Download Dental characteristics of Rickets disorder. Case report Ana Lucia A

Ana Lucia A, Capelozza; Roberta H. Abujamra; Izabel R.F.R Bullen.
Faculdade de Odontologia de Bauru
University Of São Paulo Brazil
Signs and symptoms
Delayed growth: short stature and
deformity of extremities
Breastbone projection
Pain in the spine , pelvis and legs
Muscle weakness
Skeletal deformities
Bowed legs
Thickened wrists and ankles
http://www.doctoryum.org/wp-content/uploads/2011/04/rickets.jpg
Rickets disorder
(affects the growing skeleton in infants and children)
Osteomalacia
( affects the mature skeleton in adults)
Occurs due to a genetic condition
Skeletal deformities due to deficiency of vitamin D
Radiographic features of the jaws
Mandibular border or the walls of the mandibular canal thin
Trabeculae: reduced in density, number and thickness
Teeth: hypoplasia of the dental enamel
erupted and unerupted teeth
Lamina dura and cortical boundarry of tooth follicles
may be thin or missing
Pulp chambers: Large
Bone loss around the teeth
External root resorption
Amelogênese imperfeita
• Identification is made primarily by
clinical examination
• low or absent cusp
• square shape of the crown
• thin opaque layer of enamel
Differential
diagnosis
Dentin Dysplasia (opalescent dentin)
• altered color
• occluded pulp chambers
Dentinogenesis imperfecta
• history of familial envolvment
• bulbous crows
• narrow roots
• obliteration of pulp chambers
and root canals
Regional Odontodysplasia
• enamel and dentin are hypoplastic
and hypocacified
• not hereditary
• segment of the arch are affected
Report of case
• A 12 year old male patient was referred from Bauru
School of dentistry due orthodontic evaluation.
• The parents reported that the patient is one of
triplets and at the birth were the biggest new born .
• The diagnosis was made when he was 3 years old.
Signs
Symptoms
Patient reports:
bone pain in the hip region
feets, ankles and back.
Tooth pain
Pus in the structures that
surround the teeth
Extraoral exploration :
• lower limb bow,
• frontal bulging bone,
• short and orthopedic
deformities of extremities.
Intra-oral examination
• spontaneous dental abscesses,
• delay in teeth eruption.
enlarged pulp chambers with pull horns extending up to dentin-enamel
junction, presence of a radiolucent area along the lower incisors