Dental abnormalities and oral health in patients with Hypophosphatemic rickets
INTRODUCTION: Hypophosphatemic rickets represents a group of heritable renal disorders of phosphate characterized by hypophosphatemia, normal or low serum 1,25 (OH)2 vitamin D and calcium levels. Hypophosphatemia is associated to interglobular dentine and an enlarged pulp chambers. AIM: Our goal was to verify the dental abnormalities and the oral health condition in these patients. MATERIAL AND METHODS: Prospective study of oral conditions in patients with Hypophosphatemic rickets. This report employed a simple method to be easily reproducible: oral clinical exam and radiographic evaluation. RESULTS: Fourteen patients were studied, 5 males, median age of 11years (4 to 26). Occlusion defects (85,7%) and enamel hypoplasia (57,1%) were significant more frequently than dental abscesses (one patient). We observed enlarged pulp chambers in 43% of the patients and hypoplasia and dentin abnormalities in 14,3%. We could not detect a significant correlation between dental abnormalities and delayed treatment (p>0,05). DMFT index for 6 to 12 years patients (n = 12) showed that the oral health is unsatisfactory (mean DMFT = 5). CONCLUSIONS: Patients with Hypophosphatemic Rickets frequently present dental alterations and these are not completely recovered with the treatment, unless dental abscess and they need a periodical oral examination.
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Faculdade de Medicina / USP
2010
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oai:scielo:S1807-593220100010000172010-11-22Dental abnormalities and oral health in patients with Hypophosphatemic ricketsSouza,Melissa AlmeidaSoares Junior,Luiz Alberto ValenteSantos,Marcela Alves dosVaisbich,Maria Helena Hypophosphatemic rickets Children Dental abscess Malocclusion Dentin alterations INTRODUCTION: Hypophosphatemic rickets represents a group of heritable renal disorders of phosphate characterized by hypophosphatemia, normal or low serum 1,25 (OH)2 vitamin D and calcium levels. Hypophosphatemia is associated to interglobular dentine and an enlarged pulp chambers. AIM: Our goal was to verify the dental abnormalities and the oral health condition in these patients. MATERIAL AND METHODS: Prospective study of oral conditions in patients with Hypophosphatemic rickets. This report employed a simple method to be easily reproducible: oral clinical exam and radiographic evaluation. RESULTS: Fourteen patients were studied, 5 males, median age of 11years (4 to 26). Occlusion defects (85,7%) and enamel hypoplasia (57,1%) were significant more frequently than dental abscesses (one patient). We observed enlarged pulp chambers in 43% of the patients and hypoplasia and dentin abnormalities in 14,3%. We could not detect a significant correlation between dental abnormalities and delayed treatment (p>0,05). DMFT index for 6 to 12 years patients (n = 12) showed that the oral health is unsatisfactory (mean DMFT = 5). CONCLUSIONS: Patients with Hypophosphatemic Rickets frequently present dental alterations and these are not completely recovered with the treatment, unless dental abscess and they need a periodical oral examination.info:eu-repo/semantics/openAccessFaculdade de Medicina / USPClinics v.65 n.10 20102010-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001000017en10.1590/S1807-59322010001000017 |
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Souza,Melissa Almeida Soares Junior,Luiz Alberto Valente Santos,Marcela Alves dos Vaisbich,Maria Helena |
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Souza,Melissa Almeida Soares Junior,Luiz Alberto Valente Santos,Marcela Alves dos Vaisbich,Maria Helena Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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Souza,Melissa Almeida Soares Junior,Luiz Alberto Valente Santos,Marcela Alves dos Vaisbich,Maria Helena |
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Souza,Melissa Almeida |
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Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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Dental abnormalities and oral health in patients with Hypophosphatemic rickets |
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dental abnormalities and oral health in patients with hypophosphatemic rickets |
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INTRODUCTION: Hypophosphatemic rickets represents a group of heritable renal disorders of phosphate characterized by hypophosphatemia, normal or low serum 1,25 (OH)2 vitamin D and calcium levels. Hypophosphatemia is associated to interglobular dentine and an enlarged pulp chambers. AIM: Our goal was to verify the dental abnormalities and the oral health condition in these patients. MATERIAL AND METHODS: Prospective study of oral conditions in patients with Hypophosphatemic rickets. This report employed a simple method to be easily reproducible: oral clinical exam and radiographic evaluation. RESULTS: Fourteen patients were studied, 5 males, median age of 11years (4 to 26). Occlusion defects (85,7%) and enamel hypoplasia (57,1%) were significant more frequently than dental abscesses (one patient). We observed enlarged pulp chambers in 43% of the patients and hypoplasia and dentin abnormalities in 14,3%. We could not detect a significant correlation between dental abnormalities and delayed treatment (p>0,05). DMFT index for 6 to 12 years patients (n = 12) showed that the oral health is unsatisfactory (mean DMFT = 5). CONCLUSIONS: Patients with Hypophosphatemic Rickets frequently present dental alterations and these are not completely recovered with the treatment, unless dental abscess and they need a periodical oral examination. |
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Faculdade de Medicina / USP |
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2010 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001000017 |
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