Evaluation of Mandibular Anterior Nutrient Canals in Periodontal Diseases: A Prospective Case Control Radiographic Study

Objective: Radiographic evaluation of nutrient canals (NCs) in the mandibular anterior region using intraoral periapical radiographs (IOPARs) and to determine whether they can be used as a potential marker for hypertension (HT) and diabetes mellitus (DM). Materials and Methods: Randomly selected 600 patients of 21-60 years age group (Group I: 200 HT; Group II: 200 DM; Group III: Healthy subjects) were considered. The case history was recorded including details for DM and HT (duration, type, and medication). Blood pressure was measured, followed by blood examination for blood sugar levels. Selected patients were subjected to IOPARs using CS-2100C machine by the paralleling technique. Selected radiographs were evaluated by two observers independently for the presence/absence, number, and location of NCs between #33 and #43. Data obtained were tabulated and subjected to statistical analysis using SPSS 20.0 statistical software and intergroup reliability was checked using Cohen's kappa test. Results: Evaluation of various parameters of NCs showed an insignificant interobserver bias. The incidence of NCs presence was noted maximum in Group II (93.5%), followed by Group I (88.5%) and III (44.5%). Of total 888 NCs found, maximum were found in Group I, followed by II and III. On comparing the incidence of NCs present among both genders and location in study groups, no statistical correlation was found. Conclusion: Statistically significant increase in the incidence and number of NCs in Group I and II compared to controls can act as an adjunct diagnostic marker for the detection of DM and HT; although, no significant correlation was obtained between gender and location of NCs in different study groups. Furthermore, there was no significant correlation was found between the severity of disease and incidence of the presence of NCs.

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“…[28] researchers used bisecting angle technique, whereas Patel and Wuehrmann [6], Singh et al . [29], Selarka et al . [17], and Castelino et al .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of mandibular anterior nutrient canals in hypertensive and diabetes mellitus patients: A comparative radiographic study

2019

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“…Diagnostic radiography has evolved as an inseparable branch of dentistry. 1 Dental radiographs are an important 10.5005/jp-journals-10027-1028 diagnostic aid and are routinely used for investigating the teeth and bone disorders. It is used primarily to recognise dental caries, periapical and periodontal diseases.…”

Section: Introductionmentioning

confidence: 99%

An Intraoral Periapical Radiographic Study of Mandibular Nutrient Canals with Conventional and Digital Radiography in Hypertensive Patients: A Comparative Study

Prabhu¹,

Keluskar²,

Ammanagi³

et al. 2013

IJPUT

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Background: Hypertension is one of the most common medical problems seen in our dental profession. Nutrient canals are spaces in bones and are considered to be channels that transmit blood vessels and nerves. They are observed more frequently in the mandibular anterior region as radiolucent lines in intraoral periapical radiographs. The radiographically observable nutrient canals have been shown to have an association with various systemic diseases like hypertension. This can be used as an evidence for the detection of hypertensive patients for better diagnosis and treatment decisions. Aim and objectives: The aim of the present study was to evaluate if any correlation exists between nutrient canals and hypertension. Materials and methods: Two hundred patients with hypertension for 1 to 10 years (groups I and II) and 100 age matched controls (group III) were included in the study. The prevalence of nutrient canals in all the groups and with reference to age and gender was observed along with the comparison between intraoral conventional and digital radiography. Results: 1. Differences in the prevalence of nutrient canals between groups I, II and III were found to be statistically significant. 2. In the groups I and II, prevalence of nutrient canals increased with age and also with the duration of hypertension, however it was statistically insignificant. There was no significant difference in prevalence rate among the different age groups in control group. 3. The presence of nutrient canals among the three groups in males and females was statistically significant. 4. Differences in the prevalence of nutrient canals when compared with intraoral conventional and digital radiographic method among all the three groups did not reveal statistically significant results. Conclusion: It is evident from the present study that there is a correlation between prevalence of nutrient canals and hypertension.

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Prevalence of nutrient canals in mandibular anterior intra-oral periapical radiographs (IOPARS) in patients with chronic systemic diseases – a cross-sectional study

et al. 2022

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Nutrient canals (NCs) are passages containing neurovascular bundles (blood vessels, lymph vessels, and nerves). Best visualized on mandibular anterior intraoral periapical radiographs (IOPAR), their presence is usually associated with underlying pathological such as diabetes mellitus (DM), hypertension (HTN), advanced periodontitis, calcium deficiency, tuberculosis, and disuse atrophy. This study aimed to (a) evaluate NC prevalence in patients with DM, HTN, and chronic periodontitis and (b) correlate the detection of NCs as an important preliminary screening tool for inherent systemic diseases like DM, HTN, and chronic periodontitis and as an investigative clue in age and gender determination. This cross-sectional study was conducted on 200 subjects. Patients with complaints of pain in the mandibular anterior teeth, deep dentinal caries, abrasion, and attrition were subjected to IOPAR of the mandibular anterior teeth region to assess NCs. An increased frequency of NCs in DM (84%), HTN (66%), and periodontitis (52%) with a significant p-value was observed. Most NCs were seen beyond the root apex (72.4%). A notable association between the duration of disease and the presence of NCs in the diabetic and hypertensive cohorts (p-value 0.047 & 0.012, respectively) was observed. However, we could not establish any association between the prevalence of nutrient canals with age and gender. Our study suggested that a higher frequency of NCs on mandibular anterior IOPAR may be employed as an ancillary screening and investigative support in underlying systemic disorders.

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Evaluation of Mandibular Anterior Nutrient Canals in Periodontal Diseases: A Prospective Case Control Radiographic Study

Cited by 5 publications

References 4 publications

Evaluation of mandibular anterior nutrient canals in hypertensive and diabetes mellitus patients: A comparative radiographic study

Evaluation of mandibular anterior nutrient canals in hypertensive and diabetes mellitus patients: A comparative radiographic study

An Intraoral Periapical Radiographic Study of Mandibular Nutrient Canals with Conventional and Digital Radiography in Hypertensive Patients: A Comparative Study

Prevalence of nutrient canals in mandibular anterior intra-oral periapical radiographs (IOPARS) in patients with chronic systemic diseases – a cross-sectional study

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