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Evaluation of fractal dimension and panoramic radiomorphometric indices in children and adolescents with type 1 diabetes mellitus: A retrospective study
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  • Humeyra Tercanli Alkis,
  • Burcu Yagmur,
  • Mesut Parlak,
  • Huseyin Karayilmaz
Humeyra Tercanli Alkis
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Burcu Yagmur

Corresponding Author:[email protected]

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Mesut Parlak
Akdeniz Universitesi Tip Fakultesi
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Huseyin Karayilmaz
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Abstract

Objective: The aim of this retrospective study is to evaluate the cortical and trabecular mandibular bone morphology of children and adolescents who have type 1 diabetes mellitus (DM) and controls by using fractal dimension (FD) analysis and different panoramic radiomorphometric indices through digital panoramic radiographic images (DPRIs). Methods: The study included total 114 patients(57 type 1 DM-57 control). The type 1 DM group was divided into well-controlled(6,59.0) groups, according to HbA1c. The mandibular cortical width (MCW) and panoramic mandibular index (PMI) were measured, the mandibular cortical index (MCI) and simple visual estimation (SVE) were evaluated, and FD analysis of three areas of interest (IAs) was obtained in all of the DPRI. Results: There were no statistically significant differences found in any parameters when all the DM groups were compared with controls. In all the groups, significant correlation was observed between the MCW-FD values, PMI-FD values, and MCW-IA 1 FD values. Conclusions: This study revealed no cortical and trabecular bone changes in mandibula in children and adolescents with type 1 DM compared to the control group. These findings did not support the hypothesis that children and adolescents with type 1 DM may have different bone structure.