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Oral Langerhans Cell Histiocytosis in an Infant

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Langerhans cell histiocytosis (LCH) is a rare disease characterized by abnormal proliferation of bone marrow-derived histiocytes (Langerhans cells). LCH may manifest orally with single or multiple lesions of the alveolar or basal bone. Ulcerated mucosal lesions may be accompanied by periodontal lesions that present with gingival inflammation, bleeding, recession, necrosis, toothache, dental hypermobility, tooth development abnormalities, and premature tooth loss. This paper presents the case of a five-month-old boy with very early oral manifestations of LCH and describes the combined systemic and dental treatment during a 36-month follow-up. A combined local and systemic approach may be necessary to control oral disease manifestations.
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Keywords: CHILD; DENTISTRY; LANGERHANS CELL HISTIOCYTOSIS; ORAL PATHOLOGY

Document Type: Case Report

Affiliations: 1: Staff pediatric dentist, Department of Pediatric Dentistry, Hebrew University – Hadassah School of Dental Medicine, in Jerusalem, Israel;, Email: [email protected] 2: Pediatric oncologist, ALYN Hospital Pediatric and Adolescent Rehabilitation Center, in Jerusalem, Israel

Publication date: May 1, 2018

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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