Fractal analysis of bone trabeculae from the mandible of patients with chronic kidney disease

Matheus Kawana  Couto; Isabela Caroline  Horita; Beatriz Caio  Felipe; Neli  Pieralisi; Lilian Cristina Vessoni  Iwaki; Mariliani Chicarelli da  Silva

doi:10.4025/actascihealthsci.v47i1.70607

Fractal analysis of bone trabeculae from the mandible of patients with chronic kidney disease

Matheus Kawana Couto Universidade Estadual de Maringá https://orcid.org/0000-0003-1990-9487
Isabela Caroline Horita Universidade Estadual de Maringá https://orcid.org/0009-0002-3259-7609
Beatriz Caio Felipe Universidade Estadual de Campinas
Neli Pieralisi Universidade Estadual de Maringá https://orcid.org/0000-0003-2304-5263
Lilian Cristina Vessoni Iwaki Universidade Estadual de Maringá https://orcid.org/0000-0002-1822-3056
Mariliani Chicarelli da Silva Universidade Estadual de Maringá https://orcid.org/0000-0002-0024-7471

DOI: https://doi.org/10.4025/actascihealthsci.v47i1.70607

Abstract

The aim of this study was to investigate the characteristics of the bone trabeculae pattern in the mandible of patients with chronic kidney disease (CKD) using fractal dimension analysis in cone beam computed tomography (CBCT) exams. The sample comprised 20 adult patients, divided into two groups: a group of 10 individuals with CKD and a control group of 10 people matched for sex and age similar to the first group. The software ImageJ was used to do fractal analysis on the mandibular condyle and body of each individual. Statistical analysis included the use of the intraclass correlation coefficient (ICC) for the examiner’s standardization and the student t-test for fractal analysis. The results showed a lower complexity of bone microarchitecture in the CKD group compared to the healthy patients. The fractal values found in the mandible of individuals were significantly lower for both body and condyle in the CKD group. The decrease in bone quality interferes directly in the planning of clinical and surgical interventions, therefore, fractal analysis appears to be a potential, simple, and economic method for examining bone quality through imaging exams.

Downloads

Download data is not yet available.

Published

2025-07-10

How to Cite

Couto, M. K., Horita, I. C., Felipe, B. C., Pieralisi, N., Iwaki, L. C. V., & Silva, M. C. da. (2025). Fractal analysis of bone trabeculae from the mandible of patients with chronic kidney disease. Acta Scientiarum. Health Sciences, 47(1), e70607. https://doi.org/10.4025/actascihealthsci.v47i1.70607

Download Citation

Issue

Vol 47 (2025): Publicação contínua

Section

Dentistry Articles

This work is licensed under a Creative Commons Attribution 4.0 International License.

DECLARATION OF ORIGINALITY AND COPYRIGHTS

I Declare that current article is original and has not been submitted for publication, in part or in whole, to any other national or international journal.

The copyrights belong exclusively to the authors. Published content is licensed under Creative Commons Attribution 4.0 (CC BY 4.0) guidelines, which allows sharing (copy and distribution of the material in any medium or format) and adaptation (remix, transform, and build upon the material) for any purpose, even commercially, under the terms of attribution.

Read this link for further information on how to use CC BY 4.0 properly.