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Dental problems associated with hypophosphataemic vitamin D resistant rickets
Author(s) -
Goodman,
Gelbier,
Malcolm J. Bennett,
Andreas Winter
Publication year - 1998
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1046/j.1365-263x.1998.00059.x
Subject(s) - medicine , rickets , dentition , dentistry , permanent dentition , referral , permanent teeth , enamel paint , pediatrics , vitamin d and neurology , family medicine
Objective . To review a series of cases of hypophosphataemic vitamin D resistant rickets. Subjects included : Seventeen cases, aged between 2 years 1 month and 15 years 9 months at first referral, and with an established diagnosis of vitamin D resistant rickets from twelve families were included in the review. Information was drawn from patient records for follow‐up periods between 9 months and 20 years 4 months. Setting . All subjects had been referred to the Eastman Dental Hospital between 1973 and 1997. Findings . Abscessed non‐carious primary and/or permanent teeth were a presenting feature in eleven of the seventeen cases. Although attrition and exposure of the abnormally formed dentine accounted for the route of infection in primary teeth, the route for microbial invasion of pulpal tissues in permanent teeth remained unexplained in a number of patients. The possible part played by infractures of the enamel as a portal of entry for infection is discussed. Enamel defects were observed in only six patients, in three of whom these changes were limited to the primary dentition. Taurodontism of permanent molar teeth was confirmed as a feature of the condition in the more severely affected male subjects.