Oral Tori in Chronic Peritoneal Dialysis Patients

The pathogenesis of oral tori has long been debated and is thought to be the product of both genetic and environmental factors, including occlusal forces. Another proposed mechanism for oral tori is the combination of biomechanical forces, particularly in the oral cavity, combined with cortical bone...

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Bibliographic Details
Published in:PloS one 2016-06, Vol.11 (6), p.e0156988-e0156988
Main Authors: Hsu, Chia-Lin, Hsu, Ching-Wei, Chang, Pei-Ching, Huang, Wen-Hung, Weng, Cheng-Hao, Yang, Huang-Yu, Liu, Shou-Hsuan, Chen, Kuan-Hsing, Weng, Shu-Man, Chang, Chih-Chun, Wang, I-Kuan, Tsai, Aileen I, Yen, Tzung-Hai
Format: Article
Language:English
Subjects:
Adequacy
Adult
Biology and Life Sciences
Biomechanics
Bone diseases
Bone loss
C-reactive protein
Cancellous bone
Care and treatment
Complications and side effects
Cortical bone
Creatinine
Data processing
Demographics
Dentistry
Diagnosis
Dialysis
Environmental factors
Epidemiology
Exostoses - epidemiology
Exostoses - etiology
Exostoses - pathology
Female
Hematology
Hormones
Humans
Hyperparathyroidism
Inflammation
Influence
Kidney diseases
Male
Malnutrition
Mandible - abnormalities
Mandible - pathology
Medicine
Medicine and Health Sciences
Middle Aged
Mouth diseases
Mouth Diseases - epidemiology
Mouth Diseases - etiology
Mouth Diseases - pathology
Nephrology
Oral cavity
Palate, Hard - abnormalities
Palate, Hard - pathology
Parathyroid
Pathogenesis
Patient outcomes
Patients
Pediatrics
People and Places
Peritoneal dialysis
Peritoneal Dialysis - adverse effects
Peritoneum
Physical Sciences
Population
Prevalence
Proteins
Risk factors
Serum albumin
Serum levels
Statistical analysis
Subgroups
Toruses
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Summary:The pathogenesis of oral tori has long been debated and is thought to be the product of both genetic and environmental factors, including occlusal forces. Another proposed mechanism for oral tori is the combination of biomechanical forces, particularly in the oral cavity, combined with cortical bone loss and trabecular expansion, as one might see in the early stages of primary hyperparathyroidism. This study investigated the epidemiology of torus palatinus (TP) and torus mandibularis (TM) in peritoneal dialysis patients, and analyzed the influences of hyperparathyroidism on the formation of oral tori. In total, 134 peritoneal dialysis patients were recruited between July 1 and December 31, 2015 for dental examinations for this study. Patients were categorized into two subgroups based on the presence or absence of oral tori. Demographic, hematological, biochemical, and dialysis-related data were obtained for analysis. The prevalence of oral tori in our sample group was high at 42.5% (57 of 134), and most patients with oral tori were female (61.4%). The most common location of tori was TP (80.7%), followed by TP and TM (14.0%), then TM (5.3%). All 54 TP cases were at the midline, and most were
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0156988