DOI: 10.7126/cumudj.1892244 ISSN: 1302-5805

Panoramic Radiomorphometric Indices and Quantitative Heel Ultrasonography in Postmenopausal Diabetic and Non-Diabetic Women: A Comparative Study

Swagathika Mishra, Ananya Tirumani, Chandini K.v, N Kavya Keerthika, Sri Veda D, Tejaswini Tirumani
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Objective: To evaluate the impact of diabetes mellitus on bone density measurements using Radiomorphometric parameters on digital panoramic radiographs and quantitative ultrasonographic heel indices for early osteoporosis detection. Materials and Methods: The study included 100 postmenopausal diabetic and non-diabetic women, undergoing panoramic radiographs. Quantitative ultrasonography of the heel was performed to obtain T-scores. Mandibular Cortical Index (MCI), Mental Index (MI), and Panoramic Mandibular Index (PMI) were assessed to quantify mandibular bone mass. Observations were compared between two observers, and interobserver variability was analyzed for reliability. Statistical analysis was performed to evaluate correlations between these indices. Results: Diabetic postmenopausal women showed reduced mandibular bone mass, with a mean MI of less than 3 mm. A C3 cortical pattern was predominantly observed in diabetic patients aged over 60 years, indicating cortical thinning. PMI measurements showed significant positive correlation with T-scores (r = 0.670 and 0.641 for the two observers, respectively; p <0.001). Conclusion: Panoramic parameters such as PMI, MI, and MCI significantly correlate with Heel Index measurements and provide effective tools for early osteoporosis detection in diabetic and non-diabetic postmenopausal women. These indices may serve as useful adjunctive screening tools in dental settings for identifying postmenopausal women at risk of reduced bone mineral density

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