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Purpose: Periapical dental radiography, despite being two dimensional and limited in size appears to be the best projection to identify the nutrient canals in the mandibular anterior region. A study was undertaken to evaluate the presence of mandibular nutrient canals in the anterior region using intra oral periapical films in subjects with hyperte...
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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...
Background
Osteomyelitis is inflammation of medullary cavities, haversian system and adjacent cortex of bone. It is devastating to patients when invasive.AimThe purpose of this study is to retrospectively review patients diagnosed with diabetic maxillary osteomyelitis and evaluate factors relating infection & diabetes.MethodologyCase records of pat...
Introduction: To evaluate a possible correlation of presence of nutrient canals on radiography in hypertensive and diabetic population as compared to the normal population and whether they can be used as a diagnostic marker for these conditions. Materials and Methods: 360 IOPARSs of the mandibular anterior region were obtained from 120 age and sex-...
Citations
... Comparable results were seen in other studies [4,5,[18][19][20]. Selarka et al. [11], Patel et al. [12], Kaur et al. [16], Castelino et al. [21], and Singh et al. [22] employed the paralleling radiographic techniques. The radiographic technique was not mentioned in the studies by Goodman et al. [23], Reddy et al. [24], and Yustiaputri et al. [25]. ...
... However, other studies failed to demonstrate any relationship between gender and nutrient canals [7,12]. Nutrient canals are regarded as normal anatomical structures, which are radiographically visualized only in 5% of healthy individuals [21]. An increased frequency of nutrient canals in controls was noted in the studies conducted by Lovette (92%) [3], [27]. ...
... In our study, most periodontitis patients with severe interdental bone loss (71.2%) showed the radiographic presence of nutrient canals. Similar findings were reported by Selarka et al. [11], Patel et al. [12], Kishi et al. [13], and Castelino et al. [21]. The hypothesis states that the level of bone resorption is directly related to the occurrence and number of nutrient canals (higher bone resorption is associated with increased prevalence of nutrient canals). ...
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 man-dibular anterior IOPAR may be employed as an ancillary screening and investigative support in underlying systemic disorders.
... In the present study, diabetes group patients when compared to controls showed a statistically significant increased presence and total number of NCs. This is in accordance with Pierrakou and Donta [13] Reddy et al. [14], Behl et al. [15], Yustiaputri et al. [16], Selarka et al. [17], and Castelino et al. [18] studies. The reason attributed to this higher prevalence of NCs was that, the deficiency of insulin has mitogenic action on the endothelial cells which could lead to collateral vessel formation [19]. ...
... Considering the radiographic technique, Goodman Topper ED et al. [26], Reddy et al. [14], and Yustiaputri et al. [16] studies had not mentioned the radiographic technique used in the study. Jaju et al. [10], Abdar-Esfahani and Mehdizade [27], Poornima et al. [23], and Kumar et al. [28] researchers used bisecting angle technique, whereas Patel and Wuehrmann [6], Singh et al. [29], Selarka et al. [17], and Castelino et al. [18] had employed paralleling technique. The paralleling technique with XCP had been used in this study also for taking the radiographs as it was considered to be an ideal IOPAR technique with fewer chances of errors, better reproducibility of results, and relatively easy to practice in lower anterior region. ...
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.
