Narrowing of the Dental Pulp Cavity in Patients Undergoing Long-Term Administration of Steroids.

Shinozuka, Osamu; Sekiguchi, Goro; Tamamori, Yasuka; Inada, Makoto; Yamazaki, T.; Ohyama, Takashi

doi:10.5357/koubyou.68.294

Cited by 4 publications

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“…Shinozuka et al [ 41 ] compared the narrowing of dental-pulp cavity between patients under long-term steroid treatment (the steroid group) and patients who were not receiving steroids (the non-steroid group). The results indicated that the long-term administration of steroids was the main reason for the greater narrowing of dental pulp cavity in the steroid group.…”

Section: Discussionmentioning

confidence: 99%

Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review

et al. 2022

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Background The calcification of the tooth pulp is a pathological condition that occurs in response to various factors. A uncommon haematological condition known as paroxysmal nocturnal haemoglobinuria (PNH) is characterized by bouts of haemolysis, and it requires long-term use of glucocorticoids (GCs). Case presentation A female patient who was diagnosed with PNH and had a history of long-term use of GCs came to our department for root canal therapy (RCT) for teeth 25, 26, and 27. The radiographs showed generalized pulp canal obliteration (PCO) in most of the patients. None of these teeth (25, 26, or 27) were sensitive to percussion, and they did not respond to thermal or electrical sensitivity tests. A diagnose of pulp necrosis was made for these teeth. RCT was carried out with the help of an oral microscope, and then a prosthodontic procedure was created for the teeth. Conclusions Based on the patient’s long history use of GCs and a series of related studies, we conclude that the long-term usage of GCs contributes significantly to the onset of PCO.

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Section: Discussionmentioning

confidence: 99%

Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review

et al. 2022

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“…In 1996, Näsström 4) reviewed the status of renal transplant patients on PL. Subsequently a few clinical reports on narrowing of the dental pulp cavity have been published [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Dental Pulp Changes Observed in a Patient on Long-term Corticosteroids

Chigono

Daimon

Miyagawa

et al. 2007

J. Hard Tissue Biology.

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Journal of Hard Tissue Biology 16[1] (2007) p31-35 © 2007 The Society for Hard Tissue Regenerative BiologyPrinted in Japan, All rights reserved. CODEN-JHTBFF, ISSN 1341-7649 Original 31Abstract: We encountered a patient on long-term oral corticosteroids for systemic lupus erythematosus, who did not complain of pain during caries treatment. Since the patient had no subjective sense of dental pain, all her remaining teeth became stumps, and total tooth extraction was conducted 25 years after presentation. We examined her premolar stumps histopathologically and obtained the following findings: 1. the dental pulp was narrowed in nearly all samples; 2. odontoblasts were not observable; 3. regions with dentinal tubules forming lamellae and regions with fibrotic dentinal tubules were observed. 4. fibrosis of the entire dentin was observed in some regions. 5. nerve fibers stained by anti-neurofilament protein antibody were observed in the dental pulp cavity, but the nerve fibers appeared degenerate and no nerve fiber endings were observed.

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Effects of dexamethasone, vitamin A and vitamin D3 on DSP-PP mRNA expression in rat tooth organ culture

Ritchie

Park

Liu

et al. 2004

Biochimica et Biophysica Acta (BBA) - Gene Structure and Expres

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Narrowing of the Dental Pulp Cavity in Patients Undergoing Long-Term Administration of Steroids.

Cited by 4 publications

References 0 publications

Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review

Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review

Dental Pulp Changes Observed in a Patient on Long-term Corticosteroids

Effects of dexamethasone, vitamin A and vitamin D3 on DSP-PP mRNA expression in rat tooth organ culture

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