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The International Journal of Oral & Maxillofacial Implants
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Int J Oral Maxillofac Implants 29 (2014), No. 3     11. July 2014
Int J Oral Maxillofac Implants 29 (2014), No. 3  (11.07.2014)

Page 667-674, doi:10.11607/jomi.3354, PubMed:24818206


Diagnostic Performance of Mandibular Bone Density Measurements in Assessing Osteoporotic Status
Chai, John / Chau, Anson C. M. / Chu, Frederick C. S. / Chow, Tak W.
Purpose: The study evaluated the diagnostic performance of computed tomography (CT) bone density measurements (in Hounsfield units [HU]) in assessing the osteoporotic status of edentulous subjects (21 men, 40 women) scheduled to receive mandibular implant-supported overdentures.
Materials and Methods: Density (in HU) of 61 left and 61 right mandibular canine sites was measured. Each subject was also subject to body bone mineral density measurements (dual-energy x-ray absorptiometry). Bone density T-score values of total hip, femoral neck, spine (L1 to L4), and total body were assessed. Pearson correlations were conducted between HU of each mandibular bone site and the subject's T-score values. Sensitivity/specificity and receiver operating characteristic curve analyses were used to assess the diagnostic performance of HU in detecting subjects who were, based on each of the four T-scores: (1) "not osteonormal", ie, with a T-score at or below -1.0; or (2) osteoporotic, ie, with a T-score at or below -2.5.
Results: HU measurements of mandibular bone sites were found to have modest but significant correlations with each bone density T-score value (total hip, femoral neck, spine, total body). CT mandibular site HU measurement has diagnostic value in detecting a "not osteonormal" condition when total hip, spine, or total body T-scores were used, but not when femoral neck T-score was used.
Conclusions: Based on the limited sample size, optimal HU cutoff values of ~530, ~600, and ~640 HU for total hip, spine, or total body T-scores, respectively, were proposed. CT mandibular site HU measurement had diagnostic value in detecting osteoporosis when spine T-score was used but not when total hip, femoral neck, and total body T-scores were used. An optimal HU cutoff value of ~460 HU for spine T-score was proposed.

Keywords: bone density, computed tomography, dental implant, dual-energy x-ray absorptiometry, Hounsfield unit, osteoporosis