Evidence mapPaperPMID 41284120Full record

ArticleClinical oral investigations2025

Genetic and epidemiologic assessment of mandibular cortical indices and bone mineral density in peripubertal children: the Generation R study.

Vid Prijatelj, Olja Grgic-Chavez, Justin van der Tas, Constanza L Andaur Navarro, Andre G Uitterlinden, Fernando Rivadeneira, Eppo B Wolvius, Carolina Medina-Gomez

Abstract read
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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vid Prijatelj *Department of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Olja Grgic-Chavez *Department of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Justin van der TasDepartment of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Constanza L Andaur NavarroDepartment of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Andre G UitterlindenThe Generation R Study, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Fernando RivadeneiraDepartment of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Eppo B WolviusDepartment of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands.
Carolina Medina-GomezThe Generation R Study, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands. m.medinagomez@erasmusmc.nl.

Funding

European Research Council Advanced Grant No. 101021500 LEGENDAREZonMw VIDI 016.136.361
6 · The paper itself

Abstract

objectivesThe panoramic mandibular index (PMI) and mental index (MI) assessed on dental panoramic radiographs (DPRs) have been postulated as useful for the assessment of adult bone health. However, their utility in children remains to be determined. Our objective was to establish genetic determinants of the PMI/MI and to evaluate the relationship between these indices and total body less-head bone mineral density (TBLH-BMD).

methodsThis study was embedded in the Generation R Study at a mean age of 13 years. BMD was obtained from dual-energy X-ray (DXA) scans, while radiomorphometric measurements of the mandibular bone were obtained from DPRs. Genome-wide association studies (GWAS) on PMI/MI were performed. The association between PMI/MI and BMD was assessed following a combined observational and genetic analysis using a polygenic risk score (PGS).

resultsThe PMI and MI GWAS identified an association signal (p = 2.53 × 10

conclusionsOur results suggest that PMI/MI and BMD share common biological pathways, and the former may be considered as relevant markers if screening for children with impaired bone health using DPRs. CLINICAL RELEVANCE: This study demonstrates that mandibular indices measured from panoramic radiographs can help clinicians identify pediatric patients who may have reduced bone mineral density. Both traits share a shared genetic and the association is not due to confounding factors. These findings highlight the potential of panoramic radiography as a valuable tool in assessing pediatric skeletal health.

Indexed as

Bone DensityMandibleAbsorptiometry, PhotonAdolescentChildFemaleGenome-Wide Association StudyHumansMaleRadiography, PanoramicBone mineral densityGenetic risk scoreGenome-Wide association studyPanoramic radiography

Identifiers

PMID41284120
PMCPMC12644194

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