Severe maxillofacial renal osteodystrophy in two patients with chronic kidney disease

Lopes, Maria Luiza Diniz de Sousa; Albuquerque, Assis Filipe Medeiros; Germano, Adriano Rocha; Queiroz, Lélia Maria Guedes; Miguel, Márcia Cristina da Costa; Silveira, Éricka Janine Dantas da

doi:10.1007/s10006-015-0490-9

Cited by 11 publications

(4 citation statements)

References 22 publications

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“…Radiographic changes in RO are similar to the changes observed in fibrous dysplasia or Paget's disease. This pathophysiology is consistent with ground-glass bone appearance, hypercementosis and bone resorption with loss of the lamina dura [25]. The latter is a common dental radiographic feature for all high-turnover metabolic bone diseases.…”

Section: Dental Manifestationssupporting

confidence: 75%

Dental Manifestations of Pediatric Bone Disorders

Yepes

2017

Curr Osteoporos Rep

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Section: Dental Manifestationssupporting

confidence: 75%

Dental Manifestations of Pediatric Bone Disorders

Yepes

2017

Curr Osteoporos Rep

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“…Bakathir et al [15] described the progressive enlargement of facial bones of a 21-year-old female uremic patient whose facial enlargement involved the maxilla and caused facial and dental deformities. Lopes et al [16] presented two female uremic patients with facial disfigurement affecting the maxilla and the mandible. Raubenheimer et al [17] also reported two female uremic cases with extensive jaw lesions due to secondary hyperparathyroidism.…”

Section: Discussionmentioning

confidence: 99%

Survey of Torus Palatinus in Patients with End-Stage Renal Disease Undergoing Hemodialysis

Tai

Hsu

Tsai

et al. 2018

BioMed Research International

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Introduction This study attempted to survey the oral findings of hemodialysis patients and analyze the prevalence and predictors for torus palatinus (TP) in this patient population. Methods A total of 322 hemodialysis patients were recruited. Patients were organized into two groups, based on the presence (n=93) or absence (n=229) of TP. Demographic, laboratory, and dialysis-related data were obtained for analysis. Results The prevalence of TP was 28.9% in this study. Patients with TP were younger in age [57.8±10.0 (37.4-86.9) versus 62.4±12.3 (25.0-87.8) years old; P=0.001] and predominantly female (60.2% versus 38.0%; P<0.001), compared to patients without TP. All TPs (100.0%) were symmetrical and located along the midpalatal suture. Most TPs were flat-shaped (55.9%) and near premolars (78.5%). The blood tests revealed higher blood concentrations of phosphate (5.4±1.1 versus 4.9±1.1 mg/dL; P=0.001) and lower blood concentrations of bicarbonate (20.9±2.4 versus 22.0±2.3 mmol/L; P<0.001) in patients with TP. Multivariate regression modeling showed that younger age [odds ratio (OR) 0.968; 95% confidence interval (CI) 0.939–0.982; P<0.001], female gender (OR 2.305; 95% CI 1.374–3.867; P=0.002), higher blood concentration of phosphate (OR 1.411; 95% CI 1.110–1.794; P=0.005), and lower blood concentration of bicarbonate (OR 0.868; 95% CI 0.791–0.994; P=0.040) were significant predictors for TP. Conclusion The prevalence of TP is 28.9%, and the majority of patients suffering TP are female. Younger age, female gender, elevated blood concentration of phosphate, and lower blood concentration of bicarbonate are predictors for TP.

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“…Rai et al [ 14 ] also found a higher circulating level of parathyroid hormone in patients with primary hyperparathyroidism in additional to frequent occurrences of loss of lamina dura, ground-glass finding, and a lessening in the mandibular cortical width in these patients. Furthermore, uremia-related changes in facial bone structures have been stated in literature [ 15 , 16 , 17 ]. For example, Bakathir et al [ 15 ] described the progressive enlargement of facial bones of a 21-year-old female patient with uremia whose facial enlargement involved the maxilla and caused facial and dental deformities.…”

Section: Introductionmentioning

confidence: 99%

“…For example, Bakathir et al [ 15 ] described the progressive enlargement of facial bones of a 21-year-old female patient with uremia whose facial enlargement involved the maxilla and caused facial and dental deformities. Lopes et al [ 16 ] reported two uremic females with facial disfigurement affecting the maxilla and the mandible. Raubenheimer et al [ 17 ] also documented two female uremic cases with extensive jaw lesions due to secondary hyperparathyrodism.…”

Section: Introductionmentioning

confidence: 99%

Torus Mandibularis in Patients Receiving Hemodialysis

Chang

Tai

Hsu

et al. 2021

IJERPH

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Reports on the prevalence of torus mandibularis among dialysis patients have been limited and inconclusive. A wide variety of oral manifestations has been found in patients with hyperparathyroidism. Furthermore, uremia-related changes in facial bone structures have been described in the literature. This prospective observational study examined 322 hemodialysis patients treated at the Chang Gung Memorial Hospital from 1 August to 31 December 2016. Two subgroups were identified: patients with torus mandibularis (n = 25) and those without (n = 297). Clinical oral examinations including inspection and palpation were employed. Our study found that most mandibular tori were symmetric (84.0%), nodular (96.0%), less than 2 cm in size (96.0%), and located in the premolar area (92.0%). Poor oral hygiene was observed among these patients, with 49.7% and 24.5% scoring 3 and 4, respectively, on the Quigley–Hein plaque index. More than half (55.0%) of patients lost their first molars. Multivariate logistic regression analysis revealed that blood phosphate level (odds ratio = 1.494, p = 0.029) and younger age (odds ratio = 0.954, p = 0.009) correlated significantly with torus mandibularis. The prevalence of torus mandibularis in patients receiving hemodialysis in this study was 7.8%. Younger age and a higher blood phosphate level were predictors for torus mandibularis in these patients.

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Severe maxillofacial renal osteodystrophy in two patients with chronic kidney disease

Cited by 11 publications

References 22 publications

Dental Manifestations of Pediatric Bone Disorders

Dental Manifestations of Pediatric Bone Disorders

Survey of Torus Palatinus in Patients with End-Stage Renal Disease Undergoing Hemodialysis

Torus Mandibularis in Patients Receiving Hemodialysis

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