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

dc.authorid Bayrak, Nevzat Aykut/0000-0002-5553-6123
dc.authorid Altuntaş, Cansu/0000-0002-1161-5145
dc.authorid Bulut, Müge/0000-0002-3088-7517
dc.authorscopusid 57222156781
dc.authorscopusid 57210359918
dc.authorscopusid 57195517021
dc.authorscopusid 26667527200
dc.authorscopusid 57211750899
dc.authorscopusid 57209013231
dc.authorscopusid 56052902300
dc.authorwosid Bayrak, Nevzat Aykut/J-6380-2013
dc.authorwosid Altuntaş, Cansu/AGV-9547-2022
dc.authorwosid Tokuc, Muge/GXG-4479-2022
dc.authorwosid Polat, Esra/E-6575-2013
dc.authorwosid Bulut, Müge/IZQ-3469-2023
dc.contributor.author Bulut, Muge
dc.contributor.author Tokuc, Muge
dc.contributor.author Aydin, Merve Nur
dc.contributor.author Civan, Hasret Ayyildiz
dc.contributor.author Polat, Esra
dc.contributor.author Dogan, Guzide
dc.contributor.author Beser, Omer Faruk
dc.date.accessioned 2024-05-25T11:38:50Z
dc.date.available 2024-05-25T11:38:50Z
dc.date.issued 2023
dc.department Okan University en_US
dc.department-temp [Bulut, Muge; Tokuc, Muge; Aydin, Merve Nur] Istanbul Okan Univ, Fac Dent, Dept Pediat Dent, Istanbul, Turkiye; [Civan, Hasret Ayyildiz] IAU VM Med Pk Hosp Florya, Pediat Gastroenterol Hepatol & Nutr, Istanbul, Turkiye; [Polat, Esra] Univ Hlth Sci, Pediat Gastroenterol Hepatol & Nutr, Sancaktepe Sehit Prof Dr Ilhan Varank Training & R, Istanbul, Turkiye; [Dogan, Guzide] Bezmialem Vakif Univ, Fac Med, Dept Pediat Gastroenterol Hepatol & Nutr, Istanbul, Turkiye; [Altuntas, Cansu] Istinye Univ, Dept Pediat Gastroenterol Hepatol & Nutr, Fac Med, Istanbul, Turkiye; [Bayrak, Nevzat Aykut] Univ Hlth Sci, Zeynep Kamil Women & Childrens Training & Res Hosp, Pediat Gastroenterol Hepatol & Nutr, Istanbul, Turkiye; [Beser, Omer Faruk] Istanbul Univ Cerrahpasa, Cerrahpasa Med Fac, Dept Pediat Gastroenterol Hepatol & Nutr, Istanbul, Turkiye; [Bulut, Muge] Istanbul Okan Univ, Fac Dent, Dept Pediat Dent, Prof Dr Necmettin Erbakan Ave 2 Aydintepe, Tuzla Istanbul, Turkiye en_US
dc.description Bayrak, Nevzat Aykut/0000-0002-5553-6123; Altuntaş, Cansu/0000-0002-1161-5145; Bulut, Müge/0000-0002-3088-7517 en_US
dc.description.abstract Objectives: 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.citationcount 1
dc.identifier.doi 10.3290/j.qi.b4325347
dc.identifier.endpage 831 en_US
dc.identifier.issn 0033-6572
dc.identifier.issn 1936-7163
dc.identifier.issue 10 en_US
dc.identifier.pmid 37602781
dc.identifier.scopus 2-s2.0-85178495715
dc.identifier.scopusquality Q2
dc.identifier.startpage 822 en_US
dc.identifier.uri https://doi.org/10.3290/j.qi.b4325347
dc.identifier.uri https://hdl.handle.net/20.500.14517/1295
dc.identifier.volume 54 en_US
dc.identifier.wos WOS:001117543600007
dc.identifier.wosquality Q4
dc.institutionauthor Bulut M.
dc.language.iso en
dc.publisher Quintessence Publishing Co inc en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 1
dc.subject bone mineral density en_US
dc.subject celiac disease en_US
dc.subject children en_US
dc.subject fractal analysis en_US
dc.subject panoramic radiography en_US
dc.title Advancing dentistry: fractal assessment of bone health in pediatric patients with celiac disease using dental images en_US
dc.type Article en_US
dc.wos.citedbyCount 1
dspace.entity.type Publication

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