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Dental problems associated with hypophosphataemic vitamin D resistant rickets
J R Goodman1, M J Gelbier, J H Bennett
1Department of Paediatric Dentistry, Eastman Dental Hospital and Institute, London, UK.
International Journal of Paediatric Dentistry
|April 29, 1998
Summary
Hypophosphataemic vitamin D resistant rickets can present with dental abscesses in children. Enamel defects and taurodontism are key dental features of this condition.
Area of Science:
- Pediatric Dentistry
- Endocrinology
- Genetics
Background:
- Hypophosphataemic vitamin D resistant rickets (HVDRR) is a rare genetic disorder affecting phosphate regulation.
- Dental manifestations are common but not fully understood in HVDRR.
Purpose of the Study:
- To review dental findings in a series of pediatric cases diagnosed with HVDRR.
- To investigate the presentation and potential etiological factors of dental abscesses in HVDRR patients.
Main Methods:
- Retrospective review of 17 pediatric patients diagnosed with HVDRR.
- Analysis of patient records for dental status, including abscesses, enamel defects, and taurodontism.
Main Results:
- Abscessed, non-carious teeth were observed in 11 of 17 patients.
- Enamel defects were present in 6 patients, and taurodontism was confirmed in severely affected males.
- The pathway of infection in permanent teeth with abscesses remained unclear in some cases.
Conclusions:
- Dental abscesses are a significant presenting feature of HVDRR in children.
- Enamel defects and taurodontism are characteristic dental anomalies associated with HVDRR.
- Further research is needed to elucidate the mechanisms of pulpal infection in permanent teeth affected by HVDRR.