,3% achieved the glycated haemoglobin (HbA1c) target of <7.0%. Lower extremity artery disease was newly diagnosed in 46 women, renal artery disease in 51 women and ischemic heart disease in 62 women. Statins, renin-angiotensin system inhibitors and antiplatelet agents were significantly more prescribed according to guidelines after the cardiovascular evaluation (p<0.001). Conclusion Our coordinated healthcare pathway based on partnership between gynecologists and cardiologists allowed to improve assessment of specific cardiovascular risk, screening, prevention and treatment of cardiovascular diseases in women. Enhanced collaboration between gynecologists and cardiologists offers a real opportunity to improve cardiovascular heath in women.

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