Diseases Bone Changes and changes in the Stomatognathic System Associated with Metabolic Endocrine Diseases

Authors

  • Gardênia Matos Paraguassú Universidade Federal da Bahia. Faculdade de Odontologia
  • Poliana Andrade Pimentel Universidade Federal da Bahia. Faculdade de Odontologia
  • Mércia Sacramento dos Santos Universidade Federal da Bahia. Faculdade de Odontologia
  • Leonardo Morais Godoy Figueiredo Universidade Federal da Bahia. Faculdade de Odontologia
  • Luciana Maria Pedreira Ramalho Universidade Federal da Bahia. Faculdade de Odontologia
  • Viviane Almeida Sarmento Universidade Federal da Bahia. Faculdade de Odontologia

Abstract

Introduction: the prevalence of endocrine-metabolic diseases has increased in recent years due to improvement of the life expectancy of the population. Diabetes mellitus, hypothyroidism, hyperthyroidism, hypoparathyroidism and hyperparathyroidism may present alterations in the stomatognathic system; however, some studies found in literature are still limited in this area.
Objective: to address the characteristics and pathophysiological process of these diseases, especially bone changes and in the stomatognathic system.
Methods: data were collected through the selection of articles about bone alterations of the stomatognathic system associated with hypothyroidism, hyperthyroidism, hypoparathyroidism, hyperparathyroidism, and diabetes, published in databases, BIREME, MEDLINE and SciELO.
Results: seventy three articles published between 1995 y 2012 were revised, and 40 were selected on the basis of their association with the topic of interest. It has shown that changes in serum levels of thyroid and parathyroid hormones, and diabetes mellitus have an impact on bone metabolism. Delays in tooth eruption and exfoliation, bone growth and development are observed in hypothyroidism, whereas decreased bone mineral density, jawbones osteoporosis, accelerated exfoliation of deciduous teeth and premature eruption of permanent teeth were observed in
hyperthyroidism. In hypoparathyroidism, there were osteosclerosis, hypoplastic teeth, and reduced bone remodeling. Intense osteoclastic activity, brown tumors and the absence of lamina dura in hyperparathyroidism may be observed. Diabetes mellitus can cause osteoporosis, periodontal disease and enamel hypoplasia. Although they are known, the magnitude and causes of these changes in the stomatognathic system are still unclear.
Conclusions: it is essential that dentist can recognize the local or systemic manifestations associated with these endocrine and metabolic disorders and help to early diagnosis and treatment.

Keywords: metabolic Endocrine Diseases; Bone Changes; Stomatognathic System.

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Author Biographies

Gardênia Matos Paraguassú, Universidade Federal da Bahia. Faculdade de Odontologia

Doutoranda em Diagnóstico Bucal pela  Faculdade de odontologia da Universidade Federal da Bahia , Salvador, Bahia, Brasil

Poliana Andrade Pimentel, Universidade Federal da Bahia. Faculdade de Odontologia

Mestre em Clínica Odontológica pela Faculdade de odontologia da Universidade Federal da Bahia , Salvador, Bahia, Brasil

Mércia Sacramento dos Santos, Universidade Federal da Bahia. Faculdade de Odontologia

Mestranda em Diagnóstico Bucal pela  Faculdade de odontologia da Universidade Federal da Bahia , Salvador, Bahia, Brasil

Leonardo Morais Godoy Figueiredo, Universidade Federal da Bahia. Faculdade de Odontologia

Residente em Cirurgia e Traumatologia Buco-Maxilo-Facial Hospital Santo Antonio/ Obras Sociais Irmã Dulce e Universidade Federal da Bahia. Mestrao pelo ICS/UFBA

Luciana Maria Pedreira Ramalho, Universidade Federal da Bahia. Faculdade de Odontologia

Professor Associado de Estomatologia da Faculdade de Odontologia da Universidade Federal da Bahia, Salvador, Bahia, Brasil

Viviane Almeida Sarmento, Universidade Federal da Bahia. Faculdade de Odontologia

Professor Associado de Estomatologia da Faculdade de Odontologia da Universidade Federal da Bahia, Salvador, Bahia, Brasil

Published

2014-02-11

How to Cite

1.
Paraguassú GM, Pimentel PA, dos Santos MS, Godoy Figueiredo LM, Ramalho LMP, Sarmento VA. Diseases Bone Changes and changes in the Stomatognathic System Associated with Metabolic Endocrine Diseases. Rev Cubana Estomatol [Internet]. 2014 Feb. 11 [cited 2025 Dec. 8];50(4):47-54. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/22

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Section

Review Article