Patient Presentation

A 79yo Caucasian female presented for evaluation and possible endodontic treatment of mandibular left first molar. There was no mention of osteoporosis in her medical history. Osteoporosis is a systemic disease characterized by low bone mass and micro-architectural deterioration, with a consequent increase in bone fragility and features.*

The mandibular cortex is generally porous. Surrounding periodontal structures of visualized teeth are within normal limits. Some lose bone marrow space is noted between the apices of the molars and the mandibular canal. 

Impressions and recommendations

Mandibular cortical porosity and lose trabeculation are highly suggestive of osteoporosis. Referral to patient’s physician for further evaluation was recommended.

*Tadinada AS, Raisz LG, Lurie, AG. Establishing radiomorphometric markers for early detection of osteoporosis using CBCT. Oral and Maxillofacial Radiology, University of Connecticut School of Dentistry and the New England Musculoskeletal Institute, Farmington CT. Paper presented at 62nd American Academy of oral and Maxillofacial Radiology Annual Meeting, Chicago, IL, Dec