STOMATOLOGIC MANAGEMENT OF A CHILD PATIENT WITH DUCHENNE MUSCULAR DYSTROPHY. CASE REPORT
DOI:
https://doi.org/10.31984/oactiva.v1i2.138Keywords:
Duchenne muscular dystrophy, pediatric dentistry, dystrophinAbstract
Duchenne muscular dystrophy (DMD) is an X linked condition that affects approximately 1 in 3300 live male births. It is caused by the absence or disruption of the protein dystrophin. The purpose of this case was to review the current literature about the important aspects of the DMD in children. CASE PRESENTATION: An 8 year old male patient arrives to the pediatric dentistry clinic with a walking disability and ectomorphic constitution, diagnosed with DMD. At the intraoral examination was found: neutrocclusion, edge-to-edge incisor relationship, diastemas, lower anterior crowding, localized gingivitis, active caries lesions and relative macroglossia. The stomatologic management was conducted in four phases: Preventive phase, Restorative phase, Surgical phase and Maintenance phase. A successful clinical approach was achieved, needing a highly specialized multidisciplinary work to provide satisfactory results that increases the quality of life of this patient.
Downloads
References
2 Silva CT, Fonseca DJ, Mateus H, Contreras N, Restrepo CM. Distrofia muscular de Duchenne y Becker Una visión molecular, 2005; 30: 112-116.
3 Chaustre R, Willington CS. Distrofia muscular de Duchenne. Perspectivas desde la rehabilitación, Med. 2011; 19 (1): 45-55.
4 Straub V, Campbell KP. Muscular dystrophies and the dystrophin-glycoprotein complex, Science Publishers. 1997; 10:168-175.
5 Cammarata-Scalisi F, Camacho N, Alvarado J, Lacruz MA. Distrofia Muscular de Duchenne, presentación clínica, Revista Chilena Pediatrica.2008; 79 (5): 495-501.
6 Ciafaloni E, Fox DJ, Pandya S. Delayed diagnosis in Duchenne Muscular Dystrophy: data from the Muscular Dystrophy Surveillance, Tracking, and Research Network, J Pediatr. 2009; 155(3):380-5.
7 Erazo-Torricelli R. Actualización en distrofias musculares, Revista de Neurología. 2004; 39 (9): 860-871.
8 Morel C, Verdebout, Botteron S, Kiliaridis S. Dentofacial characteristics of growing patients with Duchenne muscular dystrophy: a morphological study, Europ J Orthodont. 2007;29: 500-507.
9 Reich DR, Neff J. Oral-Surgical management of an odontogenic keratocyst in a patient with Duchenne muscular dystrophy, Pediatric Dentistry.1981; 3 (4):343-345. pacientes con neutropenia febril; revista colombiana de cancerología 2003; 7(4):5-11; citado 20/10/2015
10 Ertürk N, Dogan S. The effect of neuromuscular diseases on the development of dental and occlusal characteristics, Oral Medicine. 1991; 22: 317-321.
11 Bushby K, Finkel R, Birnkrant DJ, et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management, Lancet Neurol.2010; 9(1):77-93.
12 Kaspar RW, Allen HD, Ray WC, Alvarez CE, Kissel JT, Pestronk A, et al. Analysis of dystrophin deletion mutations predicts age of cardiomyopathy onset in becker muscular dystrophy. Circ Cardiovasc Genet. 2009; 2:544–551.
13 Bushby K, Bourke J, Bullock R, Eagle M, Gibson M, and Quinby J. The multidisciplinary management of Duchenne muscular dystrophy, Current Paediatrics. 2005; 15: 292-300.
14 Mielnik M, Malgorzata B. Duchenne Muscular Dystrophy – a dental healthcare program, Spec Care Dentist.2007; (27):23-25.
15 Symons AL, Townsend GC, Hughes TE. Dental Characteristics of patients with Duchenne muscular dystrophy, ASDC J Dent Child.2002; 69:277-83.
16 Fonseca D, Tamar C, Mateus H: Detección de portadoras de distrofia muscular de Duchenne en familias colombianas mediante análisis de microsatélites. Colomb Med 2008; 39:7-13.
17 Erazo Torricelli R. Actualización en distrofias musculares. Rev Neurol 2004; 39: 860-71.
18 Longo Araújo de Melo E, Moreno Valdés MT. Buena calidad de vida de los pacientes con distrofia muscular de Duchenne. Rev Neurol 2007; 45: 81-7.
19 American academy of pediatrics section on cardiology and cardiac surgery. Cardiovascular health supervision for individuals affected by Duchenne or Becker muscular dystrophy. Pediatrics 2005; 116:1569-73.
20 Tsao CY, Mendell JR: Coexisting muscular dystrophies and epilepsy in children. J Child Neurol 2006; 21:148-50.
Published
- Abstract 1576
- PDF (Español (España)) 1469
- HTML (Español (España)) 117
How to Cite
Issue
Section
License
Copyright (c) 2016 Odontología Activa Revista Científica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Se autoriza la reproducción total y parcial, y la citación del material que aparece en la revista, siempre y cuando se indique de manera explícita: nombre de la revista, nombre del autor(es), año, volumen, número y páginas del artículo fuente. Las ideas y afirmaciones consignadas por los autores están bajo su responsabilidad y no interpretan necesariamente las opiniones y políticas del Consejo Editorial de la Revista OActiva ni de la Universidad Católica de Cuenca.
La Revista OActiva utiliza la Licencia Creative Commons de Reconocimeinto-NoComercial-CompartirIgual 4.0, que es la siguiente: CC BY-NC-SA 4.0 Internacional.
