Radiomorphometric indices and fractal dimension of the mandible in individuals with osteogenesis imperfecta: a matched cross-sectional study

Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Jul;136(1):102-111. doi: 10.1016/j.oooo.2023.02.002. Epub 2023 Feb 12.


Objective: The objective was to analyze radiomorphometric indices (RMIs) of mandibular cortical bone and fractal dimension (FD) of trabecular bone of individuals with osteogenesis imperfecta (OI) and compare the findings to those of individuals without OI.

Methods: Digital panoramic radiographs of 20 individuals with OI (case group) and 40 individuals without OI (control group) were examined. The RMIs of mandibular cortical index (MCI) and mandibular cortical thickness (MCT) were analyzed. FD of mandibular trabecular bone was calculated bilaterally in 3 regions. The chi-squared test and paired t test were used to compare the significance of differences between the groups. The effect size and minimal clinically important difference (MCID) were also determined. Significance was established at P < .05.

Results: Categories C2 and C3 of the MCI were more frequent in individuals with OI (P < .001). The Mean MCT was 2.08 ± 0.79 in the OI case group and 2.91 ± 0.60 in the control group (P < .001). Mean FD in the condylar region was significantly lower in the OI case group (P = .002). The effect size for these 2 measures was large, and the difference between groups was greater than the MCID.

Conclusion: Radiographs of individuals with OI exhibited more porosity and diminished thickness of the mandibular cortical bone and lower FD values in the condylar trabecular bone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Density
  • Cross-Sectional Studies
  • Fractals
  • Humans
  • Mandible / diagnostic imaging
  • Osteogenesis Imperfecta* / diagnostic imaging
  • Radiography, Panoramic / methods