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Oral Radiology

, Volume 7, Issue 2, pp 13–19 | Cite as

Maxillo-mandibular radiographic evaluation of renal osteodystrophy

  • Eun Kyung Kim
  • Tae Won Park
Original Articles
  • 57 Downloads

Abstract

For the assessment of changes in the bone architecture of the maxilla and mandible in renal osteodystrophy, 31 chronic renal failure patients who were undergoing hemodialysis therapy were selected. Thy were evaluated through clinical oral examination, radiographic and biochemical examination.

The results were as follows:
  1. 1.

    Dental radiographic evidence of bone disease was found in 17 patients (54.8%).

     
  2. 2.

    The most common abnormality was decreased bone density. It was found in 14 patients, 45.2%.

     
  3. 3.

    The second most common abnormality was total or partial loss of lamina dura. It was found in 11 patients, 35.5%.

     
  4. 4.

    The third most common abnormality was total or partial loss of mandibular canal wall. It was found in 8 patients, 25.8%.

     
  5. 5.

    12 patients showed evidence of bone disease both in hands and jawbones, 5 patients only in the jawbones, and 5 patients only in the hands.

     

Key words

Renal osteodystrophy Jawbone Hyperparathyroidism 

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References

  1. 1).
    Isselbacher, K.J., Adams, R.O., Braunwald, E., Petersdord, R.G. and Wilson, J.D.:Harrison's principles of internal medicine, 9th Ed. pp.1283–1307, 1284–1843, 1980, McGraw-Hill Book Co., New YorkGoogle Scholar
  2. 2).
    Wood, N.K., and Goaz, P.W.:Differential diagnosis of oral lesions. 2nd Ed. pp.467–472, 1980, The C.V. Mosby Co., Saint LouisGoogle Scholar
  3. 3).
    Wilner, D.:Radiology of bone tumors and allied disorders, Vol. II. pp.1231–1326, 1982. The W.B. Saunders Co., PhiladelphiaGoogle Scholar
  4. 4).
    Spolink, K.J.:Radiographic manifestations of renal osteodystrophy in the jaw of patients with end-stage renal disease, Master's thesis. 1978, Indiana Univ., School of DentistryGoogle Scholar
  5. 5).
    Houston, J.B., Dolan, K., Appleby, R.C., Decounter, L. and Callaghan, N.R.: Radiography of secondary hyperparathyroidism.Oral Surg. 26: 746–750, 1968CrossRefPubMedGoogle Scholar
  6. 6).
    Edeiken, J. and Hodes, P.J.:Roentgen diagnosis of diseases of bone (4) pp.6202, 1967, William andWilkins Co., Baltimore Google Scholar
  7. 7).
    Kelly, W.H., Mirahadi, M.K., Simon, J.H.S., andGorman, J.T.:Radiographic changes of the jawbones in end-stage renal disease.Oral Surg. 50: 327–381, 1980CrossRefGoogle Scholar
  8. 8).
    Sato, T., Kawano, K., Suenaga, S. and Noikura, T.: Oral radiographic observation on renal osteodystrophy.Dent. Radiol. 21: 193–201, 1981 (in Japanese)Google Scholar
  9. 9).
    Sellers, A., Winfeld, A.C. and Massry, S.G.: Mesorption of condylar process of mandible. An unusual manifestation of renal osteodystrophy.Arch. Intern. Med. 131: 727, 1973CrossRefPubMedGoogle Scholar
  10. 10).
    Idelson, B.A., Rudikoff, J. and Smith, G.W.: Renal osteodystrophy. Unusual roentgenogaphic manifestation.JAMA 230: 870–872, 1974CrossRefPubMedGoogle Scholar
  11. 11).
    Nathan, A.A., Traiger, J. and Berman, S.A.: Secondary hyperparathyroidism as a cause of generalized enlargement of the maxilla and mandible.Oral Surg. 21: 724–731, 1966CrossRefPubMedGoogle Scholar
  12. 12).
    Jenson, P.S. and Kliger, A.S.: Early radiographic manifestations of secondary hyperparathyroidism associated with chronic renal disease.Radiology 125: 645–652, 1977Google Scholar
  13. 13).
    Ritz, E., Prager, P., Krempien, B., Bommer, J., Malluche, H.H. and Schmidt-Gayk, H.: Skeletal xray findings and bone histology in patients on hemodialysis.Kidney Int. 13: 316–323, 1978PubMedGoogle Scholar
  14. 14).
    Innocenti, M., Bonucchi, D., Zaltron, D., Fasciolo, F. and Russa, A.L.: Maxillomandibular versus hands roentgenographs in the evaluation of renal osteodystrophy.Nephrons. 46: 208–209, 1987Google Scholar
  15. 15).
    Maxwell, D.R., Spolink, K.J., Cockerill, E.M., Patterson, S.S. and Kleit, S.A.: Roentgenographic manifestations of maxillomandibular renal osteodystrophy.Nephrons 41: 223–229, 1985Google Scholar

Copyright information

© The Japanese Society of Dental Radiology 1991

Authors and Affiliations

  • Eun Kyung Kim
    • 1
  • Tae Won Park
    • 2
  1. 1.Department of Oral Radiology, College of DentistryDankook UniversityChunanKorea
  2. 2.Department of Oral Radiology, College of DentistrySeoul National UniversitySeoulKorea

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