Dental findings in a patient with biliary atresia

The dental treatment of a 3-year-old male with biliary atresia is discussed. The patient was scheduled for a liver transplant and was receiving Cyclosporine A. Due to the severity of the dental condition and to reduce the possibility of infection, all twenty primary teeth were extracted. The extract...

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Bibliographic Details
Published in:	The Journal of clinical pediatric dentistry Vol. 18; no. 1; p. 32
Main Authors:	Majewski, R F, Hess, J, Kabani, S, Ramanathan, G
Format:	Journal Article
Language:	English
Published:	United States 1993
Subjects:	Biliary Atresia - complications Child, Preschool Cyclosporine - therapeutic use Dental Care for Chronically Ill Dental Caries - surgery Humans Liver Failure - etiology Liver Transplantation Male Preoperative Care Tooth Discoloration - etiology Tooth Extraction Tooth, Deciduous
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Summary:	The dental treatment of a 3-year-old male with biliary atresia is discussed. The patient was scheduled for a liver transplant and was receiving Cyclosporine A. Due to the severity of the dental condition and to reduce the possibility of infection, all twenty primary teeth were extracted. The extracted teeth displayed a marked greenish discoloration of both the crowns and the roots. Histological examination revealed extensive interglobular dentin, a number of faint yellow-brown lines contouring the developmental pattern and a distinctive fluorescent line. The dental and pharmacological considerations relating to the treatment plan for this case are reviewed.
ISSN:	1053-4628