April - June 2023, Volume 19, Issue 2

Gunen Yilmaz S, Bayrak S

Determination of Mandibular Bone Changes in Patients with Primary Hypothyroidism Treated with Levothyroxine Sodium

Acta Endo (Buc) 2023, 19 (2): 201-207
doi: 10.4183/aeb.2023.201

Background. This study aimed to assess fractal dimension (FD) and the radiomorphometric indexes on the digital panoramic radiography (DPR) of patient with primary hypothyroidism receiving levothyroxine sodium replacement therapy. Methods. A total of 115 subjects were included in this cross sectional retrospective study. According to the results of the thyroid function tests, the subjects were divided into two groups as primary hypothyroidism (levothyroxine sodium replacement therapy given), (n = 57) and the healthy control group (n = 58). The fractal dimension (FD), panoramic mandibular index (PMI), mandibular cortical width (MCW), gonial index (GI) and mandibular cortical index (MCI) values of all patients were calculated on DPRs. The statistical analysis of all data was performed with SPSS version 22. Results. The distributions of age and gender in the primary hypothroidism group were similar to control group (p = 0.19 and p = 0.62, respectively). The two groups did not differ statistically significantly in terms of FD, PMI, MCW, GI, and MCI. Conclusion. We determined that mandibular cortical and trabecular bone structure did not significantly differ between healthy individuals and patients receiving drug replacement theraphy due to hypothyroidism, but our results should be further supported with the investigation of clinical parameters.

Keywords: Fractal Dimension, Primary hypothyroidism, Panoramic Mandibular Index, Mandibular Cortical Width, Gonial Index, Mandibular Cortical Index

Correspondence: Sevcihan GünenYilmaz, Assoc. Prof., Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey, E-mail: dentistsevcihan@hotmail.com