As a condition, osteoporosis is characterized by reduced bone density, excruciating pain, and a high risk of fractures. Research conducted worldwide has shown that there is a strong correlation between the onset of osteoporosis and bone density, which may be determined by 2D radiographs from the mandibular bone analysis. Therefore, dental radiographs may help identify individuals at risk of developing osteoporosis or early diagnosis of osteoporosis. The objectives of this study are to determine the osteoporosis risk group, to confirm the diagnostic efficacy of digital panoramic radiographs in predicting osteoporosis using the mandibular cortical index (MCI), and to investigate the effects of age and gender in medically healthy patients. The findings between the MCI indicators and gender are of statistical significance. In our study, we found that men were at higher risk of osteoporosis than women. However, the different age criteria examined in this study did not show any statistical association. Unlike many other studies, our studies found a statistically significant association between males and the likelihood of developing osteoporosis. The most common MCI criterion among the Saudi subgroup was C2. The results may have been influenced by local environmental conditions including a reduction in radiation exposure. Larger models will also be Larger as part of the research expansion to confirm the role of gender in osteoporosis.
