2000 Volume 46 Issue 5 Pages 310-312
Renal osteodystrophy (ROD) is one of the severe complications of chronic renal failure. We describe a case of extensive jaw bone resorption in a patient with renal osteodystrophy. A 15-year-old boy was referred to us because of severe jaw bone resorption. He had been undergoing continuous ambulatory peritoneal dialysis to treat chronic renal failure since the age of 10 years. He had a childish face.Intraoral examination revealed malocclusion and M1 to M3 mobility of all teeth.Radiologically, there was extensive resorption of the jaw bones and teeth. Anemia, acidosis, and hyperphosphatemia were revealed by blood examination. The serum PTH level, which had been markedly elevated, was normal on initial examination. The patient is being followed up regularly, without further treatment. Resorption of the jaw bones is continuing, and six teeth were lost during 8 months of follow up.
