Kumar Vinod R, Naik Raghavendra Mahadev, Singh Rajesh T, Guruprasad Yadavalli
Department of Oral Medicine and Radiology, Saraswathi Dhanavantri Dental College, Parbhani, Maharashtra, India.
Department of Oral Medicine and Radiology, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India.
J Nat Sci Biol Med. 2014 Jan;5(1):164-9. doi: 10.4103/0976-9668.127318.
To determine if any correlation exists in the presence of nutrient canals in hypertensive patients and nonhypertensive patients, to compare the incidence of nutrient canals in different age groups, and also to compare the incidence of nutrient canals between dentulous and edentulous patients.
This study was carried out on patients, who were divided into a control group comprising of healthy individuals, without history of hypertension and a study group of patients with the history of hypertension. The necessary information like age of the patient, presence or absence of hypertension, its duration, and blood pressure were recorded. An intraoral periapical radiograph of lower anterior region was made using bisecting angle technique and was interpreted. The presence or absence of nutrient canals, bone loss, and the levels of bone loss were recorded. The results so obtained were subjected to statistical analysis.
We found that the incidence of nutrient canals was statistically higher in the study group (55.2%) as compared to the control group (36.2%). The incidence of nutrient canals was also found to be increased with, the age till 60 years, amount of alveolar bone loss and in edentulous patients.
Hypertension being one of the most commonly encountered medical problems in dental practice and many cases being undiagnosed, the presence of nutrient canal though not entirely indicative of hypertension, should increase the suspicion of the condition to be investigated further.
确定高血压患者和非高血压患者中滋养管的存在是否存在相关性,比较不同年龄组中滋养管的发生率,以及比较有牙患者和无牙患者中滋养管的发生率。
本研究针对患者开展,将其分为一个由无高血压病史的健康个体组成的对照组和一个有高血压病史的患者研究组。记录患者的年龄、是否患有高血压、患病时长及血压等必要信息。使用分角线投照技术拍摄下颌前部区域的口内根尖片并进行解读。记录滋养管的有无、骨质流失情况及骨质流失程度。对所得结果进行统计分析。
我们发现,研究组中滋养管的发生率(55.2%)在统计学上高于对照组(36.2%)。还发现滋养管的发生率随着年龄增长至60岁、牙槽骨流失量以及无牙患者而增加。
高血压是牙科实践中最常遇到的医学问题之一,且许多病例未被诊断出来,滋养管的存在虽不能完全表明患有高血压,但应增加对该病症进行进一步调查的怀疑。