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Radiographic changes of the jawbones in end stage renal disease
Oral Surgery, Oral Medicine, and Oral Pathology
|October 1, 1980
Summary
Dental radiography in end stage renal disease (ESRD) patients revealed common bone changes, including lamina dura loss and altered trabecular patterns. These findings highlight significant oral health implications for individuals with kidney disease.
Area of Science:
- Oral and Maxillofacial Radiology
- Nephrology
Background:
- End stage renal disease (ESRD) significantly impacts systemic health, including potential manifestations in the jawbones.
- Dental radiography is crucial for assessing skeletal changes in patients with chronic conditions.
Purpose of the Study:
- To investigate and document specific radiographic changes in the jaws of patients with end stage renal disease (ESRD).
- To correlate these radiographic findings with available biomedical data.
Main Methods:
- Panoramic and periapical radiographs were taken for 38 patients with a history of ESRD.
- Evaluated parameters included lamina dura, trabecular pattern, bone density, pulp chamber size, and radiolucent lesions.
- Computer analysis was used to determine correlation coefficients between radiographic changes and biomedical data.
Main Results:
- Common alterations included partial/complete lamina dura loss, delicate/absent trabecular patterns, and increased radiographic density (granular/chalky white appearance).
- These changes were most evident in the lower molar region.
- Less common findings included periapical radiolucencies, alveolar ridge expansion, and loss of cortical borders.
Conclusions:
- Radiographic changes in the jawbones are frequent in patients with end stage renal disease (ESRD).
- The observed alterations suggest a link between renal disease and bone metabolism, impacting oral structures.
- Further research can explore the clinical significance and management of these dental findings in ESRD patients.