Possibility of osteoporosis screening using ortopantomographic radiographs

Authors: V. Peřina
Authors‘ workplace: Klinika ústní, čelistní a obličejové chirurgieLF MU a FN Brno
Published in: Geriatrie a Gerontologie 2012, 1, č. 1: 5-9
Category: Original Article/Study


Osteoporosis has negative influence on overall health of affected persons. In view of irreversibility of skeletal changes is early diagnosis necessity. The issue is availability and cost of specialized examinations. One of the possibilities is using of standard ortopantomographic radiographs (OPG) for primary screening of bone mineral density changes. This examination is widely used in the dentistry and using X-rays made from an another reason also for osteoporosis screening don’t generate additional cost and radiation load for the patient. In this work we documented that using OPG for systemic low skeletal mass diagnosis is possible. OPG is not obviously sufficient for definite osteoporosis diagnosis but could be the first method which will send patient for special examination.

Key words:
osteoporosis – diagnosis – screening – ortopantomografic X-rays


1. World Health Organization. The world health report 2004: changing history. Ženeva: World Health Organization 2004.

2. Levine, J. P.: Effective strategies to identify postmenopausal women at risk of osteoporosis. Geriatrics 2007; 62(11): 22–30.

3. Wical, K. E., Swoope, C. C.: Studies of residual ridge resorption. I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. The Journal Of Prosthetic Dentistry 1974; 32(1): 7–12.

4. Benson, B. W., Prihoda, T. J., Glass, B. J.: Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surgery, Oral Medicine, And Oral Pathology 1991; 71(3): 349–356.

5. Klemetti, E., Kolmakow, S.: Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality. Dento Maxillo Facial Radiology 1997; 26(1): 22–25.

6. Drozdzowska, B., Pluskiewicz, W., Tarnawska, B.: Panoramic-based mandibular indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dento maxillo facial radiology 2002; 31(6): 361–367.

7. Devlin, H., Horner, K.: Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporosis International: A Journal Established As Result Of Cooperation Between The European Foundation For Osteoporosis And The National Osteoporosis Foundation Of The USA 2002; 13(5): 373–378.

8. Devlin, H. et al.: Diagnosing osteoporosis by using dental panoramic radiographs: the OSTEODENT project. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, And Endodontics 2007; 104(6): 821–828.

9. Halling, A. et al.: Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporosis International: A Journal Established As Result Of Cooperation Between The European Foundation For Osteoporosis And The National Osteoporosis Foundation Of The USA 2005; 16(8): 999–1003.

10. Klemetti, E., Kolmakov, S., Kröger, H.: Pantomography in assessment of the osteoporosis risk group. Scandinavian Journal Of Dental Research 1994; 102(1): 68–72.

11. Taguchi, A. at al.: Panoramic radiographs for identifying individuals with undetected osteoporosis. Japanese Dental Science Review 2009; 45(5): 109–120.

12. Blahoš, J., Palička, V., Býma, S.: Osteoporóza. Praha: Centrum doporučených postupů pro praktické lékaře 2006.

13. Broulík, P.: Osteoporóza. Praha: Maxdorf 1999.

14. Damilakis, J., Maris, T., Karantanas, A.: An update on the assessment of osteoporosis using radiologic techniques. European Radiology 2007; 17: 1591–1602.

15. Mauck, K. F., Clarke, B. L.: Diagnosis, Screening, Prevention, and Treatment of Osteoporosis. Mayo Clinic Proceedings 2006; 81(5): 662–672.

16. Štěpán, J.: Algoritmus diagnostiky a léčby osteoporózy. Farmakoterapie 2005; 5: 485–493.

17. Karayianni, K. Horner, K., Mitsea, A., et al.: Accuracy in osteoporosis diagnosis of a combination of mandibular cortical with measurement on dental panoramic radiographs and a clinical risk index (OSIRIS): The OSTEODENT project. Bone 2007; 40: 223–229.

18. Taguchia, A., Asanob, A., Ohtsukac, M. et al.: Observer performance indiagnosing osteoporosis by dental panoramic radiographs: Results from theosteoporosis screening project in dentistry (OSPD). Bone 2008; 43(1): 209–213.

Geriatrics General practitioner for adults Orthopaedic prosthetics
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account