Assessment of salivary gland function in patients after successful kidney transplantation using (99m)Tc-pertechnetate salivary gland scintigraphy.

Chronic renal failure and its treatment can induce oral health problems and salivary glands dysfunction. The purpose of this study was to assess salivary glands function in patients with kidney transplantation using technetium-99m pertechnetate ((99m)Tc-P) salivary glands scintigraphy. We prospectively studied 34 patients with kidney transplantation (30 males and 4 females,mean age 39.76±11.6 years) and 28 healthy controls (12 males and 16 females, mean age 36.1±9.5 years). Salivary gland scintigraphy was performed nearly 4.4±2.9 years after successful kidney transplantation. Dynamic salivary glands scintigraphy was performed during 25min after the intravenous administration of 185MBq of (99m)Tc-P. Time-activity curves and glands functional parameters were calculated for the parotid and submandibular salivary glands: uptake ratio, maximum accumulation of the radionuclide, and excretion fraction. Statistical analysis of the functional parameters showed no significant differences between patients with kidney transplantation and healthy controls (P>0.05). In conclusion, this study showed that using (99m)Tc-P salivary gland scintigraphy, salivary glands function of patients with successful kidney transplantation do not differ statistically from those in healthy controls.

[1]  A. M. Grégio,et al.  Clinical oral findings in dialysis and kidney-transplant patients. , 2011, Quintessence international.

[2]  H. Ucuncu,et al.  Evaluation of salivary gland function in allergic rhinitis patients by [99mTc] pertechnetate salivary gland scintigraphy , 2010 .

[3]  H. Emre,et al.  Salivary gland function in continuous ambulatory peritoneal dialysis patients by 99mTc-pertechnetate scintigraphy. , 2010, Hellenic journal of nuclear medicine.

[4]  H. Issever,et al.  Oral Health and Inflammation in Patients with End-Stage Renal Failure , 2009, Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis.

[5]  H. Ucuncu,et al.  Evaluation by (99m)Tc-pertechnetate scintigraphy of the effect of levocetirizine on salivary glands function, in allergic rhinitis patients. , 2009, Hellenic journal of nuclear medicine.

[6]  Steering Committee of the Istanbul Summit Organ trafficking and transplant tourism and commercialism: the Declaration of Istanbul , 2008, The Lancet.

[7]  P. T. Wee,et al.  Oral and salivary changes in patients with end stage renal disease (ESRD): a two year follow-up study , 2007, BDJ.

[8]  F. Fırat,et al.  Effects of gender and age on the quantitative parameters of [99mTc]pertechnetate salivary gland scintigraphy in normal subjects , 2006, Nuclear medicine communications.

[9]  S. Porter,et al.  Oral and Dental Aspects of Chronic Renal Failure , 2005, Journal of dental research.

[10]  D. Sutherland,et al.  Appropriate utilization of semi-quantitative analysis in salivary scintigraphy , 2004, Nuclear medicine communications.

[11]  R. Kazancioglu,et al.  Evaluation of salivary parameters and dental status in adult hemodialysis patients. , 2004, Clinical nephrology.

[12]  G. Rossi,et al.  A computer-assisted method for semi-quantitative assessment of salivary gland diseases , 1980, European Journal of Nuclear Medicine.

[13]  T. Ecder,et al.  Stimulated Salivary Flow Rate in Chronic Hemodialysis Patients , 2002, Nephron.

[14]  T. Çermik,et al.  Salivary function in patients with chronic renal failure undergoing hemodialysis , 2002, Annals of nuclear medicine.

[15]  F. Vivino,et al.  Variability of quantitative scintigraphic salivary indices in normal subjects. , 1998, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[16]  L. Patton,et al.  Salivary gland 99mTc-scintigraphy: a grading scale and correlation with major salivary gland flow rates. , 1992, Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology.

[17]  F. Mishkin Radionuclide salivary gland imaging. , 1981, Seminars in nuclear medicine.