Department of Pediatric Dentistry, Chang Gung Memorial Hospital, Taoyuan Branch, Taoyuan 333, Taiwan.
Department of Pediatric Dentistry, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333, Taiwan.
Int J Environ Res Public Health. 2021 Sep 7;18(18):9451. doi: 10.3390/ijerph18189451.
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, = 0.029) and younger age (odds ratio = 0.954, = 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.
关于透析患者下颌隆凸的患病率的报告有限且尚无定论。甲状旁腺功能亢进症患者有多种口腔表现。此外，文献中还描述了与尿毒症相关的面部骨结构变化。本前瞻性观察研究共纳入 2016 年 8 月 1 日至 12 月 31 日在长庚纪念医院接受治疗的 322 名血液透析患者。将患者分为两组：有下颌隆凸（n = 25）和无下颌隆凸（n = 297）。进行了临床口腔检查，包括视诊和触诊。我们的研究发现，大多数下颌隆凸为双侧对称（84.0%）、结节状（96.0%）、小于 2cm（96.0%）、位于前磨牙区（92.0%）。这些患者口腔卫生较差，Quigley-Hein 菌斑指数分别有 49.7%和 24.5%的患者得分 3 和 4。超过一半（55.0%）的患者失去了第一磨牙。多变量逻辑回归分析显示，血磷水平（比值比=1.494，P=0.029）和年龄较小（比值比=0.954，P=0.009）与下颌隆凸显著相关。本研究中接受血液透析的患者下颌隆凸的患病率为 7.8%。年龄较小和血磷水平较高是这些患者下颌隆凸的预测因素。
