Evaluation of mandibular inferior cortex changes in patients candidate for liver and kidney transplantation using panoramic view

Ghapanchi, Jannan; Haghnegahdar, Abdul Aziz; Faghih, Maryam; Rezazadeh, Fahimeh; Derafshi, Reza; Farzin, Mitra; Kalantari, M

doi:10.15171/jnp.2017.51

Cited by 5 publications

(7 citation statements)

References 32 publications

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“…In the current study, panoramic radiographs revealed osteoporosis in approximately one-third of CLF patients. In agreement with this, previous studies have reported the inferior mandibular cortex density to be reduced in panoramic views of CLF patients compared with normal individuals [ 14 ]. This result is also in accordance with studies that have shown a decrease in bone density as high as 68% in liver transplant candidates [ 5 ].…”

Section: Discussionsupporting

confidence: 88%

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Osteoporosis and Jaw Abnormalities in Panoramic Radiography of Chronic Liver Failure Patients

Ghapanchi

Zahed

Haghnegahdar

et al. 2018

BioMed Research International

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Introduction Patients with chronic liver failure (CLF) are faced with many complications, because this organ is involved in various metabolic activities. Hepatic osteodystrophy is one of the major health issues encountered by this group of patients. The current study evaluated osteoporosis and bone changes in oral panoramic radiographies of cirrhotic patients. Materials and Methods In this study, 138 panoramic views of CLF patients, candidates for liver transplant (65 females, 73 males, aged 19-68 years) referred to Shiraz University Dental Clinic (Shiraz, Iran) for pretransplant oral examination, were evaluated. Also 138 healthy individuals (69 females, 69 males, aged 18-70 years) referred to the same clinic were examined. Abnormalities such as osteoporosis, pathologic radiolucencies, pathologic calcifications, tonsilloliths, condylar degeneration, and other findings in the alveolar bones were recorded. ResultsOsteoporosis was a common finding in CLF patients (p<0.001), and the probability of detecting low bone density in the panoramic view was 20.37 times higher among patients than healthy subjects. The probability of detecting pathologic jaw radiolucencies was 8.92 times higher in the case group than in the controls (p<0.001). Other bone abnormalities such as condylar degeneration and idiopathic osteosclerosis were also more prevalent in CLF patients compared to healthy subjects (p<0.001). Conclusion Cirrhotic patients are prone to osteoporosis of the alveolar bones. Also, pathologic jaw radiolucencies as a result of oral infections are more prevalent in this group of patients. Routine oral panoramic views are acceptable and cost-effective radiographies for use in detecting such abnormalities in the alveolar bones as well as overall dental health. These findings also support the importance of dental health examinations prior to liver transplantation to reduce the risk of organ rejection.

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Section: Discussionsupporting

confidence: 88%

“…All CLF cases undergo panoramic radiography prior to transplant in order to detect any source of infection in the oral cavity [ 14 ]. This radiography is inexpensive, extensively used, and easily performed and has a relatively low dose of radiation [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Osteoporosis and Jaw Abnormalities in Panoramic Radiography of Chronic Liver Failure Patients

Ghapanchi

Zahed

Haghnegahdar

et al. 2018

BioMed Research International

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“…Radiographically, total or partial loss of lamina dura, cortical bone resorption and radiolucent lesions in the jaws were reported by some authors. Clinically, the soft tissue changes in hemodialysis patients are similar to the lesions who stated in other systemic diseases (3,7,8). The high rate of graft rejection following oral infection has increased the need for oral health maintenance in such cases (9).…”

Section: Introductionmentioning

confidence: 86%

Oral findings in chronic kidney disease. A cross-sectional study in Shiraz, Iran

Afroozi¹,

Ghapanchi²,

Khorshidi³

et al. 2017

J Nephropathol

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Background: In hemodialysis patients, there are some oral hard and soft tissue changes. Objectives: The aim of this single-center, cross-sectional study was to evaluate oral findings in hemodialysis patients. Patients and Methods: A total of 144 patients participated. Of them, 28 patients (19%) had diabetes mellitus (DM), 17 patients (12%) had systemic lupus erythematosus (SLE), and 15 patients (10%) had severe hypertension. The oral cavity was inspected by an oral medicine specialist using proper light, mirror and explorer. The lips, cheek, tongue, palatal mucosa, floor of the mouth, gingiva, pharyngeal fauces, dentures, teeth and occlusion were checked. The significance level was P < 0.05. Results: Around 78% of the studied population had oral manifestations. The most diagnosed finding in hemodialysis patients was dryness of the mouth followed by tooth loss due to mobility and poor oral hygiene. Diabetic cases showed numerous oral symptoms than nondiabetic subjects. Conclusions: Oral lesions in hemodialysis patients is a prominent finding and untreated lesions may cause severe side effects. ABSTRACT Implication for health policy/practice/research/medical education:There exists an association between hemodialysis patients and oral hard and soft tissue changes. The most diagnosed finding in hemodialysis patients was dryness of the mouth followed by tooth loss due to mobility and poor oral hygiene. It seems that oral lesions in hemodialysis patients are evident and untreated lesions may cause severe side effects. Please cite this paper as: Afroozi B, Ghapanchi J, Khorshidi H, Esnaashari N, Faghih M. Oral findings in hemodialysis patients; a cross-sectional study in Shiraz, Iran.

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“…Dental panoramic radiography is a useful imaging technique that permits the dentist to evaluate the entire dentition and mandibular bone which, like other bones of the body, can be affected by systemic and local diseases or medical treatment, causing total tooth loss. 13 14 15 The use of panoramic radiography to predict mandibular bone mineral density also permits to determine the loss of skeletal bone mineral density in general. Approximately, 90% of CKD cases are involved in mandible bone changes.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Radiomorphometric Indices of the Mandible and Biochemical Parameters in Patients with Secondary Hyperparathyroidism Due to Chronic Kidney Disease

et al. 2019

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Objective The aim was to correlate radiomorphometric indices and biochemical analyses as an auxiliary method in bone evaluation in male and female patients with chronic kidney disease–mineral and bone disorder (CKD-MBD) and controls. Materials and Methods Nine radiomorphometric indices and four biochemical parameters were obtained: mental index (MI), height at the mental foramen, total mandibular height (THM), panoramic mandibular index (PMI), original height of the mandible, alveolar bone resorption, distance from the mental foramen to the alveolar bone crest (MF-ABC), mandibular cortical index (MCI), trabecular bone pattern, parathyroid hormone (PTH), calcium (Ca), phosphorus (P), and Ca × P product (Ca × P). Statistical Analysis The Mann–Whitney U -test, chi-squared test, and Spearman’s correlation were applied at a significance level of 95%. Results There was a moderate negative and significant correlation between MI, PMI, and PTH in female patients with CKD-MBD as well as between THM, MF-ABC, and Ca × P. The MCI and trabecular bone pattern indicated altered bone quality in male patients. Conclusions The radiomorphometric evaluation was an auxiliary, noninvasive method to detect possible alterations in the cortex and mandibular bone trabeculation in male and female patients with CKD-MBD.

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Evaluation of mandibular inferior cortex changes in patients candidate for liver and kidney transplantation using panoramic view

Cited by 5 publications

References 32 publications

Osteoporosis and Jaw Abnormalities in Panoramic Radiography of Chronic Liver Failure Patients

Osteoporosis and Jaw Abnormalities in Panoramic Radiography of Chronic Liver Failure Patients

Oral findings in chronic kidney disease. A cross-sectional study in Shiraz, Iran

Correlation of Radiomorphometric Indices of the Mandible and Biochemical Parameters in Patients with Secondary Hyperparathyroidism Due to Chronic Kidney Disease

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