Analysis of the panoramic radiographic density of the mandibular bone in the elderly due to increased cortisol levels
Abstract
Objectives: Mandibular bone is generally formed by intramembranous ossification. Bone density mandible can be assessed from the trabecular pattern. In the elderly, the hormone cortisol affects bone formation through bone resorption by blocking calcium. The purpose of this study was to determine the correlation of cortisol levels to mandibular bone density in elderly women and men.Materials and Methods: This study was an analytic survey, where the population was determined from secondary patient data in the form of 31 panoramic radiographs and 31 laboratory results of cortisol examination, the research sample was divided into two groups. The bone density of the mandible was assessed from the trabeculae of the neck condyles region of the right and left. Density assessment using the ImageJ software program on panoramic radiographs was an examination that is often done in dentistry.
Results: This study showed that the lowest density was in the group of women over 60 years. The results of the t-test with the independent sample obtained a p-value of > 0.05, which indicated there is no significant difference. The negative correlation value indicated that the relationship that occurs is opposite, p-value <0.05 which indicated the lower bone density, the higher cortisol level.
Conclusion: Based on the results of the study, there was a correlation that with the increasing age of both women and men there was an increase in cortisol levels and a decrease in mandibular density.
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Licata A. Bone density vs bone quality: what’s a clinician to do?. Cleveland Clinic Journal of Medicine.2009:76(6):331-6.
Barlian B, Azhari, Pramanik F. Correlation between mandibular trabeculae bone density on panoramic radiograph and body mass index of men aged 5-35 years old. Journal of Dentomaxillofacial Science. 2018,3;3:166-8.
Toppo S. Distribusi pemakaian radiografi periapikal dan radiografi panoramik pada pasien impaksi molar ketiga rahang bawah di kota Makassar. Journal Dentomaxillofacial Science. 2018,11;2:75
Çakur B, Dagistan S, Şahin A, Harorli A, Yilmaz A B. Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women. Dentomaxillofacial Radiology. 2009,38;5:255-61
Azhari, Diputra Y, Juliastuti E, Arifin Z. Analisis citra radiografi panoramik pada tulang mendibula untuk deteksi dini osteoporosis dengan metode gray level cooccurence matrix (GLCM). Majalah Kedokteran Bandung. 2014,46;4:203-8.
Tortora GJ, Derrickson B. Principle Of Anatomy and Physiology. 13th ed. New Jersey: John Wiley & Sons, Inc. 2012. p.182-201; 209.
Pires da Rocha MC, Figueiredo de Martino MM, Grassi-Kassisse DM, Luiz de Souza A. Estresse em enfermeiros: o uso do cortisol salivar no dia de trabalho e de folga [Stress among nurses: an examination of salivary cortisol levels on work and day off]. Rev Esc Enferm USP. 2013 Oct;47(5):1194-201. Portuguese.
Çakur B, Dagistan S, Şahin A, Harorli A, Yilmaz A B. Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women. Dentomaxillofacial Radiology. 2009,38;5:255-61.
Yeler DY, Koraltan M, Hocaoglu TP, Arslan C, Erselcan T, Yeler H. Bone quality and quantity measurement techniques in dentistry. Cumhuriyet Dental Journal. 2015;19(1):73-86.
Govindraju P, Kumar TSM, Chandra P, Balaji P, Sowbhagya MB. Panoramic Radiomorphometric Indices of Mandible : Biomarker for Osteoporosis. In Preedy VR (ed.). Biomarkers in Bone Disease, Biomarkers in Disease: Methods, Discoveries and Applications. Springer. 2015.
Amiri SA, Moudi E. Image Quality enhancement in digital panaromic radiograph. Journal of AI and Data Mining. 2014;2(1):1-6.
Itaru M, Naoko T, Yuya N. Growth of Mandible and Biological Characteristics of the Mandibular Condylar Cartilage. 2013;49(4);139-50.
Geiger M, Blem G, Ludwig A. Evaluation of Image J for Relative Bone Density Measurement and Clinical Application. J Oral Health Craniofac Sci. 2016;1:012-021.
Gunawan. Densitas Tulang Mandibula Pengguna Obat Anti Hipertensi Calcium Channel Blocker (CCB) Melalui Radiograf Panoramik. Jurnal Radiologi Dentomaksilofasial Indonesia. 2020;4(2):1-4.
Depkes RI. Kalsifikasi umur menurut kategori. Jakarta: Ditjen Yankes. Riset kesehatan dasar. 2013. Kemenkes RI: Jakarta
Fikri M, Azhari, Epsilawati L. Gambaran Kualitas Tulang Pada Wanita Berdasarkan Kelompok Usia Melalui Radiografi Panoramik. Jurnal Radiologi Dentomaksilofasial Indonesia. 2020;4(2):5-10.
Cakur B, Dagistan S, Sahin A, Harorli A, Yilmaz A. Reliability of mandibular cortical index and mandibular bone mineral density in the detection of osteoporotic women. Dentomaxillofac Radiol. 2009 Jul;38(5):255-61.
Popoola OA, Omotosho BA, Amenkhienan IF, Anuoluwapo AE, Popoola O. Serum Cortisol and the Risk of Osteoporosis in Nigerians on Medroxyprogesterone Acetate. Am. J. Biomed. Sci. 2016;8(3):186-92.
Lane NE. An update on glucocorticoid-induced osteoporosis. Rheum Dis Clin North Am. 2001 Feb;27(1):235-53.
Mathis SL, Farley RS, Fuller DK, Jetton AE, Caputo JL. The Relationship between Cortisol and Bone Mineral Density in Competitive Male Cyclists. J Sports Med (Hindawi Publ Corp). 2013;2013:896821.
Published
2022-08-31
How to Cite
RACHMAWATI, Noor et al.
Analysis of the panoramic radiographic density of the mandibular bone in the elderly due to increased cortisol levels.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 6, n. 2, p. 55-58, aug. 2022.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/885>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v6i2.885.
Section
Original Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
