Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s11282-017-0302-z http://hdl.handle.net/11449/160211 |
Resumo: | Objectives Secondary perparathyroidism (SHPT) is a disease that affects patients with chronic kidney disease, and is characterized by mineral disturbance and bone loss, known as renal osteodystrophy. The aim of this study was to assess the validity of using intraoral phosphor storage plates to take radiographs of the middle phalanges to evaluate bone loss resulting from SHPT during follow-up of these patients. Methods The sample consisted of 24 patients with chronic kidney disease, 12 with parathyroid hormone (PTH) levels >= 500 pg/ml, and 12 with PTH levels < 500 pg/ml, who underwent hemodialysis weekly. For each patient, a panoramic radiograph and digital radiographs of the ring, index, and middle fingers of both hands were taken. The Mandibular Cortical Index (MCI) and the Trabecular Bone Pattern Index (TBP) were applied to the panoramic radiographs, while the Phalangeal Cortical Index (PCI) was applied to the digital radiographs of the phalanges. Three evaluators performed all analyses. Results Significant correlations were found between the PTH levels and the MCI (p = 0.023), the PCI (p = 0.039) and the TBP index (p = 0.032). These parameters were also significantly interrelated (MCI x PCI = 0.001; MCI x TBP = 0.004 and PCI x TBP = 0.009). The PCI was shown to have the highest correlation with PTH levels. Conclusion In patients with chronic renal disease, it is clinically relevant to use panoramic and digital radiographs using intraoral storage plates to assess a number of quantitative parameters that can be linked to PTH levels. |
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Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indicesChronic kidney diseaseSecondary hyperparathyroidismRenal osteodystrophyDental radiographyPhalanges of the fingersObjectives Secondary perparathyroidism (SHPT) is a disease that affects patients with chronic kidney disease, and is characterized by mineral disturbance and bone loss, known as renal osteodystrophy. The aim of this study was to assess the validity of using intraoral phosphor storage plates to take radiographs of the middle phalanges to evaluate bone loss resulting from SHPT during follow-up of these patients. Methods The sample consisted of 24 patients with chronic kidney disease, 12 with parathyroid hormone (PTH) levels >= 500 pg/ml, and 12 with PTH levels < 500 pg/ml, who underwent hemodialysis weekly. For each patient, a panoramic radiograph and digital radiographs of the ring, index, and middle fingers of both hands were taken. The Mandibular Cortical Index (MCI) and the Trabecular Bone Pattern Index (TBP) were applied to the panoramic radiographs, while the Phalangeal Cortical Index (PCI) was applied to the digital radiographs of the phalanges. Three evaluators performed all analyses. Results Significant correlations were found between the PTH levels and the MCI (p = 0.023), the PCI (p = 0.039) and the TBP index (p = 0.032). These parameters were also significantly interrelated (MCI x PCI = 0.001; MCI x TBP = 0.004 and PCI x TBP = 0.009). The PCI was shown to have the highest correlation with PTH levels. Conclusion In patients with chronic renal disease, it is clinically relevant to use panoramic and digital radiographs using intraoral storage plates to assess a number of quantitative parameters that can be linked to PTH levels.Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)Univ Fed Uberlandia, Diag & Stomatol Dept, Ave Para 1720,Bloco 2G,Sala 08, BR-38405320 Uberlandia, MG, BrazilKatholieke Univ Leuven, Oral Imaging Ctr, Kapucijnenvoer 7, B-3000 Louvain, BelgiumUniv Estadual Paulista, Fac Odontol, Campus Sao Jose dos Campos, BR-12245000 Sao Paulo, BrazilUniv Estadual Paulista, Fac Odontol, Campus Sao Jose dos Campos, BR-12245000 Sao Paulo, BrazilSpringerUniversidade Federal de Uberlândia (UFU)Katholieke Univ LeuvenUniversidade Estadual Paulista (Unesp)Massahud, Bruna CorreaGuimares Henriques, Joao CesarJacobs, ReinhildeRosa, Rafaela Rangel [UNESP]Bardi Matai, Caio Vinicius [UNESP]2018-11-26T16:00:58Z2018-11-26T16:00:58Z2018-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article172-178application/pdfhttp://dx.doi.org/10.1007/s11282-017-0302-zOral Radiology. New York: Springer, v. 34, n. 2, p. 172-178, 2018.0911-6028http://hdl.handle.net/11449/16021110.1007/s11282-017-0302-zWOS:000429422000009WOS000429422000009.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengOral Radiology0,246info:eu-repo/semantics/openAccess2023-12-26T06:21:23Zoai:repositorio.unesp.br:11449/160211Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-26T06:21:23Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
title |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
spellingShingle |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices Massahud, Bruna Correa Chronic kidney disease Secondary hyperparathyroidism Renal osteodystrophy Dental radiography Phalanges of the fingers |
title_short |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
title_full |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
title_fullStr |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
title_full_unstemmed |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
title_sort |
Evaluation of renal osteodystrophy in the dental clinic by assessment of mandibular and phalangeal cortical indices |
author |
Massahud, Bruna Correa |
author_facet |
Massahud, Bruna Correa Guimares Henriques, Joao Cesar Jacobs, Reinhilde Rosa, Rafaela Rangel [UNESP] Bardi Matai, Caio Vinicius [UNESP] |
author_role |
author |
author2 |
Guimares Henriques, Joao Cesar Jacobs, Reinhilde Rosa, Rafaela Rangel [UNESP] Bardi Matai, Caio Vinicius [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Uberlândia (UFU) Katholieke Univ Leuven Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Massahud, Bruna Correa Guimares Henriques, Joao Cesar Jacobs, Reinhilde Rosa, Rafaela Rangel [UNESP] Bardi Matai, Caio Vinicius [UNESP] |
dc.subject.por.fl_str_mv |
Chronic kidney disease Secondary hyperparathyroidism Renal osteodystrophy Dental radiography Phalanges of the fingers |
topic |
Chronic kidney disease Secondary hyperparathyroidism Renal osteodystrophy Dental radiography Phalanges of the fingers |
description |
Objectives Secondary perparathyroidism (SHPT) is a disease that affects patients with chronic kidney disease, and is characterized by mineral disturbance and bone loss, known as renal osteodystrophy. The aim of this study was to assess the validity of using intraoral phosphor storage plates to take radiographs of the middle phalanges to evaluate bone loss resulting from SHPT during follow-up of these patients. Methods The sample consisted of 24 patients with chronic kidney disease, 12 with parathyroid hormone (PTH) levels >= 500 pg/ml, and 12 with PTH levels < 500 pg/ml, who underwent hemodialysis weekly. For each patient, a panoramic radiograph and digital radiographs of the ring, index, and middle fingers of both hands were taken. The Mandibular Cortical Index (MCI) and the Trabecular Bone Pattern Index (TBP) were applied to the panoramic radiographs, while the Phalangeal Cortical Index (PCI) was applied to the digital radiographs of the phalanges. Three evaluators performed all analyses. Results Significant correlations were found between the PTH levels and the MCI (p = 0.023), the PCI (p = 0.039) and the TBP index (p = 0.032). These parameters were also significantly interrelated (MCI x PCI = 0.001; MCI x TBP = 0.004 and PCI x TBP = 0.009). The PCI was shown to have the highest correlation with PTH levels. Conclusion In patients with chronic renal disease, it is clinically relevant to use panoramic and digital radiographs using intraoral storage plates to assess a number of quantitative parameters that can be linked to PTH levels. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-26T16:00:58Z 2018-11-26T16:00:58Z 2018-05-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s11282-017-0302-z Oral Radiology. New York: Springer, v. 34, n. 2, p. 172-178, 2018. 0911-6028 http://hdl.handle.net/11449/160211 10.1007/s11282-017-0302-z WOS:000429422000009 WOS000429422000009.pdf |
url |
http://dx.doi.org/10.1007/s11282-017-0302-z http://hdl.handle.net/11449/160211 |
identifier_str_mv |
Oral Radiology. New York: Springer, v. 34, n. 2, p. 172-178, 2018. 0911-6028 10.1007/s11282-017-0302-z WOS:000429422000009 WOS000429422000009.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Oral Radiology 0,246 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
172-178 application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1799965416361033728 |