Changes in the lamina dura as a manifestation of systemic diseases: report of a case and review of the literature

Section: Introductionmentioning

confidence: 99%

“…1966, Kennett & Pollick 1971, Stafne 1953). This finding, once considered pathognomonic of HPT, is now recognized as non‐specific (Kaffee et al. 1982, Spolnik et al.…”

Section: Introductionmentioning

confidence: 99%

The effect of secondary hyperparathyroidism and hemodialysis therapy on alveolar bone and periodontium

Frankenthal

Nakhoul

Machtei

et al. 2002

“…Parathormone (PTH) is an essential regulator of extracellular calcium (Ca) concentration and Ca homeostasis which primarily promotes to skeletal, renal and gastrointestinal alterations (Kaffee et al. , Whalen & Krook ). Besides, it modulates numerous physiological and physiopathological reactions due to a wide range of PTH expression by miscellaneous cells and tissues (Bro & Olgaard , Nishida et al.…”

mentioning

confidence: 99%

The impact of dietary induced hyperparathyroidism on healthy and diseased periodontia: an experimental study in rats

Lütfioğlu

Sakallıoğlu²,

Sakallıoğlu³

et al. 2011

“…The radicular or alveolar lamina dura is thought to represent the alveolar bone proper, which is comprised of dense bone with a reduced marrow space volume, as compared to the adjacent cancellous bone (Manson 1963). Generalized loss of crestal and radicular lamina dura throughout the dentition may occur secondary to hyperparathyroidism, Gaucher's disease, scleroderma and Paget'sdisease (Kaffee et al 1982). However, loss of lamina dura limited to the alveolar crest may indicate extension of a gingival infiammatory process into the underlying alveolar bone (Carranza 1979) and development of destructive periodontitis (Kerr et al 1974, Prichard 1979.…”

mentioning

confidence: 99%

Utility of radiographic crestal lamina dura for predicting periodontitis disease‐activity

Rams

Listgarten

Slots

1994

The relationship between radiographic crestal lamina dura and periodontitis disease-activity was studied longitudinally in 51 treated adult patients on a systematic 3-month maintenance program. The presence or absence of crestal lamina dura at 1809 interproximal sites was scored from periapical and bitewing radiographs taken at baseline of a 36-month maintenance care period. Semi-annual clinical evaluations by 2 independent examiners were carried out on each patient, with disease recurrence defined as sites revealing a > or = 3 mm increase in probing depth from baseline, or a > or = 2 mm increase in probing depth together with a > or = 2 mm loss of relative attachment level from an occlusal reference stent. Over the 36-month study period, 23 (45%) patients exhibited disease recurrence at 55 (3%) interproximal tooth sites scored for baseline crestal lamina dura. Absence of detectable baseline crestal lamina dura yielded high sensitivity (87-100%), but low specificity (17%) and low positive predictive values (0.8-3.2%), for localized periodontitis recurrence. In contrast, no sites exhibiting an intact baseline crestal lamina dura demonstrated periodontitis recurrence up to 24 months from baseline (100% positive predictive values). Presence of radiographic crestal lamina dura was positively associated with clinical periodontal stability (summary odds ratio for sites = 2.6, P = 0.0004), and negatively associated with periodontitis recurrence (summary odds ratio for sites = 0.4, P = 0.0004), for the 36-month study period. Evaluation of radiographic crestal lamina dura status appears valuable for assessing the risk of periodontitis disease-activity at inter-proximal tooth sites in patients on maintenance care programs.