Advancing dentistry: fractal assessment of bone health in pediatric patients with celiac disease using dental images

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dc.authoridBayrak, Nevzat Aykut/0000-0002-5553-6123
dc.authoridAltuntaş, Cansu/0000-0002-1161-5145
dc.authoridBulut, Müge/0000-0002-3088-7517
dc.authorwosidBayrak, Nevzat Aykut/J-6380-2013
dc.authorwosidAltuntaş, Cansu/AGV-9547-2022
dc.authorwosidTokuc, Muge/GXG-4479-2022
dc.authorwosidPolat, Esra/E-6575-2013
dc.authorwosidBulut, Müge/IZQ-3469-2023
dc.contributor.authorBulut, Muge
dc.contributor.authorTokuc, Muge
dc.contributor.authorAydin, Merve Nur
dc.contributor.authorCivan, Hasret Ayyildiz
dc.contributor.authorPolat, Esra
dc.contributor.authorDogan, Guzide
dc.contributor.authorAltuntas, Cansu
dc.date.accessioned2024-05-19T14:39:31Z
dc.date.available2024-05-19T14:39:31Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjectives: To assess the effects of a gluten-free diet on bone structure in children with celiac disease using fractal analysis on panoramic radiographs. Method and materials: A total of 49 patients with celiac disease aged 6 to 13 years, separated into two groups as previously and newly diagnosed, and a control group of 32 healthy individuals were evaluated. In previously and newly diagnosed patients with celiac disease, body mass index Z-scores were calculated, calcium, alkaline phosphatase, vitamin D3, and parathormone levels were measured, and bone mineral density Z-scores were obtained from dual energy x-ray absorpti-ometry. In all patients, the fractal dimensions of the right and left temporomandibular condyles were evaluated with the fractal analysis method on panoramic radiographs. Results: The mean values of serum biomarker levels and the body mass index and bone mineral density Z-scores for both celiac groups were within the normal reference range. No statistically significant difference was determined between right and left condyle fractal dimen-sions values in the three groups examined. In terms of both right and left condyle fractal dimensions values, there was a statis-tically significant difference between groups. The highest fractal dimensions values were determined in the previously diagnosed group. Conclusions: Differences in fractal dimensions values were observed among patients with celiac disease following the glu-ten-free diet. Utilizing fractal analysis on panoramic radiographs can prove valuable for dental practitioners in evaluating bone min-eral density due to its cost-effect iveness, easy accessibility, and reduced radiation exposure for patients, enabling them to provide comprehensive oral health care and potential early interventions for patients with celiac disease. (Quintessence Int 2023;54: 822-831; doi:en_US
dc.identifier.doi10.3290/j.qi.b4325347
dc.identifier.endpage831en_US
dc.identifier.issn0033-6572
dc.identifier.issn1936-7163
dc.identifier.issue10en_US
dc.identifier.pmid37602781en_US
dc.identifier.scopus2-s2.0-85178495715en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage822en_US
dc.identifier.urihttps://doi.org10.3290/j.qi.b4325347
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4797
dc.identifier.volume54en_US
dc.identifier.wosWOS:001117543600007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherQuintessence Publishing Co Incen_US
dc.relation.ispartofQuintessence Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBone Mineral Densityen_US
dc.subjectCeliac Diseaseen_US
dc.subjectChildrenen_US
dc.subjectFractal Analysisen_US
dc.subjectPanoramic Radiographyen_US
dc.titleAdvancing dentistry: fractal assessment of bone health in pediatric patients with celiac disease using dental imagesen_US
dc.typeArticleen_US

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