Can Dental Panoramic Radiography Help Screen Osteoporosis in Postmenopausal Women?

SELVİ F., Geary S., August M.

INTERNATIONAL DENTAL JOURNAL 2013; 63 (Suppl.1) p.302 / 101st FDI Annual World Dental Congress, İstanbul, Turkey, 28 August 2013, vol.63, pp.302

  • Publication Type: Conference Paper / Summary Text
  • Volume: 63
  • Doi Number: 10.1111/idj.12049.
  • City: İstanbul
  • Country: Turkey
  • Page Numbers: pp.302
  • Istanbul University Affiliated: Yes


Methodology: Dental clinics, procedures and instruments in the
lab. liable to cross contamination were test run using culture sensi-
tivity tests on blood agar and Mc.conkey mediums in addition to
swabs on monthly bases as for the following:
1 Clinics and laboratory air environment was tested
2 Alginate impressions, brushes, ragged wheels, pumice and
lathes were tested
3 The laboratory better operated as a “Clean Dental Labora-
tory” not “Standard Dental Laboratory”
Results: Gram -ve pathogens as Klebsiella and fungal infection as
well as commensals (staph.albicans) were present. By proper suction
system in the clinics and lab. and regular air-conditioning filters
cleaning fungal growth was avoided.Virkon 2% as a surface disinfec-
tant and instruments soaked for 24 h were used to eradicate patho-
genic and non pathogenic bacteria.Presept half gram tablets diluted
in half liter of water sprayed, wrapped and left for 10 min on incom-
ing material to the lab. as impressions, bite blocks, face-bows crowns
also eradicated the pathogenic and non pathogenic organisms
Conclusion: The infection control measures should be taken very
seriously for all patients and dental personnel for a better and
healthier life.
Tobacco-Use Cessation in Dental Clinics: A Survey of Dentists
Knowledge, Attitude and Practices
Thanveer Kalantharakath, Ajith Krishnan, Pulikt Kalyan
Department of Public Health Dentistry, Sumandeep Vidyapeeth,
Vadodara, India
Aim: To assess tobacco-use cessation related knowledge, attitude
and practices among practicing dentists.
Material and methods: A cross sectional questionnaire survey was
conducted among dental practitioners registered in Indian dental
association, Vadodara Branch, India.
All the registered dentists in Indian Dental Association, Vadod-
ara were selected for the survey. A self administered pre-tested
close ended questionnaire consisting of questions related to their
graduation, number of years in active dental practice, knowledge
attitude and practices towards tobacco use and cessation advice to
the patients was used. The questionnaire was piloted among 20
clinical practitioners. Only completely filled questionnaires and
response from those who are in active practice since the last
5 years were considered for the study.
Results: Out of the 180 completed questionnaires, 129 (71.6%)
respondents were graduates and 51 (28.3%) respondents were post
graduates. Ninety-three (51.6%) respondents had never undergone
any formal training in tobacco cessation. Only 56 (31.1%) respon-
dents strongly agreed that tobacco cessation advice is the responsi-
bility of dental practitioners. Only 92 (51.1%) of the practitioners
advice tobacco cessation to their patients.
Conclusion: It is concluded from the results that just over fifty per-
cent of dentists surveyed were cognizant of tobacco cessation
methods and incorporated the same in their practice. The need for
dentist to acquire knowledge and assume responsibility towards
this cause in principle and practice has been strongly felt.
Can Dental Panoramic Radiography Help Screen Osteoporosis
in Postmenopausal Women?
Fırat Selvi
, Sean Geary
, Meredith August
Department of Oral and Maxillofacial Surgery, Istanbul
University, Istanbul, Turkey,
Harvard School of Dental Medicine,
Boston, MA, USA,
Department of Oral and Maxillofacial
Surgery, Massachusetts General Hospital, Boston, MA, USA
Aim: Early detection of osteoporosis is an important public health
goal and dentists might play an important role in its diagnosis
with dental radiographs having a great potential as a screening
Material and methods: Using a retrospective cohort study design,
the authors enrolled a sample composed of female subjects who
were 50 years of age, who had a dental panoramic radiograph
and a bone mineral density (BMD) scan within 2 years of each
other between 2006 and 2012. The predictor variables included
demographics, average gonial and antegonial angles, mandibular
cortical bone integrity (MCBI), periodontal disease status, number
of remaining teeth, body mass index (BMI) and bisphosphonate
usage. The primary outcome measure was BMD T-score (BMDT-
sc) as determined by dual emission x-ray absorptiometry.
Results: Descriptive and logistic regression statistics were com-
puted and p-values < 0.05 were considered significant. Sample
composed of 274 subjects with a mean age of 64 9.3 years.
Average BMDT-sc was 1.59 1.11. Sample’s 27.11% were nor-
mal (BMDT-sc > 1), 50.92% were osteopenic (BMDT-sc
between 1 and 2.5), and 21.98% were osteoporotic (BMDT-
sc < 2.5). Of the predictor variables examined, MCBI
(p = 0.019), age (p < 0.0001), BMI (p < 0.0001), and bisphospho-
nate usage (p = 0.037) showed significance with a BMD diagnosis
of osteopenia/osteoporosis. Other variables didn’t demonstrate sig-
nificance. In a multivariate logistic regression analysis, MCBI
didn’t demonstrate significance (p = 0.6), whereas age and BMI
remained significant (p < 0.0001).
Conclusions: In conclusion, given MCBI’s significance in univariate
analysis and biologic plausibility, dentists might use it as a risk
assessment tool to recommend a BMD scan for elderly women
Areca Nut Chewing Among Primary School Children of Karachi,
Ambrina Qureshi,
Arham Nawaz Chohan
Department of Community Dentistry, Dr. IshratulEbad Khan
Institute of Oral Health Sciences, Dow University of Health
Sciences, Karachi, Pakistan
Objective: Areca nut chewing is more prevalent in South East part
of subcontinent. Objective was to present prevalence and associ-
ated factors of this habit among primary school children of Kar-
achi, Pakistan.
Methodology: A sample size of 600 was calculated. Multi stage
random sampling was used. Nine out of 18 towns of Karachi were
identified and two schools (public and private) from each town
International Dental Journal 2013; 63 (Suppl. 1): 297--378
© 2013 The authors. International Dental Journal © 2013 FDI World Dental Federation