The case of osteoporosis in Indonesia increases from time to time. One of three post menopausal women stricken with osteoporosis. Osteoporosis decreases bone density causing bone fracture. Method: Research subjects meeting inclusion criteria sign ethically-approved informed consent. Scanning by using Dual Energy X-Ray absorpsimetri (DEXA) and panoramic radiograph are conducted in Rumah Sakit Gigi dan Mulut (RSGM) Universitas Padjadjaran. Preprocessing using background-offset compensation is conducted to improve image quality with average value of the lowest variant. Feature extraction is conducted in micro structure of the trabeculae by using 3 methods (GLCM, histogram, and fraction analysis). Macro analysis is conducted by using 2 methods which are cortical width and resorption of head condyle analysis. Relationship of T-score = -7,046 + 10,227, mean fraction + 0,235 right cortical (Tka3) +0,027 right radius (R3). This model provides determination coefficient value of 32.1%. Panoramic radiograph could be used in order to determine bone quality based on micro and macro analysis of the condyle structures.