Multiple hereditary osteochondromatosis: a case report.

Area of Science:

• Pediatric Dentistry
• Genetics
• Oral Health

Background:

• Multiple Hereditary Osteochondromatosis (MHO) is a rare genetic disorder.
• Vomiting, often a side effect of medications like Didronat, can lead to severe dental caries.
• Poor oral hygiene and malnutrition can exacerbate growth retardation in children.

Observation:

• An 11-year-old male patient diagnosed with MHO presented with severe dental caries, eating difficulties, and general growth retardation.
• The patient experienced frequent nausea and vomiting, contributing to poor oral hygiene and inadequate nutrition.
• Dental issues included extensive carious lesions and remaining roots, hindering chewing and eating.

Findings:

• Comprehensive dental interventions, including preventive, surgical, restorative, and prosthodontic treatments, were implemented.
• Nutritional counseling and oral hygiene reinforcement were key components of the management plan.
• The patient's oral health and nutritional status showed improvement following treatment.

Implications:

• This case highlights the critical link between systemic conditions, medication side effects, and oral health in pediatric patients.
• Early and integrated dental and medical management is crucial for children with MHO and associated complications.
• Addressing dental issues can significantly improve nutrition, growth, and overall quality of life in affected children.