This retrospective study aims to evaluate the differences in mandibular bone structure between individuals with periodontitis and healthy controls using panoramic radiographs. Fractal analysis and radiomorphometric indices, such as the mental index (MI) and panoramic mandibular index (PMI), will be applied to assess trabecular and cortical bone. The study population includes patients previously diagnosed and treated for periodontitis and healthy individuals with available panoramic radiographs. By comparing bone quality and microarchitecture between the groups, the study seeks to determine the diagnostic value of panoramic radiographs for detecting periodontal bone changes and to provide insights for early diagnosis and treatment planning in dental practice.
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Inclusion Criteria: * Individuals aged 18 or older * Patients with clinically and radiographically diagnosed periodontitis (case group) * Periodontally and systemically healthy individuals (control group) Exclusion Criteria: * Individuals younger than 18 * Patients with systemic or syndromic conditions affecting bone structure * Panoramic radiographs with artifacts or diagnostic errors