Dental manifestations of patient with vitamin D-resistant rickets

Patients with Vitamin D-resistant rickets have abnormal tooth morphology such as thin globular dentin and enlarged pulp horns that extend into the dentino-enamel junction. Invasion of the pulp by microorganisms and toxins is inevitable. The increased fibrotic content of the pulp, together with a red...

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Bibliographic Details
Published in:	Journal of applied oral science Vol. 21; no. 6; pp. 601 - 606
Main Authors:	Souza, Andréia Pereira, Kobayashi, Tatiana Yuriko, Lourenço Neto, Natalino, Silva, Salete Moura Bonifácio, Machado, Maria Aparecida Andrade Moreira, Oliveira, Thais Marchini
Format:	Journal Article
Language:	English
Published:	Brazil Faculdade de Odontologia de Bauru da Universidade de São Paulo 01-12-2013 Faculdade De Odontologia De Bauru - USP University of São Paulo
Subjects:	Case Report Child, Preschool Dental pulp Dental Pulp - diagnostic imaging Dentistry DENTISTRY, ORAL SURGERY & MEDICINE Humans Hypophosphatemia Male Mouth Diseases - diagnostic imaging Mouth Diseases - etiology Mouth Diseases - therapy Radiography Rickets Rickets, Hypophosphatemic - complications Tooth Cervix - diagnostic imaging Tooth Diseases - diagnostic imaging Tooth Diseases - etiology Tooth Diseases - therapy Treatment Outcome Vitamin D Hypophosphatemia Rickets Vitamin D Dental pulp
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Summary:	Patients with Vitamin D-resistant rickets have abnormal tooth morphology such as thin globular dentin and enlarged pulp horns that extend into the dentino-enamel junction. Invasion of the pulp by microorganisms and toxins is inevitable. The increased fibrotic content of the pulp, together with a reduced number of odontoblasts, decreases the response to pulp infection. The most important oral findings are characterized by spontaneous gingival and dental abscesses occuring without history of trauma or caries. Radiographic examinations revealed large pulp chambers, short roots, poorly defined lamina dura and hypoplastic alveolar ridge. These dental abscesses are common and therefore the extraction and pulpectomy are the treatment of choice. The purpose of this article is to report a case of Vitamin D-resistant rickets in a 5 year-old boy, describing the dental findings and the treatment to be performed in these cases.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1678-7757 1678-7765 1678-7765 1678-7757
DOI:	10.1590/1679-775720130249