Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report

Hypophosphatasia is a congenital disease characterized by deficiency of serum and tissue non-specific alkaline phosphatase activity. The disease occurs due to mutations in the liver/bone/kidney alkaline phosphatase gene. Six clinical forms of hypophosphatasia are recognized. Systemic symptoms of the...

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Main Authors: Partapjot S Grewal, Kanu Priya Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=74;epage=77;aulast=Grewal
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author Partapjot S Grewal
Kanu Priya Gupta
author_facet Partapjot S Grewal
Kanu Priya Gupta
author_sort Partapjot S Grewal
collection DOAJ
description Hypophosphatasia is a congenital disease characterized by deficiency of serum and tissue non-specific alkaline phosphatase activity. The disease occurs due to mutations in the liver/bone/kidney alkaline phosphatase gene. Six clinical forms of hypophosphatasia are recognized. Systemic symptoms of the disease are respiratory complications, premature craniosynostosis, widespread demineralization and rachitic changes in the metaphases, stress fractures, chondrocalcinosis and osteoarthropathy. Characteristic dental symptoms include premature loss of deciduous teeth, premature exfoliation of fully rooted permanent teeth, severe dental caries and alveolar bone loss. This clinical report describes the prosthetic rehabilitation of a sixteen year old female patient with hypophosphatasia with partial anodontia and no occlusion. Patient was managed clinically by saving her remaining teeth, fabricating a maxillary overdenture and mandibular cast partial denture. This not only helped her functionally in biting and chewing food and achieving a good occlusion, but also restored her confidence and self image by improving the aesthetics.
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spelling doaj.art-c2402ee7b10d4c19a999295ff51239e52022-12-21T19:49:07ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612012-01-0131747710.4103/0976-237X.94551Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case reportPartapjot S GrewalKanu Priya GuptaHypophosphatasia is a congenital disease characterized by deficiency of serum and tissue non-specific alkaline phosphatase activity. The disease occurs due to mutations in the liver/bone/kidney alkaline phosphatase gene. Six clinical forms of hypophosphatasia are recognized. Systemic symptoms of the disease are respiratory complications, premature craniosynostosis, widespread demineralization and rachitic changes in the metaphases, stress fractures, chondrocalcinosis and osteoarthropathy. Characteristic dental symptoms include premature loss of deciduous teeth, premature exfoliation of fully rooted permanent teeth, severe dental caries and alveolar bone loss. This clinical report describes the prosthetic rehabilitation of a sixteen year old female patient with hypophosphatasia with partial anodontia and no occlusion. Patient was managed clinically by saving her remaining teeth, fabricating a maxillary overdenture and mandibular cast partial denture. This not only helped her functionally in biting and chewing food and achieving a good occlusion, but also restored her confidence and self image by improving the aesthetics.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=74;epage=77;aulast=GrewalAlkaline phosphatase levelsAlveolar bone atrophyanodontiacomplete rehabilitationhypophosphatasiaserum
spellingShingle Partapjot S Grewal
Kanu Priya Gupta
Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
Contemporary Clinical Dentistry
Alkaline phosphatase levels
Alveolar bone atrophy
anodontia
complete rehabilitation
hypophosphatasia
serum
title Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
title_full Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
title_fullStr Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
title_full_unstemmed Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
title_short Prosthetic rehabilitation of a young patient with Hypophosphatasia - A review and case report
title_sort prosthetic rehabilitation of a young patient with hypophosphatasia a review and case report
topic Alkaline phosphatase levels
Alveolar bone atrophy
anodontia
complete rehabilitation
hypophosphatasia
serum
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=74;epage=77;aulast=Grewal
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