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Growth hormone insensitivity syndrome: unusual oral manifestations
Alvaro Henrique Borges1, Carlos Rodrigo Barros Siqueira2, Fábio Luis Miranda Pedro3
1Department of Restorative Dentistry, School of Dentistry, University of Cuiaba, Cuiaba, Brazil. ahborges@brturbo.com.br.
Abstract:
Children with significant growth retardation and normal levels of growth hormone are diagnosed with growth hormone insensitivity. The main oral findings observed in patients with growth hormone insensitivity syndrome (GHIS) are underdeveloped jaws, crowded teeth and delayed eruption of permanent teeth. This manuscript describes a 9-year-old child diagnosed with GHIS, who had delayed eruption of permanent teeth and 14 unerupted supernumerary teeth. All supernumerary teeth were extracted except for two maxillary and one mandibular teeth which were difficult to identify and access. Multiple supernumerary teeth have never been reported before in patients with GHIS.
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