{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:54:41Z","timestamp":1781762081371,"version":"3.54.5"},"reference-count":40,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["25K13238"],"award-info":[{"award-number":["25K13238"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["24K12955"],"award-info":[{"award-number":["24K12955"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Osteoporosis and Sarcopenia"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.afos.2025.12.001","type":"journal-article","created":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:48:59Z","timestamp":1766692139000},"page":"86-92","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of mandibular cortical erosion with chronic periodontitis, apical periodontitis, and tooth fracture in Japanese women aged 40 years and older: An artificial intelligence-based analysis"],"prefix":"10.1016","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6939-3243","authenticated-orcid":false,"given":"Hirofumi","family":"Otaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7041-4464","authenticated-orcid":false,"given":"Soyo","family":"Otaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Sugino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4248-1415","authenticated-orcid":false,"given":"Nobuo","family":"Yoshinari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Udagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2620-1487","authenticated-orcid":false,"given":"Akira","family":"Taguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.afos.2025.12.001_bib1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.bone.2017.01.024","article-title":"The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide","volume":"104","author":"Curtis","year":"2017","journal-title":"Bone"},{"key":"10.1016\/j.afos.2025.12.001_bib2","doi-asserted-by":"crossref","first-page":"147","DOI":"10.33160\/yam.2021.05.001","article-title":"Current and future burden of hip and vertebral fractures in Asia","volume":"64","author":"Hagino","year":"2021","journal-title":"Yonago Acta Med"},{"key":"10.1016\/j.afos.2025.12.001_bib3","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1007\/s00774-022-01352-4","article-title":"Trends in osteoporosis prevalence over a 10-year period in Japan: the ROAD study 2005-2015","volume":"40","author":"Yoshimura","year":"2022","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.afos.2025.12.001_bib4","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1001\/archinte.1983.00350090044007","article-title":"Postmenopausal tooth loss. Contributions to edentulism by osteoporosis and cigarette smoking","volume":"143","author":"Daniell","year":"1983","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.afos.2025.12.001_bib5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1007\/BF01623233","article-title":"Tooth loss and skeletal bone density in healthy postmenopausal women","volume":"4","author":"Krall","year":"1994","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s007740300007","article-title":"The relation between tooth loss and bone mass in postmenopausal osteoporotic women in Turkey: a multicenter study","volume":"21","author":"Gur","year":"2003","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.afos.2025.12.001_bib7","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1007\/s00198-004-1609-2","article-title":"Self-reported number of remaining teeth is associated with bone mineral density of the femoral neck, but not of the spine, in Japanese men and women","volume":"15","author":"Taguchi","year":"2004","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib8","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00774-011-0337-x","article-title":"Change in bone mineral density and tooth loss in Japanese community-dwelling postmenopausal women: a 5-year cohort study","volume":"30","author":"Iwasaki","year":"2012","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.afos.2025.12.001_bib9","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.maturitas.2015.07.016","article-title":"Tooth loss and bone mineral density in postmenopausal South Korean women: the 2008-2010 Korea national health and Nutrition Examination Survey","volume":"82","author":"Jang","year":"2015","journal-title":"Maturitas"},{"key":"10.1016\/j.afos.2025.12.001_bib10","first-page":"378","article-title":"Effects of bone fragility and antiresorptive drugs on periodontal disease and tooth loss: a longitudinal study","volume":"3","author":"Penoni","year":"2018","journal-title":"JDR Clin Trans Res"},{"key":"10.1016\/j.afos.2025.12.001_bib11","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s00784-023-05463-8","article-title":"Decreased bone mineral density is associated with an increased number of teeth with periodontitis progression: a 5-year retrospective cohort study","volume":"28","author":"Khunthananithi","year":"2023","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.afos.2025.12.001_bib12","doi-asserted-by":"crossref","DOI":"10.1002\/jbm4.10822","article-title":"Increased risk of tooth loss in postmenopausal women with prevalent vertebral fractures: an observational study","volume":"7","author":"Taguchi","year":"2023","journal-title":"JBMR Plus"},{"key":"10.1016\/j.afos.2025.12.001_bib13","doi-asserted-by":"crossref","first-page":"370","DOI":"10.14219\/jada.archive.1996.0208","article-title":"Post-menopausal hormone use and tooth loss: a prospective study","volume":"127","author":"Grodstein","year":"1996","journal-title":"J Am Dent Assoc"},{"key":"10.1016\/j.afos.2025.12.001_bib14","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/S0002-9343(97)00045-4","article-title":"Postmenopausal estrogen replacement and tooth retention","volume":"102","author":"Krall","year":"1997","journal-title":"Am J Med"},{"key":"10.1016\/j.afos.2025.12.001_bib15","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1097\/01.GME.0000113845.74462.BF","article-title":"Effect of estrogen use on tooth retention, oral bone height, and oral bone porosity in Japanese postmenopausal women","volume":"11","author":"Taguchi","year":"2004","journal-title":"Menopause"},{"key":"10.1016\/j.afos.2025.12.001_bib16","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/odi.13531","article-title":"Associations between osteoporosis and risk of periodontitis: a pooled analysis of observational studies","volume":"27","author":"Xu","year":"2021","journal-title":"Oral Dis"},{"key":"10.1016\/j.afos.2025.12.001_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2023.e20922","article-title":"Association between periodontal disease and osteoporosis in postmenopausal women: a systematic review and meta-analysis","volume":"9","author":"Qi","year":"2023","journal-title":"Heliyon"},{"key":"10.1016\/j.afos.2025.12.001_bib18","doi-asserted-by":"crossref","first-page":"e711","DOI":"10.4317\/medoral.26697","article-title":"Apical periodontitis in osteoporotic postmenopausal women: systematic review and meta-analysis","volume":"29","author":"Areal-Quecuty","year":"2024","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"10.1016\/j.afos.2025.12.001_bib19","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.identj.2021.05.008","article-title":"Reasons for tooth extractions in Japan: the second nationwide survey","volume":"72","author":"Suzuki","year":"2022","journal-title":"Int Dent J"},{"key":"10.1016\/j.afos.2025.12.001_bib20","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s00198-009-1066-z","article-title":"Collagen cross-links as a determinant of bone quality: a possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus","volume":"21","author":"Saito","year":"2010","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib21","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1007\/s00774-022-01343-5","article-title":"Association of pentosidine and homocysteine levels with number of teeth present in Japanese postmenopausal women","volume":"40","author":"Taguchi","year":"2022","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.afos.2025.12.001_bib22","doi-asserted-by":"crossref","DOI":"10.1038\/srep19849","article-title":"Comprehensive analyses of how tubule occlusion and advanced glycation end-products diminish strength of aged dentin","volume":"6","author":"Shinno","year":"2016","journal-title":"Sci Rep"},{"key":"10.1016\/j.afos.2025.12.001_bib23","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.2214\/ajr.183.6.01831755","article-title":"Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis","volume":"183","author":"Taguchi","year":"2004","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.afos.2025.12.001_bib24","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s00198-004-1692-4","article-title":"Clinical and panoramic predictors of femur bone mineral density","volume":"16","author":"White","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib25","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1359\/jbmr.2003.18.9.1689","article-title":"Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover","volume":"18","author":"Taguchi","year":"2003","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.afos.2025.12.001_bib26","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s00198-007-0526-6","article-title":"Relationship between mandibular inferior cortex and general bone metabolism in older adults","volume":"19","author":"Deguchi","year":"2008","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib27","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1067\/moe.2000.107802","article-title":"Case-control study on self-reported osteoporotic fractures and mandibular cortical bone","volume":"90","author":"Bollen","year":"2000","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.1016\/j.afos.2025.12.001_bib28","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s00784-012-0745-x","article-title":"Mandibular bone changes in 24 years and skeletal fracture prediction","volume":"17","author":"Jonasson","year":"2013","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.afos.2025.12.001_bib29","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.afos.2016.10.001","article-title":"Association between number of teeth present and mandibular cortical erosion in Japanese men and women aged 40 years and older: a cross-sectional study","volume":"2","author":"Takahashi","year":"2016","journal-title":"Osteoporos Sarcopenia"},{"key":"10.1016\/j.afos.2025.12.001_bib30","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s11282-021-00518-6","article-title":"Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis","volume":"37","author":"Taguchi","year":"2021","journal-title":"Oral Radiol"},{"key":"10.1016\/j.afos.2025.12.001_bib31","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00198-007-0544-4","article-title":"Development and application of a Japanese model of the WHO fracture risk assessment tool (FRAX)","volume":"19","author":"Fujiwara","year":"2008","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib32","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/j.jds.2023.07.030","article-title":"Quantitative analysis of mandibular cortical morphology using artificial intelligence-based computer assisted diagnosis for panoramic radiography on underlying diseases and dental status in women over 20 years of age","volume":"19","author":"Ogawa","year":"2024","journal-title":"J Dent Sci"},{"key":"10.1016\/j.afos.2025.12.001_bib33","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.afos.2025.12.001_bib34","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s00198-023-06949-7","article-title":"Radiomorphometric indices of the mandible as indicators of decreased bone mineral density and osteoporosis - meta-analysis and systematic review","volume":"35","author":"Heuchert","year":"2024","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2025.12.001_bib35","doi-asserted-by":"crossref","first-page":"177","DOI":"10.2334\/josnusd.54.177","article-title":"Correlation of tooth mobility with systemic bone mineral density and periodontal status in Indian women","volume":"54","author":"Singh","year":"2012","journal-title":"J Oral Sci"},{"key":"10.1016\/j.afos.2025.12.001_bib36","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-019-51429-w","article-title":"Numerical simulation of mandible bone remodeling under tooth loading: a parametric study","volume":"9","author":"Su","year":"2019","journal-title":"Sci Rep"},{"key":"10.1016\/j.afos.2025.12.001_bib37","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1259\/dmfr\/50171930","article-title":"Risk of vertebral osteoporosis in post-menopausal women with alterations of the mandible","volume":"36","author":"Taguchi","year":"2007","journal-title":"Dentomaxillofac Radiol"},{"key":"10.1016\/j.afos.2025.12.001_bib38","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1111\/j.1600-0765.1991.tb01642.x","article-title":"A fractal model for periodontal breakdown in periodontal disease","volume":"26","author":"Landini","year":"1991","journal-title":"J Periodontal Res"},{"key":"10.1016\/j.afos.2025.12.001_bib39","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1038\/sj.dmfr.4600307","article-title":"The relationships between two indices of mandibular bone quality and bone mineral density measured by dual energy X-ray absorptiometry","volume":"27","author":"Horner","year":"1998","journal-title":"Dentomaxillofac Radiol"},{"key":"10.1016\/j.afos.2025.12.001_bib40","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1259\/dmfr.25.3.9084261","article-title":"Relationship between the mandibular and lumbar vertebral bone mineral density at different postmenopausal stages","volume":"25","author":"Taguchi","year":"1996","journal-title":"Dentomaxillofac Radiol"}],"container-title":["Osteoporosis and Sarcopenia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405525525001669?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405525525001669?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:20:24Z","timestamp":1781760024000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405525525001669"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S2405525525001669"],"URL":"https:\/\/doi.org\/10.1016\/j.afos.2025.12.001","relation":{},"ISSN":["2405-5255"],"issn-type":[{"value":"2405-5255","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of mandibular cortical erosion with chronic periodontitis, apical periodontitis, and tooth fracture in Japanese women aged 40 years and older: An artificial intelligence-based analysis","name":"articletitle","label":"Article Title"},{"value":"Osteoporosis and Sarcopenia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.afos.2025.12.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Korean Society of Osteoporosis. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}