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mso-style-parent:"" mso-padding-alt:0in 5.4pt 0in 5.4pt mso-para-margin:0in mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:10.0pt font-family:"Times New Roman","serif"} </style> <!--stripped--></p> <p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed" dir="rtl"><strong><span style="font-size: 10pt">زمینه و هدف</span></strong><span style="font-size: 10pt">:</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt">اختلالات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">متابولیسم</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">کلسیم</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">می‌توانند</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">صورت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">حاد</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">یا</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مزمن</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به‌وجود</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">آید و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">صورت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مزمن</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">سبب</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">عوارضی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">می‌شود</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">جمله</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">آن‌ها</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">می‌توان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به اختلالات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">اشاره کرد. بهترین راه جهت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">برخورد با این</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مشکلات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">جلوگیری</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">بروز آن‌ها</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">با</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تشخیص</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">درمان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">موقع و پیشگیرانه در</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">افرادی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">است</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">که</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">با</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">این</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">اختلالات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مواجهند. بنابراین</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مطالعه‌ای</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">توصیفی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مقطعی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">جهت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تعیین</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">نوع</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">اختلالات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">در بیماران با اختلال متابولیسم کلسیم طراحی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">شد. </span><strong><em><span style="font-size: 10pt"><br></span></em></strong></p><p align="right" class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed" dir="rtl"><strong><span style="font-size: 10pt">روش بررسی:</span></strong><span> </span><span style="font-size: 10pt">تمامی بیماران با تشخیص هیپوپاراتیروییدیسم،</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ریکتز</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تغذیه‌ای،</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ریکتز</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">هیپوفسفاتمیک و استئودیستروفی کلیوی فوق</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">کلینیک</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">غدد</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">نفرولوژی مرکز</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">طبی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">کودکان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">طی سال‌های 1384 تا 1388 ارجاع</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">گردیدند و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تحت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">معاینه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">توسط</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندان‌پزشک</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">قرار</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">گرفتند و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">فراوانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">هریک</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مشکلات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">شامل </span><span style="font-size: 7pt">T</span><span style="font-size: 8pt">aurdontis</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt"><span></span>(نسبت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تاج</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ریشه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندان)، هیپوپلازی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مینا، آبسه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی،</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">پوسیدگی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ژنژیویت</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">در</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">هر</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">کدام</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به‌دست آمد.</span><span lang="AR-SA" style="font-size: 10pt"> </span><strong><em><span style="font-size: 10pt"><br></span></em></strong></p><p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed" dir="rtl"><strong><span style="font-size: 10pt">یافته‌ها:</span></strong><span style="font-size: 10pt"> </span><span style="font-size: 10pt">ریکتز تغذیه‌ای شایع‌ترین بیماری بررسی شده در این مطالعه بود که شایع‌ترین اختلال در این گروه تاخیر در</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">در</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">آوردن</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">(9/61%) بود. بیش‌ترین</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">فراوانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 7pt">T</span><span style="font-size: 8pt">aurdontism</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt">و هیپولازی مینای دندان در</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">گروه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مورد</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مطالعه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مربوط</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به بیماران مبتلا</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به هیپوپاراتیروییدیسم (به ترتیب 33% و 50%)، آبسه</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و پوسیدگی دندانی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ژنژویت در افراد مبتلا</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">استئودیستروفی</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">کلیوی (به ترتیب 50%، 90% و 20%) و به‌دست</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">آمد. در مجموع شایع‌ترین اختلال در مجموع بیماران پوسیدگی دندان (8/69%) و تاخیر در دندان در آوردن (5/49%) بود. <br></span></p><p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed" dir="rtl"><span style="font-size: 10pt"></span><strong><span style="font-size: 10pt">نتیجه‌گیری:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">با</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">توجه به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">یافته‌ها</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">نظر</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">می‌رسد</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">لزوم</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">تشخیص</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">صحیح</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">درمان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">به</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">موقع</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">بیماری‌ها از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ارکان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">مهم</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">جلوگیری</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">از</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">بیماری‌های</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دهان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">و</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دندان</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">باشد</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">لذا</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">معاینات</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">دوره‌ای</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">منظم</span><span lang="AR-SA" style="font-size: 10pt"> </span><span style="font-size: 10pt">ضروری می‌باشد.</span></p> <p style="text-align: justify"><!--stripped--> Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 <!--stripped--><!--stripped--> <!--stripped--> <!--stripped--> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0cm 5.4pt 0cm 5.4pt mso-para-margin:0cm mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:Arial mso-bidi-theme-font:minor-bidi} </style> <!--stripped--> <strong>Background</strong><strong>:</strong> Calcium metabolism disorders can be acute or chronic and chronic disorders can cause different disease states such as dental problems. <br><strong>Methods</strong><strong>:</strong> <a name="OLE_LINK8"></a><a name="OLE_LINK7">In this descriptive cross-sectional study done in Children's Medical Center affiliated to Tehran University of Medical Sciences during </a>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. <br><strong>Results</strong><strong>:</strong> 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). <br><strong>Conclusion:</strong> 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.</p> اختلال متابولیسم کلسیم،مشکلات دندانی،پوسیدگی دندان،ریکتز تغذیه‌ای،هیپوپلازی مینا،آبسه دندانی Abscess,calcium metabolism disorders,dental caries,enamel hypoplasia,nutritional,rickets 393 398 http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-227&slc_lang=fa&sid=1 Rabbani A علی ربانی No Rahmani P پریسا رحمانی Yes Qoddosi Sh شراره قدوسی No Ziaee V وحید ضیائی No