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Clinical considerations for prosthodontic rehabilitation of intermediate form of osteopetrosis: A report of two cases

Identifieur interne : 001927 ( Pmc/Curation ); précédent : 001926; suivant : 001928

Clinical considerations for prosthodontic rehabilitation of intermediate form of osteopetrosis: A report of two cases

Auteurs : Veena Jain [Inde] ; Gunjan Pruthi [Inde] ; Kailas Mundhe [Inde]

Source :

RBID : PMC:3941835

Abstract

Introduction

Osteopetrosis is a rare autosomal hereditary disorder characterized by abnormal functioning of osteoclasts, which leads to delayed wound healing. Hence chances of infection are increased even after minor surgical procedures. This paper aims to describe clinical features, and prosthodontic management of two patients who presented with clinical features of intermediate form of osteopetrosis and missing teeth.

Case report

A 27-year-old patient having intermediate osteopetrosis presented with difficulty in chewing food and swallowing, due to edentulous maxillary and mandibular arches with large antral cavities, which developed secondary to tooth extraction. Another case discussed is a 25-year-old female patient who reported with chief complaints of difficulty in chewing due to resected left side of lower jaw. In these case reports, importance of avoiding extractions, preservation of remaining teeth and conservative management with minimum number of patients' visits has been emphasized.

Conclusion

Efforts should be made to avoid dental extraction in such cases as chances of bone infection and fracture are more. If patient is partially or completely edentulous only removable type of prosthesis is advisable as bones are hypocalcified and maintenance of oral hygiene is easy with removable prosthesis.


Url:
DOI: 10.1016/j.jobcr.2012.05.008
PubMed: 25737849
PubMed Central: 3941835

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PMC:3941835

Le document en format XML

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<nlm:aff id="aff1">Associate Professor, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India</nlm:aff>
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<title>Introduction</title>
<p>Osteopetrosis is a rare autosomal hereditary disorder characterized by abnormal functioning of osteoclasts, which leads to delayed wound healing. Hence chances of infection are increased even after minor surgical procedures. This paper aims to describe clinical features, and prosthodontic management of two patients who presented with clinical features of intermediate form of osteopetrosis and missing teeth.</p>
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<sec>
<title>Case report</title>
<p>A 27-year-old patient having intermediate osteopetrosis presented with difficulty in chewing food and swallowing, due to edentulous maxillary and mandibular arches with large antral cavities, which developed secondary to tooth extraction. Another case discussed is a 25-year-old female patient who reported with chief complaints of difficulty in chewing due to resected left side of lower jaw. In these case reports, importance of avoiding extractions, preservation of remaining teeth and conservative management with minimum number of patients' visits has been emphasized.</p>
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<sec>
<title>Conclusion</title>
<p>Efforts should be made to avoid dental extraction in such cases as chances of bone infection and fracture are more. If patient is partially or completely edentulous only removable type of prosthesis is advisable as bones are hypocalcified and maintenance of oral hygiene is easy with removable prosthesis.</p>
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Associate Professor, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India</aff>
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Senior Resident, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India</aff>
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Junior Resident, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India</aff>
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Corresponding author. Tel.: +91 9999968841.
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<date date-type="received">
<day>16</day>
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<copyright-statement>Copyright © 2012, Craniofacial Research Foundation. All rights reserved.</copyright-statement>
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<abstract>
<sec>
<title>Introduction</title>
<p>Osteopetrosis is a rare autosomal hereditary disorder characterized by abnormal functioning of osteoclasts, which leads to delayed wound healing. Hence chances of infection are increased even after minor surgical procedures. This paper aims to describe clinical features, and prosthodontic management of two patients who presented with clinical features of intermediate form of osteopetrosis and missing teeth.</p>
</sec>
<sec>
<title>Case report</title>
<p>A 27-year-old patient having intermediate osteopetrosis presented with difficulty in chewing food and swallowing, due to edentulous maxillary and mandibular arches with large antral cavities, which developed secondary to tooth extraction. Another case discussed is a 25-year-old female patient who reported with chief complaints of difficulty in chewing due to resected left side of lower jaw. In these case reports, importance of avoiding extractions, preservation of remaining teeth and conservative management with minimum number of patients' visits has been emphasized.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Efforts should be made to avoid dental extraction in such cases as chances of bone infection and fracture are more. If patient is partially or completely edentulous only removable type of prosthesis is advisable as bones are hypocalcified and maintenance of oral hygiene is easy with removable prosthesis.</p>
</sec>
</abstract>
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<title>Keywords</title>
<kwd>Obturator</kwd>
<kwd>Hemimandibulectomy</kwd>
<kwd>Palatal ramp prosthesis</kwd>
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