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Background: Calcium metabolism disorders can be acute or chronic and chronic disorders can
cause different disease states such as dental problems.
Methods: In
this descriptive cross-sectional study done in Children's Medical Center affiliated
to Tehran University of Medical Sciences during 2005-2009,
all (93)
patients with hypoparathyroidism, nutritional rickets, hypophosphatemic rickets
and renal osteodysthrophy from the endocrinology and nephrology departments of
the Center were referred to a dentist there for orodental examination.
Subsequently, the frequency of dental problems including taurodontism, enamel
hypoplasia, dental abscess, dental caries and gingivitis were recorded and
analyzed.
Results: Nutritional rickets was the most common disorder in this study and delay in
dentition was the most frequent dental problem in the patients (61.9%).
Most cases of taurdontism and enamel hypoplasia were seen in patients with
hypoparathyroidism (33% and 50%,
respectively). Dental abscess, dental caries and gingivitis were more common in
patients with renal osteodysthrophia (50%, 90% and
20%, respectively). In addition, dental caries and
delay in dentition were the most prevalent disorders in this study (69.8%
and 49.5%, respectively).
Conclusion: According
to the above findings, it seems that effective screening, regular periodic
examinations, proper diagnosis and timely treatment of dental diseases are the main
principles of prevention of orodental problems. Moreover, dentists as well as pediatricians
should be aware of the features of the aforesaid disorders which lead to dental
problems so that early intervention could prevent subsequent serious and more
invasive dental problems.