Veena Jain1, Gunjan Pruthi2, Kailas Mundhe3. 1. Associate Professor, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India. 2. Senior Resident, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India. 3. Junior Resident, Department of Prosthodontics, CDER, AIIMS, New Delhi 29, India.
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.
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.
Authors: David K Lam; George K B Sándor; Howard I Holmes; Robert P Carmichael; Cameron M L Clokie Journal: J Can Dent Assoc Date: 2007-11 Impact factor: 1.316