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2012, Number 2

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Rev Cubana Estomatol 2012; 49 (2)

Profile systemic and oral manifestations in patients with hypothyroidism

Beanes DSG, Cruz de Jesus V, Góes GM, Matos PG, Tavares RT, Pedreira RLM

Language: Portugués
References: 41
Page: 146-157
PDF size: 58.30 Kb.


ABSTRACT

The hypothyroidism is an endocrine disorder characterized by the systemic character of the thyroid gland dysfunction. The T3 and T4 thyroid hormones are necessary to fulfill with the normal functions of the physical body. Thus, the alterations in the T3 and T4 secretion may be associated with changes in the stomatognathic system. Among the changes are included the condylar hypoplasia, the mandibular or maxillary atresia, the underdeveloped mandible, the hypoplasia of the enamel and the dentine, the taurodontism and the delay of dentition as well as the radicular development. Thus, it is essential that stomatologist know on the local or systemic manifestations associated with this endocrine disorder. The aim of present paper is to approach the systemic and oral changes in patients presenting with hypothyroidism, as well as the better management and care applied during the dental treatment. The data collection was thorough the selection of articles published on the oral manifestations in patients presenting with hypothyroidism in large databases like Bireme, Scielo and Medline. The hypothyroidism is a common system disease that occasionally have oral manifestations known by the stomatologists since they are patients needing special care during the stomatologic treatments. Also, must to be considered the drug interaction in these patients, since the drugs regularly prescribed in stomatology may to provoke adverse reactions. It is necessary that surgeon knows on the appropriate procedures in the treatment of hypothyroidism patients.


REFERENCES

  1. Bensenor I. Screening for thyroid disorders in asymptomatic adults from Brazilian populations. São Paulo Med J. 2002;120(5):146-51.

  2. Nunes MT. Hormônios tireoidianos: mecanismo de ação e importância biológica. Arq Bras Encodrinol Metab. 2003;47(6):639-43.

  3. Roberts CGP, Ladenson PW. Hypothyroidism. The Lancet. 2004;363:793-803.

  4. Nogueira CR, Kimura ET, Carvalho GA, Sgarbi JA, Ward LS, Maciel LMZ, et al. Hipotireoidismo: diagnóstico. Associação Médica Brasileira e Agência Nacional de Saúde Suplementar. 2009. p. 1-18.

  5. Pinto A, Glick M. Management of patients with thyroid disease: oral health considerations. JADA. 2002;133(7):849-58.

  6. Vanderpump MPJ, Tunbridge WMG. Epidemiology and prevention of clinical and subclinical hypothyroidism. Thyroid. 2002;12(10):839-47.

  7. Erem C, Yucel Y, Ya Z, Reis A, Kocak M, Hacihasanoglu A. Leukocytoclastic vasculitis: a rare manifestation of prophylthiouracil hypersensitivity. Med Princ Pract. 2005;14(5):366-9.

  8. Park SM, Chatterjee VKK. Genetics of congenital hypothyroidism. J Med Genet. 2005 42:379-89.

  9. Gejão MJ, Ferreira AT, Lamônica DAC. Importância do fonoaudiólogo no acompanhamento de indivíduos com hipotireoidismo congênito. Rev CEFAC. 2008;10(3):287-92.

  10. 10.Teixeira PFS, Reis FAA, Reuters VSi, Almeida CP, Vaisman M. Hipotireoidismo subclínico e risco cardiovascular. Revista da SOCERJ. 2004;17(1):50-57.

  11. Buket A, Demet ST, Sema C, Behiye B. Dental treatment way of congenital hypothyroidism: case report. International Dental and Medical Disoders. 2008;1(1):34-6.

  12. Biron CR. Patients with thyroid dysfunctions require risk management before dental procedures. RDH. 1996;16(4):42-4.

  13. Douglas N, Olmedo P, Douglas CR, Monte O. Influência do hipotireoidismo induzido por propiotiuracil na mucosa gengival do rato. Arq Bras Endocrinol Metab. 2006;50(5):926-9.

  14. Farias RJM, Venancio RA, Camparis CM. Alterações sistêmicas e suas relações com dores orofaciais. Jornal Brasileiro de Oclusão, ATM e Dor Orofacial. 2002;2(6):121-6.

  15. Lima FO, Ramalho MJP, Rummler MCO, Rodriguez RTT. Hipotireoidismo altera secreção e composição salivar em ratos sépticos. Rev odonto ciênc. 2008;23(1):53-7.

  16. Rodriguez TT, Dantas VTA, Ramalho MJP. Participation of nitric oxide synthase and cyclooxygenase-2 in the salivary secretion of hypothyroid endotoxemic rats. Rev odonto ciênc. 2009;24(4):383-8.

  17. Biondo-Simões MD, Ioshii SO, Borsato KS, Zimmermann E. O processo de cicatrização influenciado pelo hipotireoidismo e pelo envelhecimento. Estudo da cicatrização da parede abdominal, em ratos. Acta Cirúrgica Brasileira. 2005;20:120-8.

  18. Zimmermann E, Ribas-Filho J, Malafaia O, Ribas C, Nassif P, Stieven Filho E, et al. Tracheal suture in rats with hypothyroidism. Wound healing study. Acta Cirúrgica Brasileira. 2009;24(4): 282-9.

  19. Maia AL, Ward LS, Carvalho GA, Graf H, Maciel RMB, Maciel LMZ, et al. Nódulos de tireóide e câncer diferenciado de tireóide: consenso brasileiro. Arq Bras Endocrinol Metab. 2007;51(5):868-93.

  20. Setian N. Hypothyroidism in children: diagnosis and treatment. J Pediatr. 2007;83(5):209-16.

  21. Gonçalves LM, Bezerra J, Sabino JR, Cruz MCFN. Avaliação clínica das lesões orais associadas a doenças dermatológicas. An Bras Dermatol. 2010;85(2):150-6.

  22. Cunha PR, Barraviera SRCS. Dermatoses bolhosas auto-imunes. An Bras Dermatol. 2009; 84(2):111-24.

  23. Tunes RS, Foss-Freitas MC, Nogueira-Filho GR. Impacto of periodontitis on the diabetes-related inflammatory status. J Can Dent Assoc. 2010;76:35.

  24. Pannunzio E, Amancio OMS, Vitalle MSS, Souza DN, Mendes FM, Nicolau J. Analysis of the stimulated whole saliva in overweight and obese school children. Rev Assoc Med Bras. 2010; 56(1):32-6.

  25. Cavasin Filho JC, Magdalena GE. Xerostomia, dental caries and periodontal disease in HIV+ patients. Braz J Infect Dis. 2009;13(1):13-7.

  26. Batista LRV, Moreira EAM, Corso ACT. Alimentação, estado nutricional e condição bucal da criança. Rev Nutr. 2007;20(2):191-6.

  27. Feio M, Sapeta P. Xerostomia em cuidados paliativos. Acta Med Port. 2005;18:459-66.

  28. Feitosa DS, Marques MR, Casati MZ, Sallum EA, Nociti Jr FH, Toledo S. The influence of thyroid hormones on periodontitis-related bone loss and tooth-supporting alveolar bone: a histological study in rats. J Periodont Res. 2009;44(4):472-8.

  29. Attard NJ, George AZ. A study of dental implants in medically treated hypothyroid patients. Clinical Implant Dentistry and Rescarch. 2002;4(4):220-31.

  30. Ribeiro AFC, Serakides R, Ocarino NM, Nunes VA. Efeito da associação hipotireoidismo-castração no osso e nas paratireóides de ratas adultas. Arq Bras Endocrinol Metab. 2004;48(4): 525-34.

  31. Bassett JHD, Boyde A, Howell PGT, Bassett RH, Galliford TM, Archanco M, et al. Optimal bone strength and mineralization requires the type 2 iodothyronine deiodinase in osteoblasts. Proc Natl Acad Sci USA. 2010;107(16):7604-9.

  32. Sarin J, DeRossi S, Akintoye S. Updates on bisphosphonates and potential pathobiology of bisphosphonate-induced jaw osteonecrosis. Oral Diseases. 2008;14(3):277-85.

  33. Natori J, Shimizu K, Nagahama M, Tanaka S. The influence os hypothyroidism on wound healing. J Nippon Med Sch. 1999;66(3):176-80.

  34. Siponen M, Huuskonen L, Laara E, Salo T. Association of oral lichen planus with thyroid disease in a Finnish population: a retrospective case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(3):319-24.

  35. Hanratty JM, Cowan CG. Acquired Von Willebrand disease secondary to hypothyroidism: a rare cause for postextraction hemorrhage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:337-40.

  36. Barbosa FT, Cunha RM, Barbosa LT. Doença de von Willebrand e anestesia. Rev Bras Anestesiol. 2007;57(3):315-23.

  37. Watterson DG. Thyroid cancer: early detection in dentistry. Feature. 2007;2-4.

  38. Franco GCN, Cogo K, Montan MF, Bergamaschi CC, Groppo FC, Volpato MC, et al. Interações medicamentosas: fatores relacionados ao paciente (Parte I). Rev cir traumatol buco-maxilo-fac. 2007;7(1):16-28.

  39. Little JW. Thyroid disorders. Part II: hypothyroidism and thyroiditis. Oral Surg OralMed Oral Pathol Oral Radiol Endod. 2006;102(2):148-53.

  40. Cogo K, Bergamaschi CC, Yatsuda R, Volpato MC, Andrade ED. Sedação consciente com Benzodiazepínicos em odontologia. Revista de Odontologia da Universidade Cidade de São Paulo. 2006;18(2):181-8.

  41. Garbero RF, Vieira LA. Fármacos no pré-operatório. Revista do Hospital Universitário Pedro Ernesto, UERJ. 2007;6:29-37.




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