Dental abnormalities and oral health in patients with Hypophosphatemic rickets

Authors

  • Melissa Almeida Souza
  • Luiz Alberto Valente Soares Junior
  • Marcela Alves dos Santos
  • Maria Helena Vaisbich

DOI:

https://doi.org/10.1590/S1807-59322010001000017

Keywords:

Hypophosphatemic rickets, Children, Dental abscess, Malocclusion, Dentin alterations

Abstract

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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Published

2010-01-01

Issue

Section

Clinical Sciences

How to Cite

Souza, M. A., Soares Junior, L. A. V., Santos, M. A. dos, & Vaisbich, M. H. (2010). Dental abnormalities and oral health in patients with Hypophosphatemic rickets . Clinics, 65(10), 1023-1026. https://doi.org/10.1590/S1807-59322010001000017