International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 1 ( January-February, 2019 ) > List of Articles

CASE REPORT

Oral Rehabilitation of a Pediatric Patient with Vitamin D-dependent Rickets II: A Rare Case Report

Anchal Chhonkar, Payal Chaudhary, Vani Kapoor

Keywords : Hypoplastic teeth, Recurrent spontaneous abscess, Vitamin D-dependent rickets

Citation Information : Chhonkar A, Chaudhary P, Kapoor V. Oral Rehabilitation of a Pediatric Patient with Vitamin D-dependent Rickets II: A Rare Case Report. Int J Clin Pediatr Dent 2019; 12 (1):73-75.

DOI: 10.5005/jp-journals-10005-1586

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Vitamin D-dependent rickets (VDDR) is a disorder of bone development characterized by softened weak bones. It is of two types-vitamin D-dependent rickets-I (VDDR-I) and vitamin D-dependent rickets type II (VDDR-II). Vitamin D-dependent rickets type II is a rare autosomal recessive disorder. The patients exhibit characteristic clinical features as well as numerous dental manifestations such as hypoplastic teeth, missing teeth, enlarged pulp chambers, and recurrent spontaneous abscesses. The case presented in this article is of vitamin D-dependent rickets type II in a pediatric dental patient who reported with multiple missing teeth and required treatment consisting of restorations and extractions. The aim of the present article is to raise awareness on the characteristics of this disorder, as well as its treatment and dental considerations.


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  1. Vitamin D-dependent rickets, type 2b, with normal vitamin d receptor (VDDR2B). MedGen UID.
  2. Hernández GG, Laguna FB. Dental characteristics of hypophosphatemic rickets. Case Rep 2013;17(2):101–108.
  3. Dennis K, Anthony F, et al. Harrison's Principles of Internal Medicine, 19th edition. USA: McGraw Hill, 2015; p. 2485.
  4. Souza AP, Kobayashi TY, et al. Dental manifestations of patient with vitamin D-resistant rickets. J Appl Oral Sci 2013;21(6):601–606. DOI: 10.1590/1679-775720130249.
  5. Seow WK. Diagnosis and management of unusual abscesses in children. Aust Dent J 2003;48(3):156–168. DOI: 10.1111/j.1834- 7819.2003.tb00026.x.
  6. Genetics home reference (2019). Vitamin D-dependent rickets. [online] Available from https://ghr.nlm.nih.gov/condition/vitamind- dependent-rickets [Accessed June 2019].
  7. Zambrano M, Nikitakis NG, et al. Oral and dental manifestations of vitamin D-dependent rickets type I: report of a pediatric case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:705–709. DOI: 10.1067/moe.2003.116.
  8. McWhorter AG, Seale SN. Prevalence of dental abscess in a population of children with vitamin D-resistant rickets. Pediatr Dent 1991;13(2):91–96.
  9. Rabbani A, Rahmani P, et al. Dental problems in hypophosphatemic rickets, a cross sectional study. Iran J Pediatr 2012;22(4):531–534.
  10. Batra P, Tejani Z, et al. X-linked hypophosphatemia: dental and histologic findings. J Can Dent Assoc 2006;72(1):69–72.
  11. Abe K, Ooshima T, et al. Structural deformities of deciduous teeth in patients with hypophosphatemic vitamin-D resistant rickets. Oral Surg Oral Med Oral Pathol 1988;65(2):191–198. DOI: 10.1016/0030- 4220(88)90165-X.
  12. Hillmann G, Geurtsen W. Pathohistology of undecalcified primary teeth in vitamin D-resistant rickets: review and a report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82(2):218–224. DOI: 10.1016/S1079-2104(96)80260-5.
  13. Cohen S, Becker GL. Origin, diagnosis, and treatment of the dental manifestations of vitamin D-resistant rickets: a review of the literature and report of a case. J Am Dent Assoc 1976;92(1):120–129. DOI: 10.14219/jada.archive.1976.0327.
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