Article: Volume 46 Number 11 Page 1067 - December 2019

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  Dent Update 2019; 46: 1067-1070

Paediatric dentistry:  Spontaneous Dental Abscesses in Hereditary Hypophosphataemic Rickets: a Preventive Restorative Approach in the Primary Dentition

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Abstract: Patients with Hereditary Hypophosphatemic Rickets (HHR) commonly present with spontaneous dental abscesses and are often faced with a life-long burden of multiple endodontic treatments and/or extractions. Early diagnosis and management is essential to reduce risk of infection and maintain function and wellbeing. This is a case report of a 3-year-old boy with HHR, who presented with recurrent spontaneous abscesses in multiple primary teeth that subsequently required extraction. A preventive/restorative approach to protect the unaffected primary teeth is described and demonstrates how early clinical intervention can result in a symptom- and disease-free patient one year following treatment.

Clinical relevance: Oral manifestations are common in patients with HHR and early intervention by the clinician can contribute to reducing the risk of future complications.

Author notes: Sara L Hughes, BDS, MFDS RCS(Glasg), Specialty Trainee in Paediatric Dentistry ( and Emma J Hingston, BDS, MPhil, MPaedDent RCS FDS(Paeds), Consultant and Honorary Senior Lecturer in Paediatric Dentistry, Unit of Paediatric Dentistry, University Dental Hospital, Heath Park, Cardiff, CF14 4XY, UK.

Objective: To understand the oral manifestations of HHR and the long-term implications of this condition.

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