Sawair Faleh A, Shayyab Mohammad H, Al-Rababah Mohammad A, Saku Takashi
Department of Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Periodontology, Faculty of Dentistry, University of Jordan, Amman, Jordan.
Saudi Med J. 2009 Dec;30(12):1557-62.
To determine the prevalence and clinical characteristics of oral bony outgrowths (OBOs); torus palatinus (TP), torus mandibularis (TM), and exostoses in Jordanian dental patients.
This cross-sectional study was conducted between November 1 and December 31, 2008 at the University of Jordan Hospital, Amman, Jordan. Clinical examinations of 618 patients (354 men and 264 women), 10-82 years of age, were conducted to determine the presence of OBOs.
There were 239 subjects (38.7%) who had OBOs. Nearly one-third (34.6%) had TP, TM, or both. The prevalence rates were 25.7% for TM, 15.4% for TP, and 14.4% for exostoses. The OBOs were mostly noted in patients in their fifth decade of life, with attrition, clenching, or bruxism. Women had more TP, but gender differences were not statistically significant in cases of TM and exostoses. Most TP were large in size (71.6%), spindle (41.1%), or flat (40%) in shape, and located at the premolar-molar region (45.3%). The TM were mostly medium to large in size (84.9%), bilateral (81.1%), composed of single node (69.2%), and located at the premolar region (65.4%). Of the studied subjects, 7.1% had mandibular buccal exostosis, 10% had maxillary buccal, and 2.4% had palatal exostoses. Statistically significant associations were noticed between the concurrent existence of OBOs.
A relatively high prevalence of OBOs was noted, and this should be taken into consideration when planning periodontal surgery and prosthodontic treatment.
确定约旦牙科患者口腔骨隆突(OBOs)、腭隆突(TP)、下颌隆突(TM)和外生骨疣的患病率及临床特征。
本横断面研究于2008年11月1日至12月31日在约旦安曼的约旦大学医院进行。对618名年龄在10 - 82岁的患者(354名男性和264名女性)进行临床检查,以确定是否存在OBOs。
有239名受试者(38.7%)患有OBOs。近三分之一(34.6%)患有TP、TM或两者皆有。患病率分别为TM 25.7%、TP 15.4%、外生骨疣14.4%。OBOs多见于50岁左右的患者,伴有磨耗、紧咬牙或磨牙症。女性TP较多,但TM和外生骨疣在性别上的差异无统计学意义。大多数TP体积较大(71.6%),形状为纺锤形(41.1%)或扁平形(40%),位于前磨牙 - 磨牙区(45.3%)。TM大多为中至大体积(84.9%),双侧(81.1%),由单个结节组成(69.2%),位于前磨牙区(65.4%)。在研究对象中,7.1%有下颌颊侧外生骨疣,10%有上颌颊侧外生骨疣,2.4%有腭侧外生骨疣。OBOs的并存之间存在统计学上的显著关联。
注意到OBOs的患病率相对较高,在计划牙周手术和修复治疗时应予以考虑。