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| SM ISO690:2012|
VOLOC, Chiril; SÎRBU, Dumitru; VOLOC, Alexandru; VOLOC, Alexandru ; CORCIMARI, Evelina; NUCA, Dumitru. Ortopantomografia și tomografia computerizată cu fascicul conic ca instrumente auxiliare în diagnosticarea osteoporozei la femei . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”. R, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 735.
|Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" |
Chişinău, Moldova, 21-23 octombrie 2020
Background. The assessment of bone mineral density (BMD) by DXA is considered the gold standard for the identification of osteoporosis, as it is an easy method to perform and provides high accuracy in detecting BMD. But there are other radiological methods (OPG,CBCT), which allow the detection of BMD disorders. Objective of the study. Assessment of radiological methods used in the dentist's activity for early detection of osteopenia/osteoporosis. Material and Methods. The study included 49 patients (50-84 years, mean = 60.38) with edentulousness, who addressed for prosthetic implant rehabilitation. Radiological examination (OPG, CBCT) was performed in all patients. The diagnosis of osteopenia / osteoporosis was made according to Klemetti classification. The results were correlated with those obtained from the osteodensitometric radiological examination. Results. Osteodensitometry result: 11 patients with normal BMD, 20 with low bone density corresponding to osteopenia and 18 patients with osteoporosis. OPG and CBCT radiological examination results: C1-13 patients; C2-19 patient; C3- 17 patient. Correlating the OPG, CBCT data with the osteodensitometric, we established that the method according to Klemetti has a statistical truthfulness rate of 85.3%. Of the group of patients over 60 years of age, 12 (48%) were diagnosed with osteoporosis, 9 (36%) with osteopenia and 4 (16%) with normal BMD. In the group of patients up to 60, 6 (25%) patients with osteoporosis, 11 (45.83%) with osteopenia and 7 (29.16%) with normal BMD were detected. Conclusion. The obtained result allows us to state that OPG and CBCT can be considered auxiliary methods for the early diagnosis of osteopenia / osteoporosis. In case of advanced forms detection, the patient needs to be directed to specialized physicians for further examination.
osteoporosis, orthopanthomography, CBCT, osteodensitometry, edentation,
osteoporoza, ortopantomografie, CBCT, osteodensitometrie, edentație