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Oral manifestations and radiographic changes in the jaw-bones of patients with end-stage renal disease onmaintenance hemodialysis: a descriptive study / Estudo descritivo das manifestações bucais e alterações radiográficas em maxilares de pacientes com doençarenal terminal e sob hemodiálise
Vidyullatha, B. G; Ali, I. M; Shashikanth, M. C; Praveen, B. S.
  • Vidyullatha, B. G; Hitkarini Dental College and Hospital. Department of Oral Medicine and Radiology. Jabalpur. IN
  • Ali, I. M; College of Dental Sciences. Department of Oral Medicine and Radiology. Davangere. IN
  • Shashikanth, M. C; UP. Dental College and Research Centre. IN
  • Praveen, B. S; Hitkarini Dental College and Hospital Dumna Road. Department of Orthodontics. Jabalpur. IN
Arch. oral res. (Impr.) ; 7(2): 119-127, Mayo-Aug. 2011. ilus, tab
Article in English | LILACS, BBO | ID: lil-667660
ABSTRACT

Objectives:

The purpose of the present study was to assess the oral manifestations and radiographic changes in the jawbones of patients undergoing hemodialysis, diagnosed with end-stage renal disease (ESRD).

Methods:

Forty patients on maintenance hemodialysis were clinically examined for oral manifestations and evaluated for radiographic changes in the jaws with panoramic and intra-oral periapical radiographs. Results were expressed as Percentage.

Results:

Out of 40 patients, 37 patients (92.5%) showed at least one or more oral manifestations. The most common oral manifestations were mucosal pallor (70%), xerostomia (57.5%), petechiae and ecchymoses (37.5%), and less common were taste alterations (15%), uremic odor (7.5%), coated tongue (10%) and mucosal pain (2.5%). Radiographic changes seen were loss of lamina dura (22.2%), altered trabecular pattern (5.5%), multiple radiolucent lesions (5%), and pulp calcification (2.7%).

Conclusions:

Most of the patients presented with oral signs and symptoms. However it was observed that patients demonstrating radiographic changes were mostly those who were on dialysis for a relatively long duration.
RESUMO

Objetivos:

O objetivo do presente estudo foi avaliar as manifestações orais e alterações radiográficas nos maxilares de pacientes submetidos à hemodiálise e com diagnóstico de doença renal em estágio terminal (DRET).

Métodos:

40 pacientes em hemodiálise de manutenção foram examinados clinicamente e avaliados radiograficamente por meio de radiografias panorâmicas e periapicais em busca de manifestações orais nas mandíbulas.

Resultados:

Dos 40 pacientes, 37 pacientes (92,5%) apresentaram pelo menos uma ou mais manifestações orais. As manifestações orais mais comuns foram palidez da mucosa (70%), xerostomia (57,5%), petéquias e equimoses (37,5%); e menos comuns alterações do paladar (15%), odor urêmico (7,5%), língua saburrosa (10%) e mucosa dolorida (2,5%). As alterações radiográficas observadas foram a perda da lâmina dura (22,2%), padrão trabecular alterado (5,5%), lesões radiolúcidas múltiplas (5%) e calcificação pulpar (2,7%).

Conclusões:

A maioria dos pacientes apresentava sinais e sintomas orais. Entretanto, foi observado que os pacientes demonstrando alterações radiográficas foram principalmente aqueles que estavam em diálise por um período relativamente longo.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Renal Dialysis / Kidney Failure, Chronic / Maxilla / Mouth Diseases Limits: Adult / Aged / Aged80 Language: English Journal: Arch. oral res. (Impr.) Journal subject: Dentistry Year: 2011 Type: Article Affiliation country: India Institution/Affiliation country: College of Dental Sciences/IN / Hitkarini Dental College and Hospital Dumna Road/IN / Hitkarini Dental College and Hospital/IN / UP/IN

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Full text: Available Index: LILACS (Americas) Main subject: Renal Dialysis / Kidney Failure, Chronic / Maxilla / Mouth Diseases Limits: Adult / Aged / Aged80 Language: English Journal: Arch. oral res. (Impr.) Journal subject: Dentistry Year: 2011 Type: Article Affiliation country: India Institution/Affiliation country: College of Dental Sciences/IN / Hitkarini Dental College and Hospital Dumna Road/IN / Hitkarini Dental College and Hospital/IN / UP/IN