Skip to main content
Erschienen in: Oral Radiology 2/2023

20.07.2022 | Original Article

Evaluation of bone changes on dental panoramic radiography using mandibular indexes and fractal dimension analysis in children with familial Mediterranean fever

verfasst von: Nihal Altunok Ünlü, Alem Coşgun, Halenur Altan

Erschienen in: Oral Radiology | Ausgabe 2/2023

Einloggen, um Zugang zu erhalten

Abstract

Aim

It was aimed to evaluate the bone microarchitecture of children with FMF in the city of Tokat, where the disease is highly prevalent, in Turkey, one of the countries where familial Mediterranean Fever (FMF) disease is the most common, using mandibular indexes and fractal dimension analysis on panoramic radiography.

Methods

In this retrospective study, the results were evaluated and compared using the mandibular cortical index (MCI), the mental index (MI), the panoramic mandibular index (PMI), and the fractal dimension analysis of six different regions (condyle, angulus, and interdental) on dental panoramic radiographs in 124 children with FMF and 124 healthy children. The data were analyzed using the IBM SPSS V23.

Results

The distribution of MCI in children with FMF was similar to the control group (p > 0.05). The mean MI (3.59) values in FMF patients were statistically higher than the control group (p = 0.016). No statistically significant difference was found in PMI between the patients with FMF and the control group (p > 0.05). No statistically significant difference was found between the mean fractal dimension (FD) values according to the groups (p > 0.05).

Conclusion

Trabecular bone microarchitecture of children with FMF is similar to healthy children. There is no correlation between the duration of colchicine use and bone microarchitecture.
Literatur
1.
Zurück zum Zitat Yildirim K, Karatay S, Cetinkaya R, Uzkeser H, Erdal A, Capoglu I, Erdem FH. Bone mineral density in patients with familial Mediterranean fever. Rheumatol Int. 2009;30(3):305–8.PubMedCrossRef Yildirim K, Karatay S, Cetinkaya R, Uzkeser H, Erdal A, Capoglu I, Erdem FH. Bone mineral density in patients with familial Mediterranean fever. Rheumatol Int. 2009;30(3):305–8.PubMedCrossRef
2.
Zurück zum Zitat Kastner DL. Familial Mediterranean fever: the genetics of inflammation. Hosp Pract. 1998;33(4):131–58.CrossRef Kastner DL. Familial Mediterranean fever: the genetics of inflammation. Hosp Pract. 1998;33(4):131–58.CrossRef
3.
Zurück zum Zitat Ozen S, Bilginer Y. A clinical guide to autoinflammatory diseases: familial Mediterranean fever and next-of-kin. Nat Rev Rheumatol. 2014;10(3):135–47.PubMedCrossRef Ozen S, Bilginer Y. A clinical guide to autoinflammatory diseases: familial Mediterranean fever and next-of-kin. Nat Rev Rheumatol. 2014;10(3):135–47.PubMedCrossRef
4.
Zurück zum Zitat Ben-Chetrit E, Touitou I. Familial Mediterranean fever in the world. Arthritis Rheum. 2009;61(10):1447–53.PubMedCrossRef Ben-Chetrit E, Touitou I. Familial Mediterranean fever in the world. Arthritis Rheum. 2009;61(10):1447–53.PubMedCrossRef
5.
Zurück zum Zitat Onen F, Sumer H, Tunca M, Ozdogan H. Increased frequency of familial Mediterranean fever in Central Anatolia, Turkey. Clin Exp Rheumatol. 2004;22:31–3. Onen F, Sumer H, Tunca M, Ozdogan H. Increased frequency of familial Mediterranean fever in Central Anatolia, Turkey. Clin Exp Rheumatol. 2004;22:31–3.
6.
Zurück zum Zitat Livneh A, Langevitz P, Zemer D, Padeh S, Migdal A, Pras M. The changing face of familial Mediterranean fever. Semin Arthritis Rheum. 1996;26(3):612–27.PubMedCrossRef Livneh A, Langevitz P, Zemer D, Padeh S, Migdal A, Pras M. The changing face of familial Mediterranean fever. Semin Arthritis Rheum. 1996;26(3):612–27.PubMedCrossRef
7.
Zurück zum Zitat Aksentijevich I, Centola M, Deng Z, Sood R, Balow J, et al. Ancient missense mutations in a new member of the RoRet gene family are likely to cause familial mediterranean fever. Cell. 1997;90(4):797–807.CrossRef Aksentijevich I, Centola M, Deng Z, Sood R, Balow J, et al. Ancient missense mutations in a new member of the RoRet gene family are likely to cause familial mediterranean fever. Cell. 1997;90(4):797–807.CrossRef
8.
Zurück zum Zitat Cantarini L, Rigante D, Brizi MG, Lucherini OM, Sebastiani GD, Vitale A, Gianneramo V, Galeazzi M. Clinical and biochemical landmarks in systemic autoinflammatory diseases. Ann Med. 2012;44(7):664–73.PubMedCrossRef Cantarini L, Rigante D, Brizi MG, Lucherini OM, Sebastiani GD, Vitale A, Gianneramo V, Galeazzi M. Clinical and biochemical landmarks in systemic autoinflammatory diseases. Ann Med. 2012;44(7):664–73.PubMedCrossRef
9.
Zurück zum Zitat Shohat M. Familial Mediterranean Fever. GeneReviews®. 2016. Shohat M. Familial Mediterranean Fever. GeneReviews®. 2016.
10.
Zurück zum Zitat Yuksel S, Samli H, Colbay M, Dundar U, Acarturk G, et al. Increased Serum osteoprotegerin levels associated with decreased bone mineral density in familial Mediterranean fever. Tohoku J Exp Med. 2009;217(4):321–7.PubMedCrossRef Yuksel S, Samli H, Colbay M, Dundar U, Acarturk G, et al. Increased Serum osteoprotegerin levels associated with decreased bone mineral density in familial Mediterranean fever. Tohoku J Exp Med. 2009;217(4):321–7.PubMedCrossRef
11.
Zurück zum Zitat Bayram M, Yildirim M, Köse A, Seymen F. Pedodonti Anadilim Dalı’nda Başlangıç Muayenesinde Alınan Panoramik Radyografilerin Değerlendirilmesi. İstanbul Üniversitesi Dis Hekimligi Fakültesi Dergisi. 2011;45(3):41–7. Bayram M, Yildirim M, Köse A, Seymen F. Pedodonti Anadilim Dalı’nda Başlangıç Muayenesinde Alınan Panoramik Radyografilerin Değerlendirilmesi. İstanbul Üniversitesi Dis Hekimligi Fakültesi Dergisi. 2011;45(3):41–7.
12.
Zurück zum Zitat Gümüşsoy İ. Panoramik Radyografilerde Fraktal Analiz Metodunun Uygulanması ve Değişik Röntgen Cihazlarının Fraktal Boyut Değerine Etkisi. Sakarya Med J. 2019;9(3):492–8.CrossRef Gümüşsoy İ. Panoramik Radyografilerde Fraktal Analiz Metodunun Uygulanması ve Değişik Röntgen Cihazlarının Fraktal Boyut Değerine Etkisi. Sakarya Med J. 2019;9(3):492–8.CrossRef
13.
Zurück zum Zitat White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(5):628–35.PubMedCrossRef White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(5):628–35.PubMedCrossRef
14.
Zurück zum Zitat Bayrak S, Göller Bulut D, Orhan K, Sinanoğlu EA, Kurşun Çakmak EŞ, Mısırlı M, Ankaralı H. Evaluation of osseous changes in dental panoramic radiography of thalassemia patients using mandibular indexes and fractal size analysis. Oral Radiol. 2020;36(1):18–24.PubMedCrossRef Bayrak S, Göller Bulut D, Orhan K, Sinanoğlu EA, Kurşun Çakmak EŞ, Mısırlı M, Ankaralı H. Evaluation of osseous changes in dental panoramic radiography of thalassemia patients using mandibular indexes and fractal size analysis. Oral Radiol. 2020;36(1):18–24.PubMedCrossRef
15.
Zurück zum Zitat Demirbaş AK, Ergün S, Güneri P, Aktener BO, Boyacioǧlu H. Mandibular bone changes in sickle cell anemia: fractal analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2008;106(1):e41–8.CrossRef Demirbaş AK, Ergün S, Güneri P, Aktener BO, Boyacioǧlu H. Mandibular bone changes in sickle cell anemia: fractal analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2008;106(1):e41–8.CrossRef
16.
Zurück zum Zitat Gumussoy I, Miloglu O, Cankaya E, Bayrakdar IS. Fractal properties of the trabecular pattern of the mandible in chronic renal failure. Dentomaxillofac Radiol. 2016;45(5). Gumussoy I, Miloglu O, Cankaya E, Bayrakdar IS. Fractal properties of the trabecular pattern of the mandible in chronic renal failure. Dentomaxillofac Radiol. 2016;45(5).
17.
Zurück zum Zitat Demiralp KÖ, Kurşun-Çakmak EŞ, Bayrak S, Akbulut N, Atakan C, Orhan K. Trabecular structure designation using fractal analysis technique on panoramic radiographs of patients with bisphosphonate intake: a preliminary study. Oral Radiol. 2019;35(1):23–8.PubMedCrossRef Demiralp KÖ, Kurşun-Çakmak EŞ, Bayrak S, Akbulut N, Atakan C, Orhan K. Trabecular structure designation using fractal analysis technique on panoramic radiographs of patients with bisphosphonate intake: a preliminary study. Oral Radiol. 2019;35(1):23–8.PubMedCrossRef
18.
Zurück zum Zitat Göller Bulut D, Bayrak S, Uyeturk U, Ankarali H. Mandibular indexes and fractal properties on the panoramic radiographs of the patients using aromatase inhibitors. Br J Radiol. 2018;91(1091):20180442.PubMedPubMedCentralCrossRef Göller Bulut D, Bayrak S, Uyeturk U, Ankarali H. Mandibular indexes and fractal properties on the panoramic radiographs of the patients using aromatase inhibitors. Br J Radiol. 2018;91(1091):20180442.PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Aktuna Belgin C, Serindere G. Fractal and radiomorphometric analysis of mandibular bone changes in patients undergoing intravenous corticosteroid therapy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(1):110–5.PubMedCrossRef Aktuna Belgin C, Serindere G. Fractal and radiomorphometric analysis of mandibular bone changes in patients undergoing intravenous corticosteroid therapy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(1):110–5.PubMedCrossRef
20.
Zurück zum Zitat Coşgunarslan A, Aşantoğrol F, Soydan Çabuk D, Canger EM. The effect of selective serotonin reuptake inhibitors on the human mandible. Oral Radiol. 2020;37(1):20–8.PubMedCrossRef Coşgunarslan A, Aşantoğrol F, Soydan Çabuk D, Canger EM. The effect of selective serotonin reuptake inhibitors on the human mandible. Oral Radiol. 2020;37(1):20–8.PubMedCrossRef
21.
Zurück zum Zitat Hastar E, Yilmaz HH, Orhan H. Evaluation of mental index, mandibular cortical index and panoramic mandibular index on dental panoramic radiographs in the elderly. Eur J Dent. 2019;05(01):060–7. Hastar E, Yilmaz HH, Orhan H. Evaluation of mental index, mandibular cortical index and panoramic mandibular index on dental panoramic radiographs in the elderly. Eur J Dent. 2019;05(01):060–7.
22.
Zurück zum Zitat Kwon AY, Huh KH, Yi WJ, Lee SS, Choi SC, Heo MS. Is the panoramic mandibular index useful for bone quality evaluation? Imaging Sci Dent. 2017;47(2):87–92.PubMedPubMedCentralCrossRef Kwon AY, Huh KH, Yi WJ, Lee SS, Choi SC, Heo MS. Is the panoramic mandibular index useful for bone quality evaluation? Imaging Sci Dent. 2017;47(2):87–92.PubMedPubMedCentralCrossRef
24.
Zurück zum Zitat Bollen AM, Taguchi A, Hujoel PP, Hollender LG. Fractal dimension on dental radiographs. Dentomaxillofac Radiol. 2001;30(5):270–5.PubMedCrossRef Bollen AM, Taguchi A, Hujoel PP, Hollender LG. Fractal dimension on dental radiographs. Dentomaxillofac Radiol. 2001;30(5):270–5.PubMedCrossRef
25.
Zurück zum Zitat Lopes R, Betrouni N. Fractal and multifractal analysis: a review. Med Image Anal. 2009;13(4):634–49.PubMedCrossRef Lopes R, Betrouni N. Fractal and multifractal analysis: a review. Med Image Anal. 2009;13(4):634–49.PubMedCrossRef
26.
Zurück zum Zitat Apolinário AC, Sindeaux R, De Souza Figueiredo PT, Guimarães ATB, Acevedo AC, et al. Dental panoramic indices and fractal dimension measurements in osteogenesis imperfecta children under pamidronate treatment. Dentomaxillofac Radiol. 2016;45(4):20150400.PubMedPubMedCentralCrossRef Apolinário AC, Sindeaux R, De Souza Figueiredo PT, Guimarães ATB, Acevedo AC, et al. Dental panoramic indices and fractal dimension measurements in osteogenesis imperfecta children under pamidronate treatment. Dentomaxillofac Radiol. 2016;45(4):20150400.PubMedPubMedCentralCrossRef
27.
Zurück zum Zitat Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the osteoporosis risk group. Eur J Oral Sci. 1994;102(1):68–72.CrossRef Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the osteoporosis risk group. Eur J Oral Sci. 1994;102(1):68–72.CrossRef
28.
Zurück zum Zitat Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol. 1999;28(3):173–81.PubMedCrossRef Ledgerton D, Horner K, Devlin H, Worthington H. Radiomorphometric indices of the mandible in a British female population. Dentomaxillofac Radiol. 1999;28(3):173–81.PubMedCrossRef
29.
Zurück zum Zitat Benson BW, Prihoda TJ, Glass BJ. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol. 1991;71(3):349–56.PubMedCrossRef Benson BW, Prihoda TJ, Glass BJ. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol. 1991;71(3):349–56.PubMedCrossRef
30.
Zurück zum Zitat Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.PubMedPubMedCentralCrossRef Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Alonso MBC, Cortes AR, Camargo AJ, Arita ES, Haiter-Neto F, Watanabe PCA. Assessment of panoramic radiomorphometric ındices of the mandible in a brazilian population. Int Sch Res Netw ISRN Rheumatol. 2011. Alonso MBC, Cortes AR, Camargo AJ, Arita ES, Haiter-Neto F, Watanabe PCA. Assessment of panoramic radiomorphometric ındices of the mandible in a brazilian population. Int Sch Res Netw ISRN Rheumatol. 2011.
32.
Zurück zum Zitat Gulsahi A, Yüzügüllü B, İmirzalıoğlu P, Genç Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol. 2008;37(5):288–92.PubMedCrossRef Gulsahi A, Yüzügüllü B, İmirzalıoğlu P, Genç Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol. 2008;37(5):288–92.PubMedCrossRef
33.
Zurück zum Zitat Frascino AV, Costa C, Salgado DMRA, Coracin FL, Fava M, Odone-Filho V. Mandibular radiomorphometric assessment of bone mineral density in survivors of pediatric hematopoietic stem-cell transplantation. Clinics. 2019;74:e929.PubMedPubMedCentralCrossRef Frascino AV, Costa C, Salgado DMRA, Coracin FL, Fava M, Odone-Filho V. Mandibular radiomorphometric assessment of bone mineral density in survivors of pediatric hematopoietic stem-cell transplantation. Clinics. 2019;74:e929.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporos Int. 2003;14(8):659–64.PubMedCrossRef Nakamoto T, Taguchi A, Ohtsuka M, Suei Y, Fujita M, et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners’ diagnostic performance. Osteoporos Int. 2003;14(8):659–64.PubMedCrossRef
35.
Zurück zum Zitat Govindraju P, Chandra P. Radiomorphometric indices of the mandible—an indicator of osteoporosis. J Clin Diagn Res JCDR. 2014;8(3):195.PubMed Govindraju P, Chandra P. Radiomorphometric indices of the mandible—an indicator of osteoporosis. J Clin Diagn Res JCDR. 2014;8(3):195.PubMed
36.
Zurück zum Zitat Firman RN, Sufiawati I, Primarti RS, Nurrachman AS, Damayanti MA. Mandıbular bone quality of panoramic radiographs in HIV-infected children. Dentino Jurnal Kedokteran Gigi. 2020;5(1):85–9.CrossRef Firman RN, Sufiawati I, Primarti RS, Nurrachman AS, Damayanti MA. Mandıbular bone quality of panoramic radiographs in HIV-infected children. Dentino Jurnal Kedokteran Gigi. 2020;5(1):85–9.CrossRef
37.
Zurück zum Zitat Taguchi A, Suei Y, Horner K, Devlin H, Nakamoto T, et al. Is there any difference between the British and Japanese definitions of the mandibular cortical index (MCI) on panoramic radiographs? A pilot study. Oral Radiol. 2004;20(1):44–8.CrossRef Taguchi A, Suei Y, Horner K, Devlin H, Nakamoto T, et al. Is there any difference between the British and Japanese definitions of the mandibular cortical index (MCI) on panoramic radiographs? A pilot study. Oral Radiol. 2004;20(1):44–8.CrossRef
38.
Zurück zum Zitat Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral Dis. 2010;16(4):316–27.PubMedCrossRef Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral Dis. 2010;16(4):316–27.PubMedCrossRef
39.
Zurück zum Zitat Yaşar F, Akgünlü F. The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol. 2006;35(1):1–9.PubMedCrossRef Yaşar F, Akgünlü F. The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol. 2006;35(1):1–9.PubMedCrossRef
40.
Zurück zum Zitat Caligiuri P, Giger ML, Favus M. Multifractal radiographic analysis of osteoporosis. Med Phys. 1994;21(4):503–8.PubMedCrossRef Caligiuri P, Giger ML, Favus M. Multifractal radiographic analysis of osteoporosis. Med Phys. 1994;21(4):503–8.PubMedCrossRef
41.
Zurück zum Zitat Ohya K. Effects of colchicine on osteoblast in rat: an ultrastructural study. Bull Tokyo Med Dental Univ. 1978;25(4):277–95. Ohya K. Effects of colchicine on osteoblast in rat: an ultrastructural study. Bull Tokyo Med Dental Univ. 1978;25(4):277–95.
42.
Zurück zum Zitat Oda T. Effect of colchicine on the Golgi apparatus and the lysosomal system in osteoclasts. Jpn J Oral Biol. 1990;32(4):422–39.CrossRef Oda T. Effect of colchicine on the Golgi apparatus and the lysosomal system in osteoclasts. Jpn J Oral Biol. 1990;32(4):422–39.CrossRef
43.
Zurück zum Zitat Koşan C, Sepetçigil O, Çayır A, Kaya A, Özkan B. Ailevi Akdeniz Ateşi Olan Çocuklarda Kemik Metabolizmasının Değerlendirilmesi. Turk J Pediatric Dis. 2012;6(3):139–45. Koşan C, Sepetçigil O, Çayır A, Kaya A, Özkan B. Ailevi Akdeniz Ateşi Olan Çocuklarda Kemik Metabolizmasının Değerlendirilmesi. Turk J Pediatric Dis. 2012;6(3):139–45.
44.
Zurück zum Zitat Aral CA, Aral K, Yay A, Özçoban Ö, Berdeli A, Saraymen R. Effects of colchicine on gingival inflammation, apoptosis, and alveolar bone loss in experimental periodontitis. J Periodontol. 2018;89(5):577–85.PubMedCrossRef Aral CA, Aral K, Yay A, Özçoban Ö, Berdeli A, Saraymen R. Effects of colchicine on gingival inflammation, apoptosis, and alveolar bone loss in experimental periodontitis. J Periodontol. 2018;89(5):577–85.PubMedCrossRef
Metadaten
Titel
Evaluation of bone changes on dental panoramic radiography using mandibular indexes and fractal dimension analysis in children with familial Mediterranean fever
verfasst von
Nihal Altunok Ünlü
Alem Coşgun
Halenur Altan
Publikationsdatum
20.07.2022
Verlag
Springer Nature Singapore
Erschienen in
Oral Radiology / Ausgabe 2/2023
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-022-00639-6

Weitere Artikel der Ausgabe 2/2023

Oral Radiology 2/2023 Zur Ausgabe

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Zahnmedizin

Bestellen Sie unseren kostenlosen Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.