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Ultrasound analysis of mental artery flow in elderly patients: a case–control study

Identifieur interne : 002317 ( Pmc/Curation ); précédent : 002316; suivant : 002318

Ultrasound analysis of mental artery flow in elderly patients: a case–control study

Auteurs : Marina G. Baladi ; Raul R C M. Tucunduva Neto ; Arthur R G. Cortes ; Eduardo M. Aoki ; Emiko S. Arita ; Claudio F. Freitas

Source :

RBID : PMC:5083901

Abstract

Objectives:

Mental artery flow decreases with age and may have an aetiological role in alveolar ridge atrophy. The aim of this study was to identify factors associated with alterations of mental artery flow, assessed by ultrasonography.

Methods:

This case–control study was conducted on elderly patients (aged above 60 years) at the beginning of dental treatment. Intraoral B-mode Doppler ultrasonography was used to assess mental artery flow. The cases were defined as patients with a weak/absent ultrasound signal, whereas the controls presented a strong ultrasound signal. Demographics and radiographic findings (low bone mineral density on dual-energy X-ray absorptiometry and mandibular cortical index on panoramic radiographs) were analysed as risk factors for weak/absent ultrasound signal and were calculated as adjusted odds ratios (AORs) with 95% confidence intervals (CIs) using conditional logistic regression. In addition, the Student's t-test was used to compare the mean alveolar bone height of the analysed groups. A p-value <0.05 was considered statistically significant.

Results:

A total of 30 ultrasound examinations (12 cases and 18 controls) were analysed. A weak/absent mental artery pulse strength was significantly associated with edentulism (AOR = 3.67; 95% CI = 0.86–15.63; p = 0.046). In addition, there was a significant difference in alveolar bone height between edentulous cases and controls (p = 0.036).

Conclusions:

Within the limitations of this study, the present results indicate that edentulism is associated with diminished mental artery flow, which, in turn, affects alveolar bone height.


Url:
DOI: 10.1259/dmfr.20150097
PubMed: 26205777
PubMed Central: 5083901

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PMC:5083901

Le document en format XML

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<title>Objectives:</title>
<p>Mental artery flow decreases with age and may have an aetiological role in alveolar ridge atrophy. The aim of this study was to identify factors associated with alterations of mental artery flow, assessed by ultrasonography.</p>
</sec>
<sec>
<title>Methods:</title>
<p>This case–control study was conducted on elderly patients (aged above 60 years) at the beginning of dental treatment. Intraoral B-mode Doppler ultrasonography was used to assess mental artery flow. The cases were defined as patients with a weak/absent ultrasound signal, whereas the controls presented a strong ultrasound signal. Demographics and radiographic findings (low bone mineral density on dual-energy X-ray absorptiometry and mandibular cortical index on panoramic radiographs) were analysed as risk factors for weak/absent ultrasound signal and were calculated as adjusted odds ratios (AORs) with 95% confidence intervals (CIs) using conditional logistic regression. In addition, the Student's
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-test was used to compare the mean alveolar bone height of the analysed groups. A
<italic>p</italic>
-value <0.05 was considered statistically significant.</p>
</sec>
<sec>
<title>Results:</title>
<p>A total of 30 ultrasound examinations (12 cases and 18 controls) were analysed. A weak/absent mental artery pulse strength was significantly associated with edentulism (AOR = 3.67; 95% CI = 0.86–15.63;
<italic>p</italic>
 = 0.046). In addition, there was a significant difference in alveolar bone height between edentulous cases and controls (
<italic>p</italic>
 = 0.036).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Within the limitations of this study, the present results indicate that edentulism is associated with diminished mental artery flow, which, in turn, affects alveolar bone height.</p>
</sec>
</div>
</front>
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<email xlink:href="acortes@nmr.mgh.harvard.edu">acortes@nmr.mgh.harvard.edu</email>
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<name>
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<given-names>Eduardo M</given-names>
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<name>
<surname>Arita</surname>
<given-names>Emiko S</given-names>
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<xref ref-type="aff" rid="aff1">
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<name>
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<addr-line>Oral Radiology Division, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil</addr-line>
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<sup>2</sup>
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<addr-line>Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA</addr-line>
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<sup>3</sup>
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Department of Radiology,
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<corresp id="cor1">Correspondence to: Arthur R G Cortes. E-mail:
<email xlink:href="acortes@nmr.mgh.harvard.edu">acortes@nmr.mgh.harvard.edu</email>
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<fn fn-type="supported-by">
<p>A post-doctoral scholarship was granted to ARGC by the National Council for Scientific and Technological Development (CNPq)—Science without Borders, Brazil, no. 232643/2013-0.</p>
</fn>
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<month>12</month>
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<pub-date pub-type="epub">
<day>11</day>
<month>8</month>
<year>2015</year>
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<volume>44</volume>
<issue>9</issue>
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<date date-type="received">
<day>17</day>
<month>3</month>
<year>2015</year>
<string-date>Received on March 17, 2015</string-date>
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<date date-type="rev-recd">
<day>12</day>
<month>6</month>
<year>2015</year>
<string-date>Revised on June 12, 2015</string-date>
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<date date-type="accepted">
<day>23</day>
<month>7</month>
<year>2015</year>
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<copyright-statement>© 2015 The Authors. Published by the British Institute of Radiology</copyright-statement>
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<self-uri content-type="pdf" xlink:href="dmfr.20150097.pdf"></self-uri>
<abstract>
<sec>
<title>Objectives:</title>
<p>Mental artery flow decreases with age and may have an aetiological role in alveolar ridge atrophy. The aim of this study was to identify factors associated with alterations of mental artery flow, assessed by ultrasonography.</p>
</sec>
<sec>
<title>Methods:</title>
<p>This case–control study was conducted on elderly patients (aged above 60 years) at the beginning of dental treatment. Intraoral B-mode Doppler ultrasonography was used to assess mental artery flow. The cases were defined as patients with a weak/absent ultrasound signal, whereas the controls presented a strong ultrasound signal. Demographics and radiographic findings (low bone mineral density on dual-energy X-ray absorptiometry and mandibular cortical index on panoramic radiographs) were analysed as risk factors for weak/absent ultrasound signal and were calculated as adjusted odds ratios (AORs) with 95% confidence intervals (CIs) using conditional logistic regression. In addition, the Student's
<italic>t</italic>
-test was used to compare the mean alveolar bone height of the analysed groups. A
<italic>p</italic>
-value <0.05 was considered statistically significant.</p>
</sec>
<sec>
<title>Results:</title>
<p>A total of 30 ultrasound examinations (12 cases and 18 controls) were analysed. A weak/absent mental artery pulse strength was significantly associated with edentulism (AOR = 3.67; 95% CI = 0.86–15.63;
<italic>p</italic>
 = 0.046). In addition, there was a significant difference in alveolar bone height between edentulous cases and controls (
<italic>p</italic>
 = 0.036).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Within the limitations of this study, the present results indicate that edentulism is associated with diminished mental artery flow, which, in turn, affects alveolar bone height.</p>
</sec>
</abstract>
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