Prosthodontic rehabilitation of hypophosphatasia using dental implants: a review of the literature and two case reports

Authors: LYNCH, C. D.1; ZIADA, H. M.2; BUCKLEY, L. A.3; O'SULLIVAN, V. R.4; AHERNE, T.5; AHERNE, S.5

Source: Journal of Oral Rehabilitation, Volume 36, Number 6, June 2009 , pp. 462-468(7)

Publisher: Wiley-Blackwell

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Abstract:

Summary 

There are reports in the literature of the various dental features of hypophosphatasia, especially where it affects the deciduous dentition. The descriptions include both the manifestations of the disorder and the subsequent patterns of tooth loss. There are fewer descriptions of the effects of hypophosphatasia on the permanent dentition and little information on the subsequent prosthodontic management of these patients, particularly in relation to the use of dental implants. The aim of this paper was to review the literature on the dental effects of hypophosphatasia, present two cases and describe how one of those patients, a young adult, was successfully rehabilitated using dental implants. That latter patient's pattern of tooth loss as well as some histological and scanning electron microscopic findings of root cementum from the other case is also described.

Keywords: bone; cementum; hypophosphatasia; implants; prosthodontics; periodontics

Document Type: Case report

DOI: http://dx.doi.org/10.1111/j.1365-2842.2009.01948.x

Affiliations: 1: Tissue Engineering & Reparative Dentistry, School of Dentistry, Cardiff University, Cardiff, UK 2: University Dental School & Hospital, Cork, Ireland 3: Postgraduate Medical and Dental Board, University Dental School & Hospital, Cork, Ireland 4: Royal College of Surgeons in Ireland - Medical University of Bahrain, Adliya, Kingdom of Bahrain 5: Consultant Private Clinics, Cork University Hospital, Cork, Ireland

Publication date: 2009-06-01

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