Seval Bayrak1, Duygu Göller Bulut2, Kaan Orhan3,4, Enver Alper Sinanoğlu5, Emine Şebnem Kurşun Çakmak6, Melis Mısırlı7, Handan Ankaralı8. 1. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Bolu Abant İzzet Baysal University, Gölköy, 14000, Bolu, Turkey. dtseval@hotmail.com. 2. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Bolu Abant İzzet Baysal University, Gölköy, 14000, Bolu, Turkey. 3. Dentistry Faculty, Dentomaxillofacial Radiology Department, Ankara University, Ankara, Turkey. 4. OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, Oral &Maxillofacial Surgery, University of Leuven, University Hospitals Leuven, Leuven, Belgium. 5. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Kocaeli University, Kocaeli, Turkey. 6. Türkiye Public Hospitals Agency, Ministry of Health, Ankara, Turkey. 7. Dentistry Faculty, Department of Dentomaxillofacial Radiology, Near East University, Nicosia, Cyprus. 8. Medicine Faculty, Department of Biostatistics and Medical Informatics, Istanbul Medeniyet University, Istanbul, Turkey.
Abstract
OBJECTIVE: This study aimed to evaluate the radiomorphometric indexes and fractal dimension (FD) on dental panoramic radiography (DPR) of Thalassemia Major (TM) patients. METHODS: In 59 TM patients and in 59 healthy control subjects, mandibular cortical index (MCI), mandibular cortical width (MCW), panoramic mandibular index (PMI), and FD of four different regions (FD1-4) were evaluated and compared using DPRs. RESULTS: The distribution of MCI in TM patients was similar to control subjects (p > 0.05). The mean MCW was significantly lower in TM patients (p = 0.001). There was no significant difference in PMI between TM patients and control subjects. The mean of FD measured in the supracortical area above the angle of mandible (FD2), in the anterior to the mental foramen (FD4) and mean FD of four different regions was significantly lower in TM patients (p = 0.003, p = 0.001, and p = 0.014, respectively). CONCLUSIONS: The radiomorphometric indices and fractal dimensions evaluated in the panoramic radiograph are capable of identifying thalassemia patients' jaw bone, and the results of DPR scanning can be used to refer these patients to appropriate medical investigation.
OBJECTIVE: This study aimed to evaluate the radiomorphometric indexes and fractal dimension (FD) on dental panoramic radiography (DPR) of Thalassemia Major (TM) patients. METHODS: In 59 TM patients and in 59 healthy control subjects, mandibular cortical index (MCI), mandibular cortical width (MCW), panoramic mandibular index (PMI), and FD of four different regions (FD1-4) were evaluated and compared using DPRs. RESULTS: The distribution of MCI in TM patients was similar to control subjects (p > 0.05). The mean MCW was significantly lower in TM patients (p = 0.001). There was no significant difference in PMI between TM patients and control subjects. The mean of FD measured in the supracortical area above the angle of mandible (FD2), in the anterior to the mental foramen (FD4) and mean FD of four different regions was significantly lower in TM patients (p = 0.003, p = 0.001, and p = 0.014, respectively). CONCLUSIONS: The radiomorphometric indices and fractal dimensions evaluated in the panoramic radiograph are capable of identifying thalassemiapatients' jaw bone, and the results of DPR scanning can be used to refer these patients to appropriate medical investigation.