oxalates and Jaw-Diseases

Topics: Adult; Animals; Bone and Bones; Calcium; Calcium, Dietary; Diet; Dietary Fats; Dietary Proteins; Dihydroxycholecalciferols; Humans; Inositol; Intestinal Absorption; Intestine, Small; Jaw Diseases; Lactose; Magnesium; Male; Nutritional Physiological Phenomena; Nutritional Requirements; Osteoporosis; Oxalates; Phosphorus; Protein Binding; Proteins; Vitamin D

Oxalosis is a rare condition that may be either hereditary or acquired. It may be secondary to a number of primary causes, which include renal failure, oxalate poisoning, malabsorption syndromes, and in this case, ileojejunal bypass surgery. Systemic oxalate overload following such bypass surgery results from a defect in the enterohepatic circulation and from the loss of calcium and bile salts in the feces. The oxalate is then absorbed into the circulation, and the supersaturated solution precipitates in the systemic tissues. Reported cases of oral involvement are rare. This article presents a 2 1/2-year follow-up of such a patient and the resultant progressive and unrelenting nature of the disorder. As a result of our experience, we suggest early aggressive oral surgical management of the widespread oral lesions.

Topics: Alveolar Process; Bone Resorption; Humans; Jaw Diseases; Jejunoileal Bypass; Male; Middle Aged; Oxalates; Periodontal Diseases; Root Resorption

Oxalosis, a rare metabolic disorder, leads to excessive formation of oxalate and deposition of calcium oxalate crystals in the tissue. This leads to renal insufficiency with resulting secondary hyperparathyroidism and myelofibrosis. In a 27 year old female patient, extensive destruction of the maxilla, mandible and teeth was observed which has not yet been described and which led to the loss of all teeth.

Topics: Adult; Alveolar Process; Bone Resorption; Humans; Hyperparathyroidism; Jaw Diseases; Kidney Calculi; Kidney Failure, Chronic; Metabolism, Inborn Errors; Oxalates; Tooth Mobility; Tooth Resorption; Tooth Root