Correlation of dental pulp stones, carotid artery and renal calcifications using digital panoramic radiography and ultrasonography
Identifieur interne : 001284 ( Main/Merge ); précédent : 001283; suivant : 001285Correlation of dental pulp stones, carotid artery and renal calcifications using digital panoramic radiography and ultrasonography
Auteurs : Garima Yeluri ; C. Anand Kumar ; Namita RaghavSource :
- Contemporary Clinical Dentistry [ 0976-237X ] ; 2015.
Abstract
The human tissues continuously undergo modification as deposition of calcium (CA) salts either in an organized or disorganized pattern. The latter pattern usually occurs in the soft tissues such as in arteries, brain, kidneys, lungs, and dental pulp. The purpose of this study is to evaluate the presence of pulp calcification and carotid artery calcification (CDC) as a marker for renal calcification and altered serum biomarkers such as serum CA, phosphorus (P), and alkaline phosphatase (ALP).
Digital panoramic radiographs of 50 patients with the presence of pulp stones and suspected CAC were subjected to carotid artery and renal ultrasonography (USG) examination for the presence of vascular calcification and also to evaluate the alterations in serum CA, P, and ALP levels. Data were analyzed statistically using Chi-square test.
Panoramic radiographs of 50 patients showed 88.28% of teeth with the presence of pulp stones stones and 91% carotid arteries with calcification. The sensitivity of panoramic radiograph was greater than that of USG (93.67%), but the specificity of USG was more than the panoramic radiograph (44.44%) in detecting CAC. The prevalence rate of renal calcification on USG was 92%. The statistical difference between the patients with or without alteration in serum Ca levels was not significant (χ2 = 0.581 and
Presence of pulp stones and CAC's on panoramic radiograph have remarkably proved to establish the chances of renal artery calcification associated with alterations in serum CA levels.
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DOI: 10.4103/0976-237X.166837
PubMed: 26604565
PubMed Central: 4632214
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Correlation of dental pulp stones, carotid artery and renal calcifications using digital panoramic radiography and ultrasonography</title><author><name sortKey="Yeluri, Garima" sort="Yeluri, Garima" uniqKey="Yeluri G" first="Garima" last="Yeluri">Garima Yeluri</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kumar, C Anand" sort="Kumar, C Anand" uniqKey="Kumar C" first="C. Anand" last="Kumar">C. Anand Kumar</name><affiliation><nlm:aff id="aff2"><italic>Department of Oral Medicine and Radiology, Vananchal Dental College and Hospital, Garhwa, Ranchi, Jharkhand, India</italic></nlm:aff></affiliation></author><author><name sortKey="Raghav, Namita" sort="Raghav, Namita" uniqKey="Raghav N" first="Namita" last="Raghav">Namita Raghav</name><affiliation><nlm:aff id="aff3"><italic>Department of Oral Medicine and Radiology, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26604565</idno><idno type="pmc">4632214</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632214</idno><idno type="RBID">PMC:4632214</idno><idno type="doi">10.4103/0976-237X.166837</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000272</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000272</idno><idno type="wicri:Area/Pmc/Curation">000272</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000272</idno><idno type="wicri:Area/Pmc/Checkpoint">000F11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F11</idno><idno type="wicri:Area/Ncbi/Merge">006173</idno><idno type="wicri:Area/Ncbi/Curation">006173</idno><idno type="wicri:Area/Ncbi/Checkpoint">006173</idno><idno type="wicri:doubleKey">0976-237X:2015:Yeluri G:correlation:of:dental</idno><idno type="wicri:Area/Main/Merge">001284</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Correlation of dental pulp stones, carotid artery and renal calcifications using digital panoramic radiography and ultrasonography</title><author><name sortKey="Yeluri, Garima" sort="Yeluri, Garima" uniqKey="Yeluri G" first="Garima" last="Yeluri">Garima Yeluri</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kumar, C Anand" sort="Kumar, C Anand" uniqKey="Kumar C" first="C. Anand" last="Kumar">C. Anand Kumar</name><affiliation><nlm:aff id="aff2"><italic>Department of Oral Medicine and Radiology, Vananchal Dental College and Hospital, Garhwa, Ranchi, Jharkhand, India</italic></nlm:aff></affiliation></author><author><name sortKey="Raghav, Namita" sort="Raghav, Namita" uniqKey="Raghav N" first="Namita" last="Raghav">Namita Raghav</name><affiliation><nlm:aff id="aff3"><italic>Department of Oral Medicine and Radiology, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Contemporary Clinical Dentistry</title><idno type="ISSN">0976-237X</idno><idno type="eISSN">0976-2361</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>The human tissues continuously undergo modification as deposition of calcium (CA) salts either in an organized or disorganized pattern. The latter pattern usually occurs in the soft tissues such as in arteries, brain, kidneys, lungs, and dental pulp. The purpose of this study is to evaluate the presence of pulp calcification and carotid artery calcification (CDC) as a marker for renal calcification and altered serum biomarkers such as serum CA, phosphorus (P), and alkaline phosphatase (ALP).</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Digital panoramic radiographs of 50 patients with the presence of pulp stones and suspected CAC were subjected to carotid artery and renal ultrasonography (USG) examination for the presence of vascular calcification and also to evaluate the alterations in serum CA, P, and ALP levels. Data were analyzed statistically using Chi-square test.</p></sec><sec id="st3"><title>Results:</title><p>Panoramic radiographs of 50 patients showed 88.28% of teeth with the presence of pulp stones stones and 91% carotid arteries with calcification. The sensitivity of panoramic radiograph was greater than that of USG (93.67%), but the specificity of USG was more than the panoramic radiograph (44.44%) in detecting CAC. The prevalence rate of renal calcification on USG was 92%. The statistical difference between the patients with or without alteration in serum Ca levels was not significant (χ<sup>2</sup> = 0.581 and <italic>P</italic> = 0.446). On comparison of serum P and ALP, the difference was found to be statistically significant.</p></sec><sec id="st4"><title>Conclusion:</title><p>Presence of pulp stones and CAC's on panoramic radiograph have remarkably proved to establish the chances of renal artery calcification associated with alterations in serum CA levels.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Carson, Da" uniqKey="Carson D">DA Carson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, Np" uniqKey="Norman N">NP Norman</name></author><author><name sortKey="Johnstone, Hm" uniqKey="Johnstone H">HM Johnstone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goga, R" uniqKey="Goga R">R Goga</name></author><author><name sortKey="Chandler, Np" uniqKey="Chandler N">NP Chandler</name></author><author><name sortKey="Oginni, Ao" uniqKey="Oginni A">AO 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