Authors : Dr. Kadam Vishwas D; Dr. Baride Preeti S; Dr. Bansode Amruta; Dr. Kale Lata

Volume/Issue : Volume 10 - 2025, Issue 5 - May

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DOI : https://doi.org/10.38124/ijisrt/25May024

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Abstract :  AIM – To use digital panoramic radiographs to assess/evaluate/study the fractal dimension and lacunarity trabecular pattern in mandibular bone to identify the early osteoporotic alterations in patients who chew smokeless tobacco and identify any differences compared to non-tobacco chewers.  Materials and Methods – 90 digital OPG scans of completely dentulous patients between age 20 – 40 years were examined, out of which 45 patients with smokeless tobacco habit for more than 2 years and 45 were of healthy patients as control group. The mandibular trabecular bone's FD and lacunarity were evaluated using the ImageJ programme and the FracLac plugin on digital panoramic radiographs.  Settings and Designs – Prospective Cross Sectional Case Control Descriptive Observational Study, Department of Oral Medicine and Radiology.  Results – The differences between the research and control groups' mean FD values were statistically significant (P0.001). The case groups' mean FD was lower than the control groups, with SLTs having the lowest FD value. There was a significant difference in lacunarity between SLTs and controls (P0.001).  Conclusions – Differences in the values of FD & Lacunarity detected between the cases and controls, which discriminates texture differences of trabecular bone in SLT users. The analysis showed correlations with each other, detecting alterations in the trabecular pattern. Furthermore, it can be used as a practical, non-invasive method to assess osteoporotic changes in smokeless tobacco users during a routine examination for further management. Study with larger sample size should be done for more precise results.

Keywords : Fractal Dimension, Lacunarity, Mandible, Panoramic Radiography, Smokeless Tobacco.

References :

1. Sindeaux R, Figueiredo PT, de Melo NS, Guimarães AT, Lazarte L, Pereira FB, de Paula AP, Leite AF. Fractal dimension and mandibular cortical width in normal and osteoporotic men and women. Maturitas. 2014 Feb;77(2):142-8. doi: 10.1016/j.maturitas.2013.10.011. Epub 2013 Nov 4. PMID: 24289895.
2. Syed Sohail Abbas, Saeeda Baig, Qamar Jamal, Hasan Danish, Syeda Abia Ambe.  Volume: 3, Issue: 3, 15-18 March 2015 European Journal of Biotechnology and Bioscience ISSN: 2321-9122 Impact Factor: 3.742
3. Camargo, A.J., Côrtes, A.R.G., Aoki, E.M., Baladi, M.G., Arita, E.S. and Watanabe, P.C.A. (2016) Analysis of Bone Quality on Panoramic Radiograph in Osteoporosis Research by Fractal Dimension. Applied Mathematics, 7,375-386.
4. Tavares KNP, Mesquita RA, Amara PTM, Brasileiro CB (2016) Predictors Factors of Low Bone Mineral Density in Dental Panoramic Radiographs. J Osteopor Phys Act 4: 170. doi:10.4172/2329-9509.1000170.
5. Suman B, Redhu A. Relationship of bone mineral density with panoramic radiomorphometric indices in tobacco users in India.J Indian Acad Oral Med Radiol 2020;32:119-26.
6. Basavarajappa et al, J Dent Res Dent Clin Dent Prospects,  Fractal dimension and lacunarity analysis of mandibular bone on digital panoramic radiographs of tobacco users2021,15(2), 140-146 doi: 10.34172/joddd.2021.024 https://joddd.tbzmed.ac.ir
7. Altman DG, Bland JM. Matching. BMJ. 1994;309(6962):1128.
8. Geraets WG, van der Stelt PF. Fractal properties of bone. Dentomaxillofac Radiol. 2000;29(3):144–53.
9. Southard KA, Southard TE, Krizan KE, Hillis SL. Fractal dimension analysis of mandibular trabecular bone in diabetes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(4):532–8.
10. White SC, Rudolph DJ. Alterations of trabecular bone pattern in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(5):628–35.
11. Karperien A, Ahammer H, Jelinek HF. Quantitating the subtleties of microglial morphology with fractal analysis. Front Cell Neurosci. 2011;5:62.
12. Geraets WG, van der Stelt PF, Netelenbos JC, Elders PJ. A new method for measuring BMD using dental radiographs. J Bone Miner Res. 1990;5(6):653–8.
13. Holliday R, Moore A, Ashrafian H. Smoking and bone health. BMJ. 2001;323(7320):1111.
14. Jones G, Nguyen T, Sambrook PN, Kelly PJ, Eisman JA. Progressive loss of bone in postmenopausal women: Impact of smoking. J Clin Endocrinol Metab. 1994;79(2):404–7.
15. Ward KD, Klesges RC. A meta-analysis of the effects of cigarette smoking on bone mineral density. Calcif Tissue Int. 2001;68(5):259–70.
16. Dalli M, Atici MY, Bagci N, et al. Effects of smokeless tobacco on bone turnover and BMD. J Bone Miner Metab. 2021;39(1):129–35.