Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography
Background: Chronic kidney disease (CKD) is a prevalent condition affecting bone metabolism. Bone changes in CKD patients also known as renal osteodystrophy happen due to disorders in the regulation of water and electrolytes caused by the disease. The aim of this study is to investigate the bone cha...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=358;epage=362;aulast=Abdinian |
| _version_ | 1819274195455967232 |
|---|---|
| author | Mehrdad Abdinian Mojgan Mortazavi Zahra Jandaghian |
| author_facet | Mehrdad Abdinian Mojgan Mortazavi Zahra Jandaghian |
| author_sort | Mehrdad Abdinian |
| collection | DOAJ |
| description | Background: Chronic kidney disease (CKD) is a prevalent condition affecting bone metabolism. Bone changes in CKD patients also known as renal osteodystrophy happen due to disorders in the regulation of water and electrolytes caused by the disease. The aim of this study is to investigate the bone changes of CKD stages 3–5 patients without dialysis using digital panoramic radiography. Materials and Methods: In this cross-sectional study, panoramic radiographs were obtained from 30 patients with CKD stages 3–5 and 30 age and gender matched healthy individuals. The mean values of quantitative parameters such as mental index (MI), panoramic mandibular index (PMI), and antegonial index (AI) were measured and qualitative parameters such as mandibular cortical index (MCI) and trabecular bone pattern (TP) were recorded based on Kelemetti and Lindh calcifications, respectively. Statistical analysis was performed using t-test, Chi-square, and Mann–Whitney test (α = 0.05). Results: The mean values of MI, PMI, and AI in the two groups were not statistically significant (P > 0.05). MCI and TP were significantly different between the two groups. MCI showed more defects in mandibular cortex of CKD patients (6.7% of patients vs. 0% of control group were C3, P = 0.038), and TP showed more porosity in mandibular bone of CKD patients (10% of patients vs. 0% of control group were sparse, P = 0.001). Conclusion: The amount of MI, PMI, and AI were not related to CKD. While MCI and TP were significant parameters that showed mandibular cortical situation and trabecular bone pattern, they assess osteoporosis level in a more reliable manner in CKD stages 3–5 patients without dialysis. |
| first_indexed | 2024-12-23T23:04:34Z |
| format | Article |
| id | doaj.art-0a75a1b2e5214af6b104bebcfbe8316a |
| institution | Directory Open Access Journal |
| issn | 0970-9290 1998-3603 |
| language | English |
| last_indexed | 2024-12-23T23:04:34Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj.art-0a75a1b2e5214af6b104bebcfbe8316a2022-12-21T17:26:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032019-01-0130335836210.4103/ijdr.IJDR_175_18Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiographyMehrdad AbdinianMojgan MortazaviZahra JandaghianBackground: Chronic kidney disease (CKD) is a prevalent condition affecting bone metabolism. Bone changes in CKD patients also known as renal osteodystrophy happen due to disorders in the regulation of water and electrolytes caused by the disease. The aim of this study is to investigate the bone changes of CKD stages 3–5 patients without dialysis using digital panoramic radiography. Materials and Methods: In this cross-sectional study, panoramic radiographs were obtained from 30 patients with CKD stages 3–5 and 30 age and gender matched healthy individuals. The mean values of quantitative parameters such as mental index (MI), panoramic mandibular index (PMI), and antegonial index (AI) were measured and qualitative parameters such as mandibular cortical index (MCI) and trabecular bone pattern (TP) were recorded based on Kelemetti and Lindh calcifications, respectively. Statistical analysis was performed using t-test, Chi-square, and Mann–Whitney test (α = 0.05). Results: The mean values of MI, PMI, and AI in the two groups were not statistically significant (P > 0.05). MCI and TP were significantly different between the two groups. MCI showed more defects in mandibular cortex of CKD patients (6.7% of patients vs. 0% of control group were C3, P = 0.038), and TP showed more porosity in mandibular bone of CKD patients (10% of patients vs. 0% of control group were sparse, P = 0.001). Conclusion: The amount of MI, PMI, and AI were not related to CKD. While MCI and TP were significant parameters that showed mandibular cortical situation and trabecular bone pattern, they assess osteoporosis level in a more reliable manner in CKD stages 3–5 patients without dialysis.http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=358;epage=362;aulast=AbdinianChronic kidney diseasedigital radiographypanoramic radiographyrenal osteodistrophy |
| spellingShingle | Mehrdad Abdinian Mojgan Mortazavi Zahra Jandaghian Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography Indian Journal of Dental Research Chronic kidney disease digital radiography panoramic radiography renal osteodistrophy |
| title | Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| title_full | Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| title_fullStr | Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| title_full_unstemmed | Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| title_short | Comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| title_sort | comparison of skeletal changes related to patients with chronic kidney disease and healthy individuals in digital panoramic radiography |
| topic | Chronic kidney disease digital radiography panoramic radiography renal osteodistrophy |
| url | http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=358;epage=362;aulast=Abdinian |
| work_keys_str_mv | AT mehrdadabdinian comparisonofskeletalchangesrelatedtopatientswithchronickidneydiseaseandhealthyindividualsindigitalpanoramicradiography AT mojganmortazavi comparisonofskeletalchangesrelatedtopatientswithchronickidneydiseaseandhealthyindividualsindigitalpanoramicradiography AT zahrajandaghian comparisonofskeletalchangesrelatedtopatientswithchronickidneydiseaseandhealthyindividualsindigitalpanoramicradiography |