Abstract:This study was undertaken to investigate the correlation between the presence of nutrient canals in the mandibular anterior region and hypertension. Periapical radiographs taken from the mandibular anterior region of 139 normotensive and 76 hypertensive edentulous patients were examined. There was no statistical difference in the incidence of nutrient canals between normotensive and hypertensive patients, suggesting that the presence of nutrient canals is not indicative of the existence of hypertension.
“…The p-value was found to be 0.672 which was statistically insignificant. The results of the study are in accordance with the studies done by Yilmaz et al [14] who stated that there was no statistical difference in the incidence of nutrient canals between normotensive and hypertensive patients. The studies by Jaju et al [11] also had similar findings which stated that the incidence of nutrient canals was almost the same in hypertensive and the normal group.…”
Section: Group II (Hypertension) and Nutrient Canalssupporting
The aim of this study was to investigate whether there was a correlation between the presence or absence of nutrient canals in intraoral periapical radiographs (IOPAR) and the two most common systemic diseases, hypertension and diabetes mellitus. The study included 150 patients selected due to the inclusion criteria detailed in the methods section. The results revealed that although there was no statistically significant correlation between the presence of nutrient canals and the two systemic diseases studied, their presence on IOPARs should raise the suspicion and warrant further investigation.
“…The p-value was found to be 0.672 which was statistically insignificant. The results of the study are in accordance with the studies done by Yilmaz et al [14] who stated that there was no statistical difference in the incidence of nutrient canals between normotensive and hypertensive patients. The studies by Jaju et al [11] also had similar findings which stated that the incidence of nutrient canals was almost the same in hypertensive and the normal group.…”
Section: Group II (Hypertension) and Nutrient Canalssupporting
The aim of this study was to investigate whether there was a correlation between the presence or absence of nutrient canals in intraoral periapical radiographs (IOPAR) and the two most common systemic diseases, hypertension and diabetes mellitus. The study included 150 patients selected due to the inclusion criteria detailed in the methods section. The results revealed that although there was no statistically significant correlation between the presence of nutrient canals and the two systemic diseases studied, their presence on IOPARs should raise the suspicion and warrant further investigation.
“…[10], 75% in Yilmaz et al . [21] studies, 70.4%–78% of hypertensive patients depending edentulous or dentulous condition by Patni et al . [8] studies.…”
Section: Discussionmentioning
confidence: 99%
“…[10], and Yilmaz et al . [21] previous studies. The reason for this may be attributed to the principal effects of HT that is dilatation of arterioles, hypertrophy, and hyperplasia of the arterial walls and atherosclerosis.…”
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.
“…Our study showed the higher incidence of nutrient canals in the study group (55.2%) when compared to control group (36.2%) which was in accordance to the two previous studies reported. [3589] The principal effects of hypertension are dilatation of arterioles, hypertrophy, and hyperplasia of the vessel wall and arteriosclerosis. In arteriosclerosis, along with thickening of the arterial wall, there is narrowing of the lumen, which may lead to the opening of more collateral, or both of these changes may be responsible for the increased incidence of nutrient canals in hypertensive patients.…”
Objectives:To determine if any correlation exists in the presence of nutrient canals in hypertensive patients and nonhypertensive patients, to compare the incidence of nutrient canals in different age groups, and also to compare the incidence of nutrient canals between dentulous and edentulous patients.Materials and Methods:This study was carried out on patients, who were divided into a control group comprising of healthy individuals, without history of hypertension and a study group of patients with the history of hypertension. The necessary information like age of the patient, presence or absence of hypertension, its duration, and blood pressure were recorded. An intraoral periapical radiograph of lower anterior region was made using bisecting angle technique and was interpreted. The presence or absence of nutrient canals, bone loss, and the levels of bone loss were recorded. The results so obtained were subjected to statistical analysis.Results:We found that the incidence of nutrient canals was statistically higher in the study group (55.2%) as compared to the control group (36.2%). The incidence of nutrient canals was also found to be increased with, the age till 60 years, amount of alveolar bone loss and in edentulous patients.Conclusion:Hypertension being one of the most commonly encountered medical problems in dental practice and many cases being undiagnosed, the presence of nutrient canal though not entirely indicative of hypertension, should increase the suspicion of the condition to be investigated further.
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