Osteoporosis detection using radiomorphometric examination and fractal dimensions through cone-beam computed tomography

Cone-beam computed tomography (CBCT) is becoming more widely used in the field of dentomaxillofacial radiography, but its utility for bone quality assessment still limited. This study was conducted to describe use radiomorphometric examination and fractal dimensions (FDs) osteoporosis risk detection through CBCT elderly patients. Medical databases (PubMed, Scopus, Elsevier, Directory Open Access Journals (DOAJ)) were searched using keywords osteoporosis, radiomorphometric, dimension, analysis. The search limits applied available full-text articles, publication years 2012-2021, articles published English. Then, included systematically reviewed following Preferred Reporting Items Systematic Reviews Meta-Analyses. A total four studies this review. Seven indices used, most adopted from panoramic radiographs, such as tomographycortical index, mental other along mandible, which are S (symphysis), (anterior), M (molar), P (posterior) indices. All show similar results. These can identify osteoporosis-related changes useful screening tools on CBCT. However, all FD different methods discover heterogeneous Radiomorphometric measurement be detect patients at osteoporosis. analysis method finds research results, so it recommended standardize terms shape, size, location region interest.