Investigation of Fractal Dimension Analysis and RadiomorphometricIndices in Children with Type 1 Diabetes Mellitus

Background: Diabetes mellitus (DM) disrupts bone metabolism, leading to slowed bone development, poor bone quality, andosteoporosis. Objectives: The aim of this study was to examine changes in the bones of adolescents with type-1 diabetes mellitus (T1DM) usingfractal dimension (FD) analysis method and panoramic radiomorphometric indices. Methods: Fractal dimension values and radiomorphometric measurements of 36 children with T1DM and 36 healthyindividuals were compared using panoramic radiographs. The panoramic mandibular index (PMI), mental index (MI),mandibular cortical width (MCW), amount of alveolar bone resorption (AABR), antegonial index (AI), and gonial index (GI) weremeasured. Mandibular cortical index (MCI) was recorded as C1, C2, and C3 classes. Results: For the angulus and corpus regions, the T1DM patient group had lower FD values, and there was a statisticallysignificant difference between the T1DM patient group and the control group (P = 0.003, P = 0.029). Mental index, MCW, and AIvalues were higher in the control group than in the T1DM patient group and were statistically significant (P = 0.014, P = 0.001, P <0.001, respectively). Conclusions: In this study examining the mandible in pediatric patients with T1DM using radiomorphometric measurementsand fractal analysis method, it can be concluded that T1DM affects bone morphology and trabecular structure

Dergi

IRANIAN JOURNAL OF PEDIATRICS

Yıl

2024

Cilt

34

Sayı

3

ISSN

2008-2142

eISSN

2008-2150

DOI

10.5812/ijp-142061

WoS UID

WOS:001254197800003