A carregar...
Publicação
Hiperparatiroidismo em medicina dentária
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 6.69 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Em Medicina Dentária, a saúde oral e sistémica estão intimamente relacionadas, sendo necessário um equilíbrio entre ambas para alcançar a homeostasia. As glândulas paratiroideias são descritas como um órgão essencial, contudo, caso haja um excesso de estimulação da mesma, ou seja, um aumento da libertação da hormona paratiroideia (PTH), o funcionamento harmonioso do organismo vai ser comprometido.
O Hiperparatiroidismo é um distúrbio das glândulas paratiroideias que gera uma desregulação da hormona paratiroideia (PTH). Esta perturbação leva a um aumento da concentração de PTH no sangue, que se traduz no organismo sobre a forma de diversos sintomas, nomeadamente, hipercalcemia, fraqueza, dor e edema nos ossos, poliúria, dor abdominal, obstipação, náuseas, vómitos, depressão e delírio. A sua etiologia é
diversificada, subdividindo este em três tipos: Primário, Secundário e Terciário.
A nível de anomalias na cavidade oral, podemos encontrar associadas a esta patologia: obliteração da câmara pulpar, alterações na erupção, perda de dentes, má oclusão, perda parcial da lâmina dura, sensibilidade à percussão e mastigação, mobilidade. Além disso, podemos encontrar manifestações como o tumor castanho da maxila ou da mandíbula, calcificação dos tecidos moles, sialolitíase decorrente da hipercalcemia, tórus mandibular, entre outros.
Na área da Medicina Dentária, é importante saber identificar as manifestações orais recorrentes desta condição, de forma a obter um diagnóstico precoce e um tratamento adequado.
O objetivo deste trabalho é fornecer uma revisão sobre a fisiopatologia e as manifestações orais decorrentes do hiperparatiroeidismo e dar a conhecer as características das suas diferentes manifestações para um melhor diagnóstico, por parte do médico dentista.
In Dentistry, oral and systemic health are closely related, requiring a balance between them to achieve homeostasis. The parathyroid glands are affected as an essential organ, however, if there is an excess stimulation of the same, that is, an increase in the release of parathyroid hormone (PTH), the harmonious functioning of the body will be compromised. Hyperparathyroidism is a disorder of the parathyroid glands that causes dysregulation of parathyroid hormone (PTH). This disorder leads to an increase of the concentration of PTH in the blood, which can be reflected in the body in the form of various symptoms, such as hypercalcemia, weakness, pain and swelling of the bones, polyuria, abdominal pain, constipation, nausea, vomiting, depression and delirium. Its etiology is diverse, subdividing it into three types: Primary, Secondary and Tertiary. Regarding the level of anomalies in the oral cavity, we can find associated with this pathology: obliteration of the pulp chamber, changes in the eruption, loss of teeth, malocclusion, partial loss of the lamina dura, sensitivity to percussion and chewing, mobility. In addition, we can find manifestations such as brown tumor of the maxilla or mandible, soft tissue calcification, sialolithiasis resulting from hypercalcemia, mandibular torus, among others. In the field of Dentistry, it is important to know how to identify the recurrent oral manifestations of this condition in order to have an early diagnosis and proper treatment. The objective of this paper is to provide a review of the pathophysiology and oral manifestations of hyperparathyroidism and to make known the characteristics of its different manifestations for a better diagnosis by the dentist.
In Dentistry, oral and systemic health are closely related, requiring a balance between them to achieve homeostasis. The parathyroid glands are affected as an essential organ, however, if there is an excess stimulation of the same, that is, an increase in the release of parathyroid hormone (PTH), the harmonious functioning of the body will be compromised. Hyperparathyroidism is a disorder of the parathyroid glands that causes dysregulation of parathyroid hormone (PTH). This disorder leads to an increase of the concentration of PTH in the blood, which can be reflected in the body in the form of various symptoms, such as hypercalcemia, weakness, pain and swelling of the bones, polyuria, abdominal pain, constipation, nausea, vomiting, depression and delirium. Its etiology is diverse, subdividing it into three types: Primary, Secondary and Tertiary. Regarding the level of anomalies in the oral cavity, we can find associated with this pathology: obliteration of the pulp chamber, changes in the eruption, loss of teeth, malocclusion, partial loss of the lamina dura, sensitivity to percussion and chewing, mobility. In addition, we can find manifestations such as brown tumor of the maxilla or mandible, soft tissue calcification, sialolithiasis resulting from hypercalcemia, mandibular torus, among others. In the field of Dentistry, it is important to know how to identify the recurrent oral manifestations of this condition in order to have an early diagnosis and proper treatment. The objective of this paper is to provide a review of the pathophysiology and oral manifestations of hyperparathyroidism and to make known the characteristics of its different manifestations for a better diagnosis by the dentist.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Paratiroide Hiperparatiroidismo Manifestações orais Dentista