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Spec Care Dentist ; 38(4): 259-265, 2018 Jul.
Article in English | MEDLINE | ID: mdl-29882304

ABSTRACT

AIMS: The aim of this study is to report the case of the orthodontic treatment in a patient affected by primary hyperoxaluria type 1 and subjected to a combinate liver-kidney transplant. METHODS AND RESULTS: The 9-year patient was admitted to our department for the presence of facial dysmorphism. The patient was affected by primary hyperoxaluria type 1 and has undergone a combined liver-kidney transplantation. At the time of the visit, he was in treatment with immunosuppressive drugs and received a corticosteroid and an antibiotic therapy monthly. An intraoral and extraoral examination, as well as radiographic and model analysis, was performed in order to define an accurate diagnosis and a proper rehabilitation planning. An orthopedic-orthodontic treatment was performed and satisfactory final results obtained. A laser gingivectomy was also realized for eliminate the gengival hyperplasia probably induced by cyclosporine assumption. Both skeletal and dental relationships were improved by the treatment, reaching a good dental arches alignment. CONCLUSION: An early diagnosis, as well as a multidisciplinary approach, is very important in patients with rare diseases. An appropriate treatment allowed us to achieve acceptable results and improve the patient quality of life.


Subject(s)
Hyperoxaluria, Primary/complications , Mouth Diseases/etiology , Mouth Diseases/therapy , Orthodontics, Corrective/methods , Child , Gingival Hyperplasia/chemically induced , Gingival Hyperplasia/diagnostic imaging , Gingival Hyperplasia/surgery , Humans , Hyperoxaluria, Primary/surgery , Kidney Transplantation , Liver Transplantation , Male , Malocclusion, Angle Class III/diagnostic imaging , Malocclusion, Angle Class III/therapy , Mouth Diseases/diagnostic imaging , Radiography, Panoramic
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