{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T01:02:20Z","timestamp":1781139740805,"version":"3.54.1"},"reference-count":39,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Stomatology Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.jormas.2026.102862","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:32:21Z","timestamp":1780327941000},"page":"102862","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mandibular bone microarchitecture in patients with multiple sclerosis: A fractal analysis study"],"prefix":"10.1016","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7234-5265","authenticated-orcid":false,"given":"\u00d6zlem","family":"Yarba\u015f\u0131","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3311-1642","authenticated-orcid":false,"given":"Melike","family":"Yurtta\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jormas.2026.102862_bib0001","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2024.105773","article-title":"Bone loss and fracture in people with multiple sclerosis: a systematic review and meta-analysis","volume":"90","author":"Yazdan Panah","year":"2024","journal-title":"Mult Scler Relat Disord"},{"issue":"6","key":"10.1016\/j.jormas.2026.102862_bib0002","doi-asserted-by":"crossref","first-page":"3879","DOI":"10.1007\/s10072-022-05871-w","article-title":"The prevalence of osteoporosis\/osteopenia in patients with multiple sclerosis (MS): a systematic review and meta-analysis","volume":"43","author":"Azadvari","year":"2022","journal-title":"Neurol Sci"},{"key":"10.1016\/j.jormas.2026.102862_bib0003","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2023.104874","article-title":"Association of chronic periodontitis with multiple sclerosis: a systematic review and meta-analysis","volume":"77","author":"Tsimpiris","year":"2023","journal-title":"Mult Scler Relat Disord"},{"key":"10.1016\/j.jormas.2026.102862_bib0004","doi-asserted-by":"crossref","DOI":"10.4061\/2011\/596294","article-title":"Bone health in patients with multiple sclerosis","volume":"2011","author":"Zikan","year":"2011","journal-title":"J Osteoporos"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0005","first-page":"9","article-title":"Assessment of bone densitom- etry in Iranian patients with multiple sclerosis: a case-control study","volume":"12","author":"Moghaddasi","year":"2013","journal-title":"Iran J Neurol"},{"key":"10.1016\/j.jormas.2026.102862_bib0006","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2023.104726","article-title":"Screening for osteoporosis in people with MS: a new risk score","volume":"74","author":"Zinganell","year":"2023","journal-title":"Mult Scler Relat Disord"},{"issue":"3","key":"10.1016\/j.jormas.2026.102862_bib0007","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1111\/ane.12884","article-title":"Bone microarchitecture and bone mineral density in multiple sclerosis","volume":"137","author":"Olsson","year":"2018","journal-title":"Acta Neurol Scand"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0008","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s44445-025-00104-0","article-title":"The role of dental radiographs in assessing bone mineral density: a systematic review of literature","volume":"38","author":"Sundar","year":"2026","journal-title":"Saudi Dent J"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0009","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/s11282-019-00372-7","article-title":"Evaluation of osseous changes in dental panoramic radiography of thalassemia patients using mandibular indexes and fractal size analysis","volume":"36","author":"Bayrak","year":"2020","journal-title":"Oral Radiol"},{"issue":"6","key":"10.1016\/j.jormas.2026.102862_bib0010","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0288170","article-title":"Fractal dimension analysis of different mandibular regions in familial Mediterranean fever patients: a cross-sectional retrospective study","volume":"18","author":"Ersan","year":"2023","journal-title":"PLoS One"},{"issue":"4","key":"10.1016\/j.jormas.2026.102862_bib0011","doi-asserted-by":"crossref","DOI":"10.1259\/dmfr.20150400","article-title":"Dental panoramic indices and fractal dimension measurements in osteogenesis imperfecta children under pamidronate treatment","volume":"45","author":"Apolin\u00e1rio","year":"2016","journal-title":"Dentomaxillofac Radiol"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0012","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1038\/sj.dmfr.4600203","article-title":"Morphology of the mandibular cortex on panoramic radiographs as an indicator of bone quality","volume":"26","author":"Klemetti","year":"1997","journal-title":"Dentomaxillofac Radiol"},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0013","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1038\/sj.dmfr.4600215","article-title":"Panoramic mandibular index as a radiomorphometric tool: an assessment of precision","volume":"26","author":"Ledgerton","year":"1997","journal-title":"Dentomaxillofac Radiol"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0014","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1016\/j.tripleo.2008.03.007","article-title":"Mandibular bone changes in sickle cell anemia: fractal analysis","volume":"106","author":"Demirba\u015f","year":"2008","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"issue":"5","key":"10.1016\/j.jormas.2026.102862_bib0015","doi-asserted-by":"crossref","DOI":"10.1259\/dmfr.20150389","article-title":"Fractal properties of the trabecular pattern of the mandible in chronic renal failure","volume":"45","author":"Gumussoy","year":"2016","journal-title":"Dentomaxillofac Radiol"},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0016","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.oooo.2021.08.011","article-title":"Evaluation of mandibular condyle trabecular structure in patients with rheumatoid arthritis using fractal analysis","volume":"133","author":"T\u00fcrkmeno\u011flu","year":"2022","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"issue":"12","key":"10.1016\/j.jormas.2026.102862_bib0017","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1016\/j.amjmed.2020.05.049","article-title":"Treatment of Multiple Sclerosis: a Review","volume":"133","author":"Hauser","year":"2020","journal-title":"Am J Med"},{"issue":"5","key":"10.1016\/j.jormas.2026.102862_bib0018","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/S1079-2104(99)70097-1","article-title":"Alterations of the trabecular pattern of the jaws in patients with osteoporosis","volume":"88","author":"White","year":"1999","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.1016\/j.jormas.2026.102862_bib0019","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2020.612366","article-title":"Effects of Neurological Disorders on Bone Health","volume":"11","author":"Kelly","year":"2020","journal-title":"Front Psychol"},{"issue":"4","key":"10.1016\/j.jormas.2026.102862_bib0020","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1093\/jbmr\/zjaf027","article-title":"Biphasic bone loss in experimental autoimmune encephalomyelitis","volume":"40","author":"Schmidt","year":"2025","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.jormas.2026.102862_bib0021","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2021.103387","article-title":"Myotonometric comparison of sternocleidomastoideus and masseter muscles in multiple sclerosis patients with swallowing problem and healthy individuals","volume":"57","author":"Maden","year":"2022","journal-title":"Mult Scler Relat Disord"},{"issue":"11","key":"10.1016\/j.jormas.2026.102862_bib0022","doi-asserted-by":"crossref","first-page":"3979","DOI":"10.3390\/ijerph17113979","article-title":"Multiple Sclerosis: impact on Oral Hygiene, Dysphagia, and Quality of Life","volume":"17","author":"Covello","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0023","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3390\/toxins11020084","article-title":"Mandibular bone loss after masticatory muscles intervention with botulinum toxin: an approach from basic research to clinical findings","volume":"11","author":"Balanta-Melo","year":"2019","journal-title":"Toxins (Basel)"},{"key":"10.1016\/j.jormas.2026.102862_bib0024","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.mce.2015.10.017","article-title":"Muscle-bone interactions: from experimental models to the clinic? A critical update","volume":"432","author":"Laurent","year":"2016","journal-title":"Mol Cell Endocrinol"},{"issue":"6","key":"10.1016\/j.jormas.2026.102862_bib0025","doi-asserted-by":"crossref","first-page":"70","DOI":"10.3390\/tomography11060070","article-title":"Assessment of mandibular bone architecture in patients with endocrine disorders using fractal dimension and histogram analysis","volume":"11","author":"Y\u0131ld\u0131zer","year":"2025","journal-title":"Tomography"},{"key":"10.1016\/j.jormas.2026.102862_bib0026","unstructured":"Ministry of Health of T\u00fcrkiye. Health Statistics Yearbook 2023. Ankara, T\u00fcrkiye: General Directorate of Health Information Systems, Ministry of Health of T\u00fcrkiye; 2025. Available from: https:\/\/www.saglik.gov.tr\/TR-107086\/saglik-istatistikleri-yilligi-2023.html. Accessed: 15 October 2025."},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0027","doi-asserted-by":"crossref","DOI":"10.1259\/dmfr.20180457","article-title":"Use of fractal analysis in dental images: a systematic review","volume":"49","author":"Kato","year":"2020","journal-title":"Dentomaxillofac Radiol"},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0028","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1007\/s11282-021-00552-4","article-title":"Fractal properties and radiomorphometric indices of the trabecular structure of the mandible in patients using systemic glucocorticoids","volume":"38","author":"Ersu","year":"2022","journal-title":"Oral Radiol"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0029","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1186\/s12903-023-03670-z","article-title":"Evaluation of cortical and trabecular bone structure of the mandible in patients using l-Thyroxine","volume":"23","author":"Gulec","year":"2023","journal-title":"BMC Oral Health"},{"issue":"Suppl 3","key":"10.1016\/j.jormas.2026.102862_bib0030","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.2215\/CJN.04151206","article-title":"Normal bone anatomy and physiology","volume":"3 Suppl 3","author":"Clarke","year":"2008","journal-title":"Clin J Am Soc Nephrol"},{"issue":"6","key":"10.1016\/j.jormas.2026.102862_bib0031","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1159\/000489672","article-title":"Cortical or Trabecular Bone: what's the Difference?","volume":"47","author":"Ott","year":"2018","journal-title":"Am J Nephrol"},{"issue":"5","key":"10.1016\/j.jormas.2026.102862_bib0032","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1259\/dmfr\/19491030","article-title":"Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status","volume":"37","author":"Gulsahi","year":"2008","journal-title":"Dentomaxillofac Radiol"},{"issue":"2","key":"10.1016\/j.jormas.2026.102862_bib0033","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s11282-021-00518-6","article-title":"Japanese Society for Oral and Maxillofacial Radiology. Clinical guidelines for the application of panoramic radiographs in screening for osteoporosis","volume":"37","author":"Taguchi","year":"2021","journal-title":"Oral Radiol"},{"issue":"3","key":"10.1016\/j.jormas.2026.102862_bib0034","doi-asserted-by":"crossref","DOI":"10.1016\/j.jormas.2024.101953","article-title":"Evaluation of mandibular trabecular and cortical structure by fractal analysis in hyperlipidemia and hypertension patients","volume":"126","author":"Serindere","year":"2025","journal-title":"J Stomatol Oral Maxillofac Surg"},{"issue":"19","key":"10.1016\/j.jormas.2026.102862_bib0035","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.3390\/healthcare13192529","article-title":"Hypothyroidism and mandibular cortical alterations evaluated on panoramic radiography: a cross-sectional study in women","volume":"13","author":"Vera-Rodr\u00edguez","year":"2025","journal-title":"Healthcare (Basel)"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0036","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-74485-3","article-title":"The relationship between radiomorphometric indices and fractal dimension analysis: a cone-beam computed tomography study","volume":"14","author":"Nursari","year":"2024","journal-title":"Sci Rep"},{"issue":"5","key":"10.1016\/j.jormas.2026.102862_bib0037","doi-asserted-by":"crossref","DOI":"10.1111\/ene.70176","article-title":"Short-Term Risk Factors for Bone Loss in Multiple Sclerosis: a Prospective Study and Literature Review","volume":"32","author":"Zinganell","year":"2025","journal-title":"Eur J Neurol"},{"issue":"1","key":"10.1016\/j.jormas.2026.102862_bib0038","first-page":"19","article-title":"Factors affecting bone mineral density in multiple sclerosis patients","volume":"12","author":"Ayatollahi","year":"2013","journal-title":"Iran J Neurol"},{"issue":"12","key":"10.1016\/j.jormas.2026.102862_bib0039","first-page":"1331","article-title":"Medication and bone health in multiple sclerosis: a systematic review and meta-analysis","volume":"29","author":"Cahyadi","year":"2023","journal-title":"J Manag Care Spec Pharm"}],"container-title":["Journal of Stomatology Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468785526001588?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468785526001588?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:42:29Z","timestamp":1781138549000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2468785526001588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S2468785526001588"],"URL":"https:\/\/doi.org\/10.1016\/j.jormas.2026.102862","relation":{},"ISSN":["2468-7855"],"issn-type":[{"value":"2468-7855","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mandibular bone microarchitecture in patients with multiple sclerosis: A fractal analysis study","name":"articletitle","label":"Article Title"},{"value":"Journal of Stomatology Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jormas.2026.102862","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"102862"}}