Can Intra Oral Periapical Radiographs be Used as an Adjunct Diagnostic Marker in Detecting Underlying Systemic Diseases? A Randomised Case Control Study

Year 2015, , 661 - 669, 02.10.2015

Renita Castelino , Subhas Babu Shishir Shetty Anusha Laxmana Preethi Balan Fazıl Ka

https://doi.org/10.17826/cutf.42128

Cited By: 1

Abstract

Purpose: Periapical dental radiography, despite being two dimensional and limited in size appears to be the best projection to identify the nutrient canals in the mandibular anterior region. A study was undertaken to evaluate the presence of mandibular nutrient canals in the anterior region using intra oral periapical films in subjects with hypertension, diabetes mellitus, completely and partially edentulous mandible, periodontally compromised subjects and in post menopausal women and was compared with controls. Material and Method: The study consisted of seven groups each with 50 subjects. The radiographic analysis of the anterior mandible was done using the intra oral periapical radiographs and the presence or absence of nutrient canals was evaluated. Results: A statistical increase in the prevalence of nutrient canals was observed in all the study groups. The nutrient canals were present in 8% in the control group, 34 % in the hypertensive group, 60% in the diabetes group, 72% in subjects with both diabetes and hypertension, 70% in completely and partially edentulous patients, 62 % in the periodontitis group and 50% in the post menopausal women. Conclusion: The presence of nutrient canals can be used as an adjunct diagnostic marker for detection of underlying systemic diseases.

Keywords

Nutrient, diabetes, dental

İntra Oral Periapikal Dental Radyografiler Altta Yatan Sistematik Hastalıkların Tespitinde Yardımcı Diagonostik Markerlar Olarak Kullanılabilir mi?- Randomize Edilmiş Vaka Kontrol Çalışması

Abstract

Amaç: Periapikal dental radyografi , iki boyutlu ve boyutun sınırlı olmasına rağmen, alt çenenin ön bölgesindeki besin kanallarını belirlemek için en iyi projeksiyon tipi olarak görülür. Çalışma; hipertansiyona , diabetes mellitus a, tamamen ve kısmen dişsiz alt çeneye sahip kişilerde, periodontal olarak risk taşıyan hastalarda ve menopoz sonrası kadınlarda intraoral periapikal filmler kullanılarak ön bölgedeki mandibular besin kanallarının varlığını ölçmeyi hedeflemiştir ve sonuçlar kontrollerle kıyaslanmıştır. Materyal ve metod: Çalışma her biri 50 deneği içeren 7 gruptan oluşmuştur. Anterior mandibulanın radyografik analizi intra oral periapikal radyografiler kullanılarak yapıldı ve besin kanalların varlığı veya yokluğu değerlendirildi . Bulgular: Besin kanalların prevalansındaki istatistiksel artış , tüm çalışma gruplarında gözlendi. Besin kanalları kontrol grubunun % 8' inde , hipertansif grubun % 34' ünde , diyabet grubu'nun % 60'ında , hem diyabeti hem de hipertansiyonu olan hastaların % 72'sinde, tamamen ya da kısmen dişsiz hastaların % 70'inde , periodontitis grubun % 62'sinde ve menopoz sonrası kadınların % 50'sinde bulunmaktadır. Sonuç: Besin kanallarının varlığı, altta yatan sistematik hastalıkların tespiti için yardımcı tanı belirteci olarak kullanılabilir.

Keywords

Besin, Diyabet, Diş

References

• Reddy VG, Ali IM, Shashikanth MC. An intraoral periapical radiographic study of nutrient canals as a diagnostic aid in systemic diseases and pathological conditions. JIAOMR. 2008;20:49-53.
• Patel JR Wuehrmann AH. A radiographic study of nutrient canals. Oral Surgery Oral Med Oral Pathol. 1976;42:693-701.
• Hirschfeld I. A study of skulls in the American museum of natural history in relation to periodontal disease. J Dent Res. 1923;5:241-65.
• Jaju PP, Suvarna PV, Parikh NJ. Incidence of mandibular nutrient canals in hypertensive patients: A radiographic study. Indian J Dent Res. 2007;18:181- 5.
• Pierrakou ED, Donta CN The nutrient canals. Radiographic alterations of the mandibular anterior region in diabetic patients. Odontostomatol Proodos. 1990;44:331-7.
• Patsakas AJ, Donta CN. Incidence of nutrient canals in hypertensive patients. Hell Stomatol Chron. 1990;34:41-6.
• Greer DF, Wege WR, Wuehrmann A H; The significance of nutrient canals appearing on IOPAR, International Association of Dental Research, Programs and Abstracts of Papers, 1968:162.
• Jaju PP, Suvarna PV, Parikh NJ. Incidence of mandibular nutrient canals in hypertensive patients: A radiographic study. Indian J Dent Res. 2007;18:181- 5.
• Kishi K, Nagaoka T, Gotoh T, Imai K, Fujiki Y. Radiographic study of mandibular nutrient canals. Oral Surg Oral Med Oral Pathol 1982;54:118-22.
• Bilge OM, Harorli AB, Yilmaz AB. Radiographic study of mandibular nutrient canals. Ann Dent. 1992;51:17-21.
• Wood NK and Goaz PW. Anatomic radiolucencies. In: Wood NK, Goaz PW, eds. Differential diagnosis of oral lesions (4th edn). St Lois, Mosby-Year Book. 1991;301–2.
• White SC, Pharaoh MJ, editors. Oral radiology, Principles and interpretations. 6th ed St.Louis: Mosby. 2010;111-2 .