Kelly W H, Mirahmadi M K, Simon J H, Gorman J T
Oral Surg Oral Med Oral Pathol. 1980 Oct;50(4):372-81. doi: 10.1016/0030-4220(80)90423-5.
Thirty-eight patients with a history of end stage renal disease (ESRD) were evaluated with panoramic and periapical radiographs for changes in lamina dura, trabecular pattern, radiographic density, and pulp chamber size, as well as the presence of radiolucent lesions not associated with the roots of teeth. Partial or complete loss of lamina dura, delicate of absent trabecular patterns, and an overall granular or chalky white appearance associated with an increase in radiographic density were the most common alterations. These tended to occur together and were most easily observed in the lower molar area superior to the mandibular canal. Radiolucent lesions not associated with the roots of teeth, expansion of alveolar ridges, and radiographic loss of the cortical borders of the maxillary sinus, nasal floor, and mandibular canal were less common but were occasionally noted. Multiple correlation coefficients between radiographic changes and selected biomedical patient data were obtained by computer analysis, and their significance discussed. The pathogenesis of end stage renal disease was also reviewed.
对38例终末期肾病（ESRD）患者进行了全景片和根尖片检查，以评估其硬骨板、骨小梁形态、放射密度、髓腔大小的变化，以及与牙根无关的透射性病变的存在情况。硬骨板部分或完全丧失、骨小梁形态纤细或缺失，以及与放射密度增加相关的整体颗粒状或白垩色外观是最常见的改变。这些改变往往同时出现，在下颌管上方的下颌磨牙区最易观察到。与牙根无关的透射性病变、牙槽嵴扩张以及上颌窦、鼻底和下颌管皮质边界的放射影像丧失则较少见，但偶尔也会被注意到。通过计算机分析获得了放射学改变与选定的生物医学患者数据之间的多重相关系数，并对其意义进行了讨论。同时还回顾了终末期肾病的发病机制。
