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J Am Dent Assoc, Vol 127, No 12, 1734-1742.
© 1996 American Dental Association
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Journal of the American Dental Association, Vol 127, Issue 12, 1734-1742
Copyright © 1996 by American Dental Association

RESEARCH

Detecting osteoporosis using dental radiographs: a comparison of four methods



AN Law, AM Bollen, and SK Chen
Department of Orthodontics, University of Washington, Seattle, USA.

The authors evaluated dental radiographs for signs of osteoporosis using four methods: fractal dimension, microdensitometry, pixel intensity and panoramic analysis of cortical thickness. The efficacy of these methods also was compared against three standard bone density measurement techniques used to diagnose osteoporosis in bones other than the jaws: quantitative computed tomography and single- and dual-photon absorptiometry. Pixel intensity was significantly more effective than the other dental methods at distinguishing between radiographs from the osteoporotic group and the control group, although fractal dimension and microdensitometry methods also were effective.


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