Oral Tori in Chronic Hemodialysis Patients

Chao, Pei-Jung; Yang, Huang‐Yu; Huang, Wen‐Hung; Weng, Cheng‐Hao; Wang, I‐Kuan; Tsai, Aileen I.; Yen, Tzung‐Hai

doi:10.1155/2015/897674

Cited by 19 publications

(28 citation statements)

References 29 publications

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“…6 However, no correlation was noticed between secondary hyperparathyroidism and formation of tori in peritoneal dialysis patients. Similar results were found in a study by Chao et al 7 Our study showed overall tori prevalence of 33% and were seen more in females (53%). Our study did not evaluate parameters related to hyperparathyroidism.…”

Section: Ethnicitysupporting

confidence: 92%

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Prevalence of oral tori and exostosis in Malaysian population – A cross-sectional study

Singh

Ramachandra

Arora

et al. 2017

Journal of Oral Biology and Craniofacial Research

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Introduction: Oral tori and exostosis are non-pathological bony protuberances seen on the alveolar surfaces of the jaw bones. These are commonly seen on the palatal surfaces of the maxilla [torus palatinus (TP)] and around the premolars in the lingual surface of the mandible [torus mandibularis (TM)]. The aim of this cross-sectional study was to determine the prevalence of tori/exostosis in the Malaysian population. Methodology: A total of 2666 patients were examined for the presence of tori and exostosis in the maxilla and mandible and were categorized into TP, TM, and exostosis (facial/labial). Collected data was analysed for obtaining descriptive statistics. Results: 882 subjects were noticed with oral tori/exostosis among the population studied with a prevalence rate of 33%. TP was seen more in females (35%), compared to males (20%), and this difference was statistically significant (p value < 0.001). Highest prevalence of TP was seen in Malays (43%), followed by Chinese (31%) and Indians (21%), which was statistically significant (p value < 0.00). Discussion: High prevalence of tori and exostosis was seen in the population studied. Though harmless, in certain circumstances, their presence necessitates changes in the denture design during fabrication of prosthesis, which the dentist should be mindful.

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Section: Ethnicitysupporting

confidence: 92%

“…5 Studies have been conducted to evaluate the influence of hyperparathyroidism on the formation of oral tori. 6,7 Hsu et al…”

Section: Discussionmentioning

confidence: 99%

Prevalence of oral tori and exostosis in Malaysian population – A cross-sectional study

Singh

Ramachandra

Arora

et al. 2017

Journal of Oral Biology and Craniofacial Research

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“…6,[14][15][16] According to Chiang et al, 17 the prevalence of TP in the general population of Taiwan was 21.1%. Also in Taiwan, the prevalence of TP in hemodialysis patients was 23.5% as found by Chao et al 5 and 28.9% reported by Tai et al, 18 respectively, and 34.3% in peritoneal dialysis patients according to Hsu et al 19 These studies 5,18,19 also concluded that neither hyperparathyroidism nor inflammation-malnutrition syndrome contributes to the risk of developing tori in dialysis patients. Meanwhile, Sisman et al 13 found evidence for the association between the peritoneal dialysis duration and the TP size.…”

Section: Introductionmentioning

confidence: 84%

<p>Torus Palatinus in Taiwan Patients Receiving Peritoneal Dialysis and Hemodialysis: A Prospective Observational Study</p>

Chang

Hsu

Tai

et al. 2020

JMDH

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Purpose: A consensus about the pathogenesis of torus palatinus (TP) in patients receiving dialysis still eludes the scientific community. This prospective observational study investigated the epidemiology of TP in peritoneal dialysis and hemodialysis patients and analyzed the influences of multiple pathogenic factors such as mineral and bone disorders, genetic, environmental or nutritional triggers, progression of age, heredity, climatologic or biomechanical causes, and hyperparathyroidism on the formation of TP. Methods: Between 2013 and 2016, a total of 575 chronic dialysis patients (441 on hemodialysis and 134 on peritoneal dialysis) were recruited from Chang Gung Memorial Hospital, Taiwan. Patients were stratified into two groups based on the presence (n = 179) or absence (n = 396) of TP. Demographic, oral examination, laboratory, and dialysis data were collected for analysis. Student's t-test was used to analyze the quantitative variables and Chisquare or Fisher's exact test for categorical variables. Univariate binary logistic regression analysis was conducted to determine the predictors for TP and multivariate binary logistic regression analysis to identify significant associated factors. Results: The prevalence of TP in dialysis patients in this study was 31.1% (28.3% for hemodialysis and 40.3% for peritoneal dialysis). Patients with TP were younger (54.6 ± 13.4 versus 58.9 ± 14.7 years, P = 0.001) and mostly female (60.3 versus 41.2%, P < 0.001). Most TP cases (55.3%) were small in size (<2 cm), with the flat shape (56.4%) being the most common followed by the spindle (17.9%), nodular (17.3%), and lobular (8.4%) shapes. A longer duration of dialysis was associated with TP ≥2 cm than with TP <2 cm (94.4 ± 85.9 versus 72.8 ± 59.1 months, P = 0.048). Multivariate logistic regression revealed that female gender (odds ratio 2.108, 95% confidence interval 1.455-3.055, P < 0.001) and younger age (odds ratio 0.982; 95% confidence interval 0.969-0.994, P = 0.005) were significant predictors for TP. Conclusion: The prevalence of TP in chronic dialysis patients is 31.1%, higher in patients receiving peritoneal dialysis (40.3%) than hemodialysis (28.3%). Female gender and younger age are significant predictors associated with TP.

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“…TM can also be used to indicate the risk of appearance of temporomandibular disorders [16]. A significant relationship be-tween the duration of renal dialy-sis and the size of TP has been re-ported [17]. One published report revealed a relationship between autosomal dominant osteosclero-sis with TP and TM [18].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of oral tori among medical and dental Students at the University of the West Indies

Santosh

Jones

Venugopal

et al. 2016

d3000

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Objective: To determine the prevalence and gender variation of torus palatinus (TP) and torus mandibularis (TM) amongst medical and dental students at the Mona campus of the University of the West Indies. Subjects and Methods: The study observed 335 medical and dental students from the Mona campus of the University of the West Indies. Routine dental examinations were conducted to check the presence/absence of TP and TM by inspection and palpation. Results: The overall prevalence of TP and TM was 27.76%. The oral torus prevalence was as follows, torus palatinus was 44.08%, torus mandibularis was 36.55% and individuals with both torus palatinus and mandibularis was 19.35%. The study observed that the prevalence of TP and TM in females was 16.11% (54/335), and males 11.64% (39/335). It was also found that bilateral torus mandibularis (40.38%) was more prevalent than unilateral right torus mandibularis (36.53%) and unilateral left torus mandibularis (23.07%). Conclusions: The prevalence of TP and TM are comparatively higher than neighboring Caribbean nations and West African countries. Our observations also highlighted that TP is highly prevalent among various types of oral tori. The study also recorded higher prevalence of oral tori among females. Due to higher prevalence of oral tori among the study group, Jamaican dentists need be knowledgeable about the high prevalence and clinical significance of TP and TM for dental treatment.

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Oral Tori in Chronic Hemodialysis Patients

Cited by 19 publications

References 29 publications

Prevalence of oral tori and exostosis in Malaysian population – A cross-sectional study

Prevalence of oral tori and exostosis in Malaysian population – A cross-sectional study

<p>Torus Palatinus in Taiwan Patients Receiving Peritoneal Dialysis and Hemodialysis: A Prospective Observational Study</p>

Prevalence of oral tori among medical and dental Students at the University of the West Indies

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