An investigation of tooth loss factors in elderly patients using panoramic radiographs

Objectives The aim of this study was to observe the dental condition in a group of elderly patients over a period of 10 years in order to clarify important risk factors. Materials and methods Participants were elderly patients (in their eighties) who took panoramic radiographs between 2015 and 2016, and for whom panoramic radiographs taken around 10 year earlier were also available. The number of remaining and lost teeth, the Eichner Index, the presence or absence of molar occlusion, the respective condition of dental pulp, dental crowns, alveolar bone resorption, as well as periapical lesions were investigated through the analysis of panoramic radiographs. Additionally, other important variables were collected from patients' medical records. From the obtained panoramic radiograph sets, the patients' dental condition was investigated, and a systematic comparison was conducted. Results The analysis of the panoramic radiographs showed that the number of remaining teeth decreased from an average of 20.8-15.5, and the percentage of patients with 20 or more teeth decreased from 69.2 to 26.9%. A factor analysis investigating tooth loss risk suggested that tooth loss was associated with the bridge, P2 or greater resorption of the alveolar bone, and apical lesions, and gender (with males having a higher risk compared to females). Conclusions Teeth showing P2 or greater alveolar bone resorption, bridge, and apical lesions on panoramic radiographs are most likely to be lost in an elderly patient's near future. Consequently, this group should be encouraged to visit their dental clinics regularly and receive comprehensive instruction on individual self-care methods

Improvement of region of interest extraction and scanning method of computer-aided diagnosis system for osteoporosis using panoramic radiographs

ObjectivesPatients undergoing osteoporosis treatment benefit greatly from early detection. We previously developed a computer-aided diagnosis (CAD) system to identify osteoporosis using panoramic radiographs. However, the region of interest (ROI) was relatively small, and the method to select suitable ROIs was labor-intensive. This study aimed to expand the ROI and perform semi-automatized extraction of ROIs. The diagnostic performance and operating time were also assessed.MethodsWe used panoramic radiographs and skeletal bone mineral density data of 200 postmenopausal women. Using the reference point that we defined by averaging 100 panoramic images as the lower mandibular border under the mental foramen, a 400x100-pixel ROI was automatically extracted and divided into four 100x100-pixel blocks. Valid blocks were analyzed using program 1, which examined each block separately, and program 2, which divided the blocks into smaller segments and performed scans/analyses across blocks. Diagnostic performance was evaluated using another set of 100 panoramic images.ResultsMost ROIs (97.0%) were correctly extracted. The operation time decreased to 51.4% for program 1 and to 69.3% for program 2. The sensitivity, specificity, and accuracy for identifying osteoporosis were 84.0, 68.0, and 72.0% for program 1 and 92.0, 62.7, and 70.0% for program 2, respectively. Compared with the previous conventional system, program 2 recorded a slightly higher sensitivity, although it occasionally also elicited false positives.ConclusionsPatients at risk for osteoporosis can be identified more rapidly using this new CAD system, which may contribute to earlier detection and intervention and improved medical care

Arrival directions of large air showers, low-mu showers and old-age low-mu air showers observed at St. Chacaltaya

Arrival directions of air showers with primary energies in the range 10 to the 16.5 power eV to 10 to the 18th power eV show the first harmonic in right ascension (RA) with amplitude of 2.7 + or - 1.0% and phase of 13-16h. However, the second harmonic in RA slightly seen for showers in the range 10 to the 18th power eV to 10 to the 19th power eV disappeared by accumulation of observed showers. The distribution of arrival directions of low-mu air showers with primary energies around 10 to the 15th power eV observed at Chacaltaya from 1962 to 1967 is referred to, relating to the above-mentioned first harmonic. Also presented in this paper are arrival directions of old-age low-mu air showers observed at Chacaltaya from 1962 to 1967, for recent interest in gamma-ray air showers

Energetic delayed hadrons in large air showers observed at 5200m above sea level

Energetic delayed hadrons in air showers with electron sizes in the range 10 to the 6th power to 10 to the 9th power were studied by observing the delayed bursts produced in the shield of nine square meter scintillation detectors in the Chacaltaya air-shower array. The frequency of such delayed burst is presented as a function of electron size, core distance and sec theta

Pickoff and spin-conversion quenchings of ortho-positronium in oxygen

The quenching processes of the thermalized ortho-positronium(o-Ps) on an oxygen molecule have been studied by the positron annihilation age-momentum correlation techinique(AMOC). The Doppler broadening spectrum of the 511 keV gamma-rays from the 2gamma annihilation of o-Ps in O_2 has been measured as a function of the o-Ps age. The rate of the quenching, consisting of the pickoff and the spin-conversion, is estimated from the positron lifetime spectrum. The ratio of the pickoff quenching rate to the spin-conversion rate is deduced from the Doppler broadening of the 511 keV gamma-rays from the annihilation of the o-Ps. The pickoff parameter ^1Z_eff, the effective number of the electrons per molecule which contribute to the pickoff quenching, for O_2 is determined to be 0.6 +- 0.4. The cross-section for the elastic spin-conversion quenching is determined to be (1.16 +- 0.01) * 10^{-19} cm^2.Comment: 4 pages with 5 eps figures, LaTeX2e(revtex4

Computer-aided diagnosis system for osteoporosis based on quantitative evaluation of mandibular lower border porosity using panoramic radiographs

Objectives: A new computer-aided screening system for osteoporosis using panoramic radiographs was developed. The conventional system could detect porotic changes within the lower border of the mandible, but its severity could not be evaluated. Our aim was to enable the system to measure severity by implementing a linear bone resorption severity index (BRSI) based on the cortical bone shape. Methods: The participants were 68 females (>50 years) who underwent panoramic radiography and lumbar spine bone density measurements. The new system was designed to extract the lower border of the mandible as region of interests and convert them into morphological skeleton line images. The total perimeter length of the skeleton lines was defined as the BRSI. 40 images were visually evaluated for the presence of cortical bone porosity. The correlation between visual evaluation and BRSI of the participants, and the optimal threshold value of BRSI for new system were investigated through a receiver operator characteristic analysis. The diagnostic performance of the new system was evaluated by comparing the results from new system and lumbar bone density tests using 28 participants. Results: BRSI and lumbar bone density showed a strong negative correlation (p < 0.01). BRSI showed a strong correlation with visual evaluation. The new system showed high diagnostic efficacy with sensitivity of 90.9%, specificity of 64.7%, and accuracy of 75.0%. Conclusions: The new screening system is able to quantitatively evaluate mandibular cortical porosity. This allows for preventive screening for osteoporosis thereby enhancing clinical prospects

The effectiveness of mouthwashes in alleviating radiation-induced oral mucositis in head and neck cancer patients: A systematic review

Objective The aim of the study was to perform a systematic literature search and meta-analysis to reveal the most effective mouthwash for head and neck cancer patients who are experiencing radiation therapy-induced mucositis. Methods Using two electronic databases, a literature search and data interpretation were systematically performed as follows: (i) problem specification, (ii) devising of a literature search plan, (iii) literature search and retrieval of publications, and (iv) meta-analysis and data interpretation. The main problem was specified as follows: what mouthwash is effective in alleviating oral mucositis for head and neck cancer patients who are undergoing radiotherapy? Results The literature search yielded 354 titles and abstracts. After reviewing the extracted literature, 25 publications met the inclusion criteria for this study and 17 of 25 were eventually evaluated in the meta-analysis. Conclusion The results of the meta-analysis indicated that the use of a mouthwash that includes anti-inflammatory properties contributes the most to alleviating oral mucositis in patients who are undergoing radiotherapy to treat head and neck cancer

Abnormal positioning of the common carotid artery clinically diagnosed as a submandibular mass

The common carotid artery (CCA) usually runs along the long axis of the neck, although it is occasionally found in an abnormal position or is displaced. We report a case of an 86-year-old woman in whom the CCA was identified in the submandibular area. The patient visited our clinic and reported soft tissue swelling in the right submandibular area. It resembled a tumor mass or a swollen lymph node. Computed tomography showed that it was the right CCA that had been bent forward and was running along the submandibular subcutaneous area. Ultrasonography verified the diagnosis. No other lesions were found on the diagnostic images. Consequently, the patient was diagnosed as having abnormal CCA positioning. Although this condition generally requires no treatment, it is important to follow-up the abnormality with diagnostic imaging because of the risk of cerebrovascular disorders

Intraoral ultrasonographic features of tongue cancer and the incidence of cervical lymph node metastasis

Purpose: The purpose of this study was to investigate the relationship between the visual characteristics of tongue lesion images obtained through intraoral ultrasonographic examination and the occurrence of late cervical lymph node metastasis in patients with tongue cancer. Patients and Methods: This study investigated patients with primary tongue cancer who were examined using intraoral ultrasonography at Hiroshima University Hospital between January 2014 and December 2017. The inclusion criteria were squamous cell carcinoma, curative treatment administration, lateral side of tongue, surgery or brachytherapy alone, no cervical lymph node or distant metastasis as primary treatment, and treatment in our hospital. The exclusion criteria were carcinoma in situ, palliative treatment, dorsum of tongue, and multiple primary cancers. The follow-up period was more than 1 year. The primary endpoint was the occurrence of late cervical lymph node metastasis, and the primary predictor variables were age, gender, longest diameter, thickness, margin or border shapes of the lesion, and treatment methods. The relationship between the occurrence of late cervical lymph node metastasis and the longest diameter, thickness, margin types, and border types as evaluated through intraoral ultrasonography were assessed. The data were collected through a retrospective chart review. Results: Fifty-four patients were included in this study. The analysis indicated that irregular lesion margins were significantly associated with the occurrence of late cervical lymph node metastasis (P < .0001). The cutoff value for late cervical lymph node metastasis was 21.2 mm for the longest diameter and 3.9 mm for the thickness. Conclusions: The results of this study indicates that the irregular lesion margin assessed using intraoral ultrasonography may serve as an effective predictor of late cervical lymph node metastasis in N0 cases. (C) 2020 American Association of Oral and Maxillofacial Surgeon

Nonpolar optical scattering of positronium in magnesium fluoride

We report the results of the analysis of the temperature broadening of the momentum distribution of delocalized Positronium (Ps) in Magnesium Fluoride in terms of optical deformation-potential scattering model (long-wavelength optical phonons). The Ps optical deformation-potential coupling constant $D_{o}$ in MgF$_{2}$ has been determined to be $(1.8\pm0.3)\times10^{9}$ eV/cm. We also show that the Ps momentum distribution is sensitive to second-order phase transitions in those crystals where optical deformation-potential scattering is allowed in one and forbidden in another crystalline phase