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VOLUME 56 , ISSUE 1 ( January-March, 2022 ) > List of Articles

CASE REPORT

Oral Rehabilitation of a Female Child with Vitamin D-dependent Rickets Type II A: A Case Report

Nagarajan S

Keywords : Child, Hypophosphatemia, Prosthetic rehabilitation, Rickets, Vitamin D

Citation Information : S N. Oral Rehabilitation of a Female Child with Vitamin D-dependent Rickets Type II A: A Case Report. J Postgrad Med Edu Res 2022; 56 (1):47-50.

DOI: 10.5005/jp-journals-10028-1561

License: CC BY-NC 4.0

Published Online: 19-02-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Vitamin D-dependent rickets (VDDR) describes a group of genetic disorders that are characterized by early-onset rickets due to the inability to maintain adequate concentrations of active forms of vitamin D or a failure to respond fully to activated vitamin D. The prevalence rate is usually reported to be around 1:20,000. The oral manifestation includes dentin defects, unusually large pulp chambers, and enlarged pulp horns, hypoplastic enamel which is mostly seen in primary teeth than in permanent teeth. The present case report of VDDR in an 8.5-year-old female child highlights the clinical and radiographic features of the oral cavity along with the prosthetic rehabilitation to restore her stomatognathic functions.


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  1. Prader A, lllig R, Heierli E. Vitamin-D-resisteuten rachitis mit hypocalcaemie und autosomal-dominantem Erbgang: die hereditaere PsuedoMangelrachitis. Helvetica Paediatrica Acta 1961;16:452–468.
  2. Hochberg Z. Vitamin-D-dependent rickets type 2. Horm Res 2002;58(6):297–302. DOI: 10.1159/000066442. PMID: 12446995.
  3. Jiménez-Sousa MÁ, Martínez I, Medrano LM, et al. Vitamin D in human immunodeficiency virus infection: influence on immunity and disease. Front Immunol 2018;12;9:458. DOI: 10.3389/fimmu.2018.00458
  4. Hillmann G, Geurtsen W. Pathohistology of undecalcified primary teeth in vitamin D-resistant rickets: review and 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
  5. Balsan S, Garabedian M, Larchet M, et al. Long-term nocturnal calcium infusions can cure rickets and promote normal mineralization in hereditary resistance to 1,25-dihydroxyvitamin. D J Clin Invest 1986;77:1661–1667. DOI: 10.1172/JCI112483
  6. Chhonkar A, Gupta A, Chaudhary P, et al. 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
  7. Kato S. Genetic mutation in the human 25-hydroxyvitamin D3 1alpha-hydroxylase gene causes vitamin D-dependent rickets type I. Mol Cell Endocrinol 1999;156:7–12. DOI: 10.1016/s0303-7207(99)00128-8
  8. Seow WK, Romaniuk K, Sclavos S. Micromorphologic features of dentin in vitamin D-resistant rickets: correlation with clinical grading of severity. Pediatr Dent 1989;11(3):203–208.
  9. 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
  10. 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(6):705–709. DOI: 10.1067/moe.2003.116
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