Property | Value |
Name | Radiological Manifestations in Patients of Chronic Renal Insufficiency under Different Modalities of Treatment |
Description | An original study-Oral Medicine and Radiology Dr. Shashi Rani* Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences(IDS), Siksha O Anusandhan University,Khandagiri Square,Bhubaneswar-751030,Orissa,India.
Abstract:- Background: Wide spectrum of bone disease can occur in renal failure patients ranging from states of markedly impaired bone formation and mineralization (such as low turnover bone disease, osteomalacia) to states of markedly increased bone turnover (hyperparathyroidism. Unique types of metabolic bone disease may also occur in patients with renal disease but with a normal glomerular filtration rate, as exemplified by the postrenal transplant state and renal tubular acidosis. Radiographic examinations were carried out on 40 patients to study the changes in the teeth and bones. Aim: To study the various Radiological manifestations in patients with chronic renal failure (CRF), hemodialysis patients and those with renal transplants. Methods: A radiographic study of the teeth, jaws & skeletal system in 40 cases of chronic renal Insufficiency patients was undertaken. These patients were divided into three groups(on conservative care, hemodialysis and post transplant) based on the treatment modality. Results: Changes in the lamina dura, Trabecular pattern and bone density were recorded. Pulpal alterations were also noticed. A significant relation between skeletal changes and changes in lamina dura was observed (t = 2.13) but, skeletal changes had become more evident with reduction in trabecular pattern and radiographic density (t = 3.24). No significant relation was found between the changes in pulp and the skeletal changes. Conclusion: An alert diagnostician if aware of the signs and symptoms seen in these patients along with the help of radiological data can caution a patient of the insidious condition as the changes in lamina dura though not a marker for this individual entity is the earliest manifestation.
Key words:- Manifestations, Renal insufficiency, Renal Osteodystrophy, Transplants.
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Copyright © 2013 Shashi Rani . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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