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Radiographic Periodontal Bone Loss in Chronic Kidney Disease

Identifieur interne : 000076 ( PascalFrancis/Corpus ); précédent : 000075; suivant : 000077

Radiographic Periodontal Bone Loss in Chronic Kidney Disease

Auteurs : Marie-Danielle Messier ; Karin Emde ; Leonard Stern ; Jai Radhakrishnan ; Linda Vernocchi ; BIN CHENG ; Christos Angelopoulos ; Panos N. Papapanou

Source :

RBID : Pascal:12-0211499

Descripteurs français

English descriptors

Abstract

Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X2 test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0022-3492
A03   1    @0 J. periodontol. : (1970)
A05       @2 83
A06       @2 5
A08 01  1  ENG  @1 Radiographic Periodontal Bone Loss in Chronic Kidney Disease
A11 01  1    @1 MESSIER (Marie-Danielle)
A11 02  1    @1 EMDE (Karin)
A11 03  1    @1 STERN (Leonard)
A11 04  1    @1 RADHAKRISHNAN (Jai)
A11 05  1    @1 VERNOCCHI (Linda)
A11 06  1    @1 BIN CHENG
A11 07  1    @1 ANGELOPOULOS (Christos)
A11 08  1    @1 PAPAPANOU (Panos N.)
A14 01      @1 Division of Periodontics, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University @2 New York, NY @3 USA @Z 1 aut. @Z 2 aut. @Z 8 aut.
A14 02      @1 Division of Nephrology, Department of Medicine, College of Physicians and Surgeons, Columbia University @3 USA @Z 3 aut. @Z 4 aut. @Z 5 aut.
A14 03      @1 Department of Biostatistics, Mailman School of Public Health, Columbia University @3 USA @Z 6 aut.
A14 04      @1 Division of Oral Radiology, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University @3 USA @Z 7 aut.
A20       @1 602-611
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 874 @5 354000506961120090
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 50 ref.
A47 01  1    @0 12-0211499
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of periodontology : (1970)
A66 01      @0 USA
C01 01    ENG  @0 Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X2 test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.
C02 01  X    @0 002B10C02
C02 02  X    @0 002B15A
C02 03  X    @0 002B14E01
C03 01  X  FRE  @0 Ostéopénie @5 01
C03 01  X  ENG  @0 Osteopenia @5 01
C03 01  X  SPA  @0 Osteopenia @5 01
C03 02  X  FRE  @0 Néphropathie chronique @2 NM @5 02
C03 02  X  ENG  @0 Chronic kidney disease @2 NM @5 02
C03 02  X  SPA  @0 Nefropatía crónica @2 NM @5 02
C03 03  X  FRE  @0 Parodontite @5 03
C03 03  X  ENG  @0 Periodontitis @5 03
C03 03  X  SPA  @0 Parodontitis @5 03
C03 04  X  FRE  @0 Radiographie @5 04
C03 04  X  ENG  @0 Radiography @5 04
C03 04  X  SPA  @0 Radiografía @5 04
C03 05  X  FRE  @0 Dialyse @5 05
C03 05  X  ENG  @0 Dialysis @5 05
C03 05  X  SPA  @0 Diálisis @5 05
C03 06  X  FRE  @0 Os alvéolaire @5 07
C03 06  X  ENG  @0 Alveolar bone @5 07
C03 06  X  SPA  @0 Hueso alveolar @5 07
C03 07  X  FRE  @0 Chronique @5 08
C03 07  X  ENG  @0 Chronic @5 08
C03 07  X  SPA  @0 Crónico @5 08
C03 08  X  FRE  @0 Epidémiologie @5 09
C03 08  X  ENG  @0 Epidemiology @5 09
C03 08  X  SPA  @0 Epidemiología @5 09
C03 09  X  FRE  @0 Inflammation @5 13
C03 09  X  ENG  @0 Inflammation @5 13
C03 09  X  SPA  @0 Inflamación @5 13
C03 10  X  FRE  @0 Insuffisance rénale @5 14
C03 10  X  ENG  @0 Renal failure @5 14
C03 10  X  SPA  @0 Insuficiencia renal @5 14
C03 11  X  FRE  @0 Dentisterie @5 30
C03 11  X  ENG  @0 Dentistry @5 30
C03 11  X  SPA  @0 Odontología @5 30
C07 01  X  FRE  @0 Exploration @5 37
C07 01  X  ENG  @0 Exploration @5 37
C07 01  X  SPA  @0 Exploración @5 37
C07 02  X  FRE  @0 Radiodiagnostic @5 38
C07 02  X  ENG  @0 Radiodiagnosis @5 38
C07 02  X  SPA  @0 Radiodiagnóstico @5 38
C07 03  X  FRE  @0 Pathologie du système ostéoarticulaire @5 39
C07 03  X  ENG  @0 Diseases of the osteoarticular system @5 39
C07 03  X  SPA  @0 Sistema osteoarticular patología @5 39
C07 04  X  FRE  @0 Pathologie de l'appareil urinaire @5 40
C07 04  X  ENG  @0 Urinary system disease @5 40
C07 04  X  SPA  @0 Aparato urinario patología @5 40
C07 05  X  FRE  @0 Pathologie du rein @5 41
C07 05  X  ENG  @0 Kidney disease @5 41
C07 05  X  SPA  @0 Riñón patología @5 41
C07 06  X  FRE  @0 Stomatologie @5 42
C07 06  X  ENG  @0 Stomatology @5 42
C07 06  X  SPA  @0 Estomatología @5 42
C07 07  X  FRE  @0 Parodontopathie @5 43
C07 07  X  ENG  @0 Periodontal disease @5 43
C07 07  X  SPA  @0 Parodontopatía @5 43
N21       @1 163
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0211499 INIST
ET : Radiographic Periodontal Bone Loss in Chronic Kidney Disease
AU : MESSIER (Marie-Danielle); EMDE (Karin); STERN (Leonard); RADHAKRISHNAN (Jai); VERNOCCHI (Linda); BIN CHENG; ANGELOPOULOS (Christos); PAPAPANOU (Panos N.)
AF : Division of Periodontics, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University/New York, NY/Etats-Unis (1 aut., 2 aut., 8 aut.); Division of Nephrology, Department of Medicine, College of Physicians and Surgeons, Columbia University/Etats-Unis (3 aut., 4 aut., 5 aut.); Department of Biostatistics, Mailman School of Public Health, Columbia University/Etats-Unis (6 aut.); Division of Oral Radiology, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University/Etats-Unis (7 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of periodontology : (1970); ISSN 0022-3492; Etats-Unis; Da. 2012; Vol. 83; No. 5; Pp. 602-611; Bibl. 50 ref.
LA : Anglais
EA : Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X2 test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.
CC : 002B10C02; 002B15A; 002B14E01
FD : Ostéopénie; Néphropathie chronique; Parodontite; Radiographie; Dialyse; Os alvéolaire; Chronique; Epidémiologie; Inflammation; Insuffisance rénale; Dentisterie
FG : Exploration; Radiodiagnostic; Pathologie du système ostéoarticulaire; Pathologie de l'appareil urinaire; Pathologie du rein; Stomatologie; Parodontopathie
ED : Osteopenia; Chronic kidney disease; Periodontitis; Radiography; Dialysis; Alveolar bone; Chronic; Epidemiology; Inflammation; Renal failure; Dentistry
EG : Exploration; Radiodiagnosis; Diseases of the osteoarticular system; Urinary system disease; Kidney disease; Stomatology; Periodontal disease
SD : Osteopenia; Nefropatía crónica; Parodontitis; Radiografía; Diálisis; Hueso alveolar; Crónico; Epidemiología; Inflamación; Insuficiencia renal; Odontología
LO : INIST-874.354000506961120090
ID : 12-0211499

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Pascal:12-0211499

Le document en format XML

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<term>Alveolar bone</term>
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<term>Chronic kidney disease</term>
<term>Dentistry</term>
<term>Dialysis</term>
<term>Epidemiology</term>
<term>Inflammation</term>
<term>Osteopenia</term>
<term>Periodontitis</term>
<term>Radiography</term>
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<term>Ostéopénie</term>
<term>Néphropathie chronique</term>
<term>Parodontite</term>
<term>Radiographie</term>
<term>Dialyse</term>
<term>Os alvéolaire</term>
<term>Chronique</term>
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<div type="abstract" xml:lang="en">Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X
<sup>2</sup>
test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.</div>
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<s1>EMDE (Karin)</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>STERN (Leonard)</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>RADHAKRISHNAN (Jai)</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>VERNOCCHI (Linda)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>BIN CHENG</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>ANGELOPOULOS (Christos)</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>PAPAPANOU (Panos N.)</s1>
</fA11>
<fA14 i1="01">
<s1>Division of Periodontics, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Division of Nephrology, Department of Medicine, College of Physicians and Surgeons, Columbia University</s1>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Biostatistics, Mailman School of Public Health, Columbia University</s1>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Division of Oral Radiology, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University</s1>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA20>
<s1>602-611</s1>
</fA20>
<fA21>
<s1>2012</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
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<s5>354000506961120090</s5>
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<s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
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<s0>50 ref.</s0>
</fA45>
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<s0>12-0211499</s0>
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<s1>P</s1>
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<s0>A</s0>
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<fA64 i1="01" i2="1">
<s0>Journal of periodontology : (1970)</s0>
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<fC01 i1="01" l="ENG">
<s0>Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X
<sup>2</sup>
test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.</s0>
</fC01>
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<s0>002B10C02</s0>
</fC02>
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<fC02 i1="03" i2="X">
<s0>002B14E01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Ostéopénie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Osteopenia</s0>
<s5>01</s5>
</fC03>
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<s0>Osteopenia</s0>
<s5>01</s5>
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<s2>NM</s2>
<s5>02</s5>
</fC03>
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<s0>Chronic kidney disease</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Nefropatía crónica</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Parodontite</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Periodontitis</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Parodontitis</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Radiographie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Radiography</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Radiografía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Dialyse</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Dialysis</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Diálisis</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Os alvéolaire</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Alveolar bone</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Hueso alveolar</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Chronique</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Chronic</s0>
<s5>08</s5>
</fC03>
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<s5>08</s5>
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<s5>09</s5>
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<s5>09</s5>
</fC03>
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<s0>Epidemiología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Inflammation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Inflammation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Inflamación</s0>
<s5>13</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Insuffisance rénale</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Renal failure</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Insuficiencia renal</s0>
<s5>14</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Dentisterie</s0>
<s5>30</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Dentistry</s0>
<s5>30</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Odontología</s0>
<s5>30</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Exploration</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Exploration</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Exploración</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Radiodiagnostic</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Radiodiagnosis</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Radiodiagnóstico</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système ostéoarticulaire</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Diseases of the osteoarticular system</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Sistema osteoarticular patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'appareil urinaire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Urinary system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato urinario patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie du rein</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Kidney disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Riñón patología</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Stomatologie</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Stomatology</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Estomatología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Parodontopathie</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Periodontal disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Parodontopatía</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>163</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 12-0211499 INIST</NO>
<ET>Radiographic Periodontal Bone Loss in Chronic Kidney Disease</ET>
<AU>MESSIER (Marie-Danielle); EMDE (Karin); STERN (Leonard); RADHAKRISHNAN (Jai); VERNOCCHI (Linda); BIN CHENG; ANGELOPOULOS (Christos); PAPAPANOU (Panos N.)</AU>
<AF>Division of Periodontics, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University/New York, NY/Etats-Unis (1 aut., 2 aut., 8 aut.); Division of Nephrology, Department of Medicine, College of Physicians and Surgeons, Columbia University/Etats-Unis (3 aut., 4 aut., 5 aut.); Department of Biostatistics, Mailman School of Public Health, Columbia University/Etats-Unis (6 aut.); Division of Oral Radiology, Section of Oral and Diagnostic Sciences, College of Dental Medicine, Columbia University/Etats-Unis (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of periodontology : (1970); ISSN 0022-3492; Etats-Unis; Da. 2012; Vol. 83; No. 5; Pp. 602-611; Bibl. 50 ref.</SO>
<LA>Anglais</LA>
<EA>Background: We examined the extent and severity of radiographic periodontal bone loss in patients with different stages of chronic kidney disease (CKD) and explored a potential dose- response relationship between bone loss and CKD-related biomarkers. Methods: Panoramic radiographs were obtained from 129 CKD patients (78 males and 51 females; mean age: 63.5 years, range: 24 to 91 years), including 63 patients undergoing dialysis for an average of 3.3 years (range: 0.5 to 14 years). Glomerular filtration rate (GFR), dialysis dose, and levels of serum biomarkers were obtained through a hospital database. Interproximal bone loss was assessed as a percentage of root length. Results: Twenty-nine participants were edentulous (23.8% of those on dialysis versus 21.2% of those with residual kidney function; X
<sup>2</sup>
test, P= 0.724). The extent of bone loss was higher among dialysis patients (analysis of variance [ANOVA], P = 0.007), but no clear dose-response association between CKD stage and extent was evident. GFR, dialysis dose, and levels of serum biomarkers did not differ between edentulous and dentate individuals, and only serum albumin was lower in patients with extensive bone loss (ANOVA, P= 0.030). After adjusting for dialysis status, the severity of bone loss was positively associated with glucose levels (multiple regression, P= 0.019) and white blood cell count (P= 0.032), whereas the number of teeth present was positively associated with plasma phosphorus (P= 0.008) and negatively with glucose levels (P= 0.011). Conclusion: Despite a higher extent of bone loss in dialysis patients, the lack of a dose-response association between bone loss and CKD stage or the levels of CKD-related serum biomarkers underscores the complex relationship between the two conditions.</EA>
<CC>002B10C02; 002B15A; 002B14E01</CC>
<FD>Ostéopénie; Néphropathie chronique; Parodontite; Radiographie; Dialyse; Os alvéolaire; Chronique; Epidémiologie; Inflammation; Insuffisance rénale; Dentisterie</FD>
<FG>Exploration; Radiodiagnostic; Pathologie du système ostéoarticulaire; Pathologie de l'appareil urinaire; Pathologie du rein; Stomatologie; Parodontopathie</FG>
<ED>Osteopenia; Chronic kidney disease; Periodontitis; Radiography; Dialysis; Alveolar bone; Chronic; Epidemiology; Inflammation; Renal failure; Dentistry</ED>
<EG>Exploration; Radiodiagnosis; Diseases of the osteoarticular system; Urinary system disease; Kidney disease; Stomatology; Periodontal disease</EG>
<SD>Osteopenia; Nefropatía crónica; Parodontitis; Radiografía; Diálisis; Hueso alveolar; Crónico; Epidemiología; Inflamación; Insuficiencia renal; Odontología</SD>
<LO>INIST-874.354000506961120090</LO>
<ID>12-0211499</ID>
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