The effect of secondary hyperparathyroidism and hemodialysis therapy on alveolar bone and periodontium

Abstract

From this study it can be concluded that secondary HPT does not have an appreciable effect on periodontal indices and radiographic bone height.

Hepatocyte Growth Factor in Saliva of Patients with Renal Failure and Periodontal Disease

“…[12][13][14][15][16][17][18][19][20][21][22] They were conducted in small groups of patients, mainly chronic hemodialysis (HD) patients, and gave ambiguous results. However, a number of significant disorders (Table 1) indicating a worse condition of teeth and more advanced PD in HD patients compared to general population were found.…”

The assessment of prosthetic needs of ESRD patients and the general population in Poland on the basis of the Eichner classification and teeth number: A brief, preliminary report

“…The clinical findings are more severe in the group of ESRD patients than in patients with less advanced stadium of chronic kidney disease (CKD), and with time become more noticeable during dialysis. [4][5][6] As the quality of life strongly depends on oral health, the dental aspects of ESRD patients should be discussed. According to authors' knowledge, the assessment of the prosthetic needs of ESRD patients and the general population in Poland, based on the Eichner classification, has not been published yet.…”

Systemic conditions, oral findings and dental management of chronic renal failure patients: general considerations and case report

“…Both primary and secondary hyperparathyroidism have been shown to cause loss of lamina dura. Nevertheless, although considered as a pathognomonic sign for hyperparathyroidism in the past, it is now recognized as non-specific (9). Decrease or loss of cortical bone is observed at the mandibular angle and around the maxillary sinuses, mental foramen and mandibular canal (13).…”

“…These alterations can occur concomitantly and lead to bone resorption and osteitis fibrosa (2,5,7). They might present either as generalized demineralization or as frank intrabony lesions (in more advanced stages), sometimes containing focal tumors that are histologically similar to giant cell tumors of the bone (9). If renal disease develops during the growth phase, the patient might have delayed growth or rickets (renal osteodystrophy), delayed tooth eruption and sexual maturity (10).…”