Despite the enormous and growing burden of fragility fractures, osteoporosis is being dangerously ignored as it competes with other diseases for scarce health-care resources and recognition. The disease remains greatly under-diagnosed and under-treated, and health professional training and service provision is suboptimal in many countries of the Asia Pacific. The Asia Pacific Consortium on Osteoporosis (APCO) was established in May 2019 with the vision of reducing the burden of osteoporosis and fragility fractures in the Asia Pacific region. On the other hand, several investigators have reported the usefulness of imaging of jaw bones, such as panoramic radiographs and cone beam CT, for identifying individuals with under-diagnosed osteoporosis. As a standpoint of the member of APCO, I will review and present whether imaging procedures of jaw bones actually decrease the number of patients with fragility fractures in Asia.