Oral Tori in Chronic Peritoneal Dialysis Patients
Identifieur interne : 006783 ( Ncbi/Checkpoint ); précédent : 006782; suivant : 006784Oral Tori in Chronic Peritoneal Dialysis Patients
Auteurs : Chia-Lin Hsu [Taïwan] ; Ching-Wei Hsu [Taïwan] ; Pei-Ching Chang [Taïwan] ; Wen-Hung Huang [Taïwan] ; Cheng-Hao Weng [Taïwan] ; Huang-Yu Yang [Taïwan] ; Shou-Hsuan Liu [Taïwan] ; Kuan-Hsing Chen [Taïwan] ; Shu-Man Weng [Taïwan] ; Chih-Chun Chang [Taïwan] ; I-Kuan Wang [Taïwan] ; Aileen I. Tsai [Taïwan] ; Tzung-Hai Yen [Taïwan]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
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 <2 cm (59.3%), flat (53.7%), and located in the premolar region (40.7%). Of the 11 TM cases, all were bilateral and symmetric, mostly <2 cm (81.9%), lobular (45.4%), and located at premolar region (63.6%). Interestingly, patients with oral tori had slightly lower serum levels of intact parathyroid hormones than those without oral tori, but the difference was not statistically significant (317.3±292.0 versus 430.1±492.6 pg/mL, P = 0.126). In addition, patients with oral tori did not differ from patients without tori in inflammatory variables such as serum high sensitivity C-reactive protein levels (6.6±8.2 versus 10.3±20.2 mg/L, P = 0.147) or nutritional variables such as serum albumin levels (3.79±0.38 versus 3.77±0.45 g/dL, P = 0.790). Furthermore, there were no differences between patients with and without oral tori in dialysis adequacy (weekly Kt/Vurea, 2.14±0.39 versus 2.11±0.33, P = 0.533; weekly creatinine clearance rate, 59.31±17.58 versus 58.57±13.20 L/1.73 m2, P = 0.781), or peritoneal membrane transporter characteristics (P = 0.098).
Secondary hyperparathyroidism does not contribute to the formation of tori in peritoneal dialysis patients. Further studies are warranted.
Url:
DOI: 10.1371/journal.pone.0156988
PubMed: 27275607
PubMed Central: 4898723
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral Tori in Chronic Peritoneal Dialysis Patients</title>
<author><name sortKey="Hsu, Chia Lin" sort="Hsu, Chia Lin" uniqKey="Hsu C" first="Chia-Lin" last="Hsu">Chia-Lin Hsu</name>
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<author><name sortKey="Hsu, Ching Wei" sort="Hsu, Ching Wei" uniqKey="Hsu C" first="Ching-Wei" last="Hsu">Ching-Wei Hsu</name>
<affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Department of Nephrology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Linkou, Taiwan</addr-line>
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<country xml:lang="fr">Taïwan</country>
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<author><name sortKey="Chang, Pei Ching" sort="Chang, Pei Ching" uniqKey="Chang P" first="Pei-Ching" last="Chang">Pei-Ching Chang</name>
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<author><name sortKey="Huang, Wen Hung" sort="Huang, Wen Hung" uniqKey="Huang W" first="Wen-Hung" last="Huang">Wen-Hung Huang</name>
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<wicri:regionArea>Department of Nephrology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Linkou</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Kidney Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan</addr-line>
</nlm:aff>
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<author><name sortKey="Weng, Cheng Hao" sort="Weng, Cheng Hao" uniqKey="Weng C" first="Cheng-Hao" last="Weng">Cheng-Hao Weng</name>
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<author><name sortKey="Yang, Huang Yu" sort="Yang, Huang Yu" uniqKey="Yang H" first="Huang-Yu" last="Yang">Huang-Yu Yang</name>
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<author><name sortKey="Liu, Shou Hsuan" sort="Liu, Shou Hsuan" uniqKey="Liu S" first="Shou-Hsuan" last="Liu">Shou-Hsuan Liu</name>
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<author><name sortKey="Chen, Kuan Hsing" sort="Chen, Kuan Hsing" uniqKey="Chen K" first="Kuan-Hsing" last="Chen">Kuan-Hsing Chen</name>
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<author><name sortKey="Weng, Shu Man" sort="Weng, Shu Man" uniqKey="Weng S" first="Shu-Man" last="Weng">Shu-Man Weng</name>
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<author><name sortKey="Chang, Chih Chun" sort="Chang, Chih Chun" uniqKey="Chang C" first="Chih-Chun" last="Chang">Chih-Chun Chang</name>
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<author><name sortKey="Wang, I Kuan" sort="Wang, I Kuan" uniqKey="Wang I" first="I-Kuan" last="Wang">I-Kuan Wang</name>
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</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Department of Nephrology, China Medical University Hospital and College of Medicine, China Medical University, Taichung</wicri:regionArea>
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<author><name sortKey="Tsai, Aileen I" sort="Tsai, Aileen I" uniqKey="Tsai A" first="Aileen I." last="Tsai">Aileen I. Tsai</name>
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</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Department of Pediatric Dentistry, Chang Gung Memorial Hospital, Linkou</wicri:regionArea>
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<author><name sortKey="Yen, Tzung Hai" sort="Yen, Tzung Hai" uniqKey="Yen T" first="Tzung-Hai" last="Yen">Tzung-Hai Yen</name>
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</nlm:aff>
<country xml:lang="fr">Taïwan</country>
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</nlm:aff>
<country xml:lang="fr">Taïwan</country>
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<wicri:noRegion>Linkou</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff006"><addr-line>Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taiwan</addr-line>
</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou</wicri:regionArea>
<wicri:noRegion>Linkou</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title>
<p>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.</p>
</sec>
<sec id="sec002"><title>Method</title>
<p>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.</p>
</sec>
<sec id="sec003"><title>Results</title>
<p>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 <2 cm (59.3%), flat (53.7%), and located in the premolar region (40.7%). Of the 11 TM cases, all were bilateral and symmetric, mostly <2 cm (81.9%), lobular (45.4%), and located at premolar region (63.6%). Interestingly, patients with oral tori had slightly lower serum levels of intact parathyroid hormones than those without oral tori, but the difference was not statistically significant (317.3±292.0 versus 430.1±492.6 pg/mL, P = 0.126). In addition, patients with oral tori did not differ from patients without tori in inflammatory variables such as serum high sensitivity C-reactive protein levels (6.6±8.2 versus 10.3±20.2 mg/L, P = 0.147) or nutritional variables such as serum albumin levels (3.79±0.38 versus 3.77±0.45 g/dL, P = 0.790). Furthermore, there were no differences between patients with and without oral tori in dialysis adequacy (weekly Kt/V<sub>urea</sub>
, 2.14±0.39 versus 2.11±0.33, P = 0.533; weekly creatinine clearance rate, 59.31±17.58 versus 58.57±13.20 L/1.73 m<sup>2</sup>
, P = 0.781), or peritoneal membrane transporter characteristics (P = 0.098).</p>
</sec>
<sec id="sec004"><title>Conclusion</title>
<p>Secondary hyperparathyroidism does not contribute to the formation of tori in peritoneal dialysis patients. Further studies are warranted.</p>
</sec>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Taïwan</li>
</country>
</list>
<tree><country name="Taïwan"><noRegion><name sortKey="Hsu, Chia Lin" sort="Hsu, Chia Lin" uniqKey="Hsu C" first="Chia-Lin" last="Hsu">Chia-Lin Hsu</name>
</noRegion>
<name sortKey="Chang, Chih Chun" sort="Chang, Chih Chun" uniqKey="Chang C" first="Chih-Chun" last="Chang">Chih-Chun Chang</name>
<name sortKey="Chang, Pei Ching" sort="Chang, Pei Ching" uniqKey="Chang P" first="Pei-Ching" last="Chang">Pei-Ching Chang</name>
<name sortKey="Chen, Kuan Hsing" sort="Chen, Kuan Hsing" uniqKey="Chen K" first="Kuan-Hsing" last="Chen">Kuan-Hsing Chen</name>
<name sortKey="Chen, Kuan Hsing" sort="Chen, Kuan Hsing" uniqKey="Chen K" first="Kuan-Hsing" last="Chen">Kuan-Hsing Chen</name>
<name sortKey="Hsu, Ching Wei" sort="Hsu, Ching Wei" uniqKey="Hsu C" first="Ching-Wei" last="Hsu">Ching-Wei Hsu</name>
<name sortKey="Huang, Wen Hung" sort="Huang, Wen Hung" uniqKey="Huang W" first="Wen-Hung" last="Huang">Wen-Hung Huang</name>
<name sortKey="Huang, Wen Hung" sort="Huang, Wen Hung" uniqKey="Huang W" first="Wen-Hung" last="Huang">Wen-Hung Huang</name>
<name sortKey="Liu, Shou Hsuan" sort="Liu, Shou Hsuan" uniqKey="Liu S" first="Shou-Hsuan" last="Liu">Shou-Hsuan Liu</name>
<name sortKey="Liu, Shou Hsuan" sort="Liu, Shou Hsuan" uniqKey="Liu S" first="Shou-Hsuan" last="Liu">Shou-Hsuan Liu</name>
<name sortKey="Tsai, Aileen I" sort="Tsai, Aileen I" uniqKey="Tsai A" first="Aileen I." last="Tsai">Aileen I. Tsai</name>
<name sortKey="Wang, I Kuan" sort="Wang, I Kuan" uniqKey="Wang I" first="I-Kuan" last="Wang">I-Kuan Wang</name>
<name sortKey="Weng, Cheng Hao" sort="Weng, Cheng Hao" uniqKey="Weng C" first="Cheng-Hao" last="Weng">Cheng-Hao Weng</name>
<name sortKey="Weng, Cheng Hao" sort="Weng, Cheng Hao" uniqKey="Weng C" first="Cheng-Hao" last="Weng">Cheng-Hao Weng</name>
<name sortKey="Weng, Shu Man" sort="Weng, Shu Man" uniqKey="Weng S" first="Shu-Man" last="Weng">Shu-Man Weng</name>
<name sortKey="Yang, Huang Yu" sort="Yang, Huang Yu" uniqKey="Yang H" first="Huang-Yu" last="Yang">Huang-Yu Yang</name>
<name sortKey="Yang, Huang Yu" sort="Yang, Huang Yu" uniqKey="Yang H" first="Huang-Yu" last="Yang">Huang-Yu Yang</name>
<name sortKey="Yen, Tzung Hai" sort="Yen, Tzung Hai" uniqKey="Yen T" first="Tzung-Hai" last="Yen">Tzung-Hai Yen</name>
<name sortKey="Yen, Tzung Hai" sort="Yen, Tzung Hai" uniqKey="Yen T" first="Tzung-Hai" last="Yen">Tzung-Hai Yen</name>
<name sortKey="Yen, Tzung Hai" sort="Yen, Tzung Hai" uniqKey="Yen T" first="Tzung-Hai" last="Yen">Tzung-Hai Yen</name>
</country>
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</affiliations>
</record>
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