Abstract
AIM: This study evaluated dimensions of the dental arches of children affected with hypophosphataemic vitamin D resistant rickets (HVDRR), since no reports are available in the literature on the effect of this disease on the dental arches. STUDY DESIGN: comparative cross sectional. METHODS: The dimensions of the dental arches of 21 Jordanian children aged 3–16 years with HVDRR were measured and compared to those of matched healthy controls, using Paired t-test at the confidence level of 95%. One examiner performed all measurements on the models in a blind manner. RESULTS: Compared with healthy controls, a significant reduction in all transverse dimensions of the maxillary arch of diseased individuals was seen. Maxillary arch depth and arch perimeter were also significantly reduced in diseased individuals (P value 0.000 0.009, respectively). In the mandibular arch, a significant reduction was found in the inter-incisor, intercanine and inter-first premolar widths in patients with HVDRR compared with normal controls (P values 0.005, 0.015 and 0.0035 respectively). Mandibular arch depth and arch perimeter were also significantly reduced. CONCLUSIONS: There is a trend towards smaller dental arches in patients with HVDRR compared with healthy controls. The results of the present study necessitate further exploration of the effect of this disease on dental arch development to improve dental management of this special need population.
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Al-Jundi SH, Dabouse IM, Al-Jamal GA. Craniofacial morphology in patients with Hypophosphatemic Vitamin-D-Resistant Rickets: A Cephalometric Study. J Oral Rehabil. 2009; 36: 483–90.
Al-Nimri K. and Gharaibeh T. Space conditions and dental and occlusal features in patients with palatally impacted maxillary canines: an etiological study. Eur J Orthod. 2005; 16: 461–465.
Bishara SE, Jakobsen JR, Treder J, Nowak A. Arch width changes from 6 weeks to 45 years of age, Am J orthod Dentofacial Orthop. 1997; 111: 401–409.
Bishara SE, Jakobsen JR, Treder J, Nowak A. Arch length changes from 6 weeks to 45 years of age. Angle Orthod. 1998; 68: 69–74.
Bjork A, Brown T, Skieller V. Comparison of craniofacial growth in Australian Aboriginal and Danes, illustrated by longitudinal cephalometric analysis. Eur J Orthod. 1984; 6: 1–14.
Carlsen NLT, Krasilnikoff PA, Eiken M. Premature cranial synostosis in X-linked hypophosphatemic rickets: possible precipitation by 1 alpha-OH-cholecalciferol intoxication. Acta Paediatr Scand. 1984; 73: 149–154.
Enlow DH. JCO/ lnterviews Dr. Donald H. Enlow on Craniofacial Growth. J Clin Orthod. 1983; 17: 669–679.
Farach-Carson MC, Nemere I. Membrane receptors for vitamin D steroid hormones: potential new drug targets. Curr Drug Targets. 2003; 4: 67–76.
Filho HM, de Castro LC, Damiani D. Hypophosphatemic Rickets & Osteomalacia. Arq Bras Endocrinol Metab. 2006; 50: 802–813.
Franchi L, Baccetti T, Camporesi M, Lupolic M. Maxillary arch changes during levelling and aligning with fixed appliances and low-friction ligatures. Am J Orthod Dentofacial Othop. 2006; 130: 88–91.
Goodman JR, Gelbier MJ, Bennett JH, Winter GB. Dental problems associated with hypophosphataemic vitamin D resistant rickets. Int J Pediatr Dent. 1998; 8: 19–28.
Hassanali J, Odhiambo W. Analysis of dental casts of 6–8 and 12-year-old Kenyan children. EurJ Orthod. 2000; 22: 135–142.
Hillmann G, Geurtsen W. Pathohistology of undercalcified primary teeth in vitamin D-resistant rickets: review and a report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 82: 218–24.
Houston WJ. Analysis of errors in orthodontic measurements. Am J Orthod Dentofacial Orthop. 1983; 83: 382–390.
Jan SM, Levine MA. Perspective Molecular Pathogenesis of HypoPhosphatemic Rickets. Clinical Endocrinol Metabolism. 2008; 87: 2467–2473.
Liu S, Zhou J, Tang W, et al. Role of Fgf23 in Hyp mice. Am J Physiol Endocrinol Metab. 2006; 291: E38–E49.
McWhorter AG, Seale NS. Prevalence of dental abscess in a population with vitamin D-resistant rickets. Pediatr Dent. 1991; 13: 91–96.
Negri AL. Hereditary hypophosphatemias: New genes in the bone-kidney axis. Asian Pacific Soc Nephrology. 2007; 12: 317–320.
Seow WK, Latham SC. The spectrum of dental manifestations in vitamin D resistant rickets: implications for management. Pediatr Dent.1986; 8: 245–50.
Seow WK, Needleman HL, Holm IA. Effect of familial hypophosphatemic rickets on dental development: a controlled, longitudinal study. Pediatr Dent. 1995; 17: 346–350.
Seow WK, Romanink K, Sclavos S. Micromorphologic features of dentin in vitamin D-resistant rickets: correlation with clinical grading of severity. Pediatr Dent. 1989; 11: 203–8.
Shetty NS, Meyer RA. Craniofacial abnormalities in mice with X-linked hypophosphatemic genes (Hyp or Gy). Tetralogy. 1991; 44: 463–72.
Tamari K, Shimizu K, Ichinose M, Nakata S, Takahama Y. Tongue volume and lower dental arch sizes. Am J Orthod Dentofac Orthop. 1991; 100: 453–458.
Tracy WE, Campbell RA. Dentofacial development in children with vitamin D-resistant rickets. J Amer Dent Assoc. 1968; 76: 1026–31.
Whyte MP, Thakke RV. Rickets and osteomalacia. The Medicine Publishing Company Ltd. 2005; 33: 70–74.
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Al-Jundi, S.H., Al-Naimy, Y.F. & Alsweedan, S. Dental arch dimensions in children with hypophosphataemic Vitamin D resistant rickets. Eur Arch Paediatr Dent 11, 83–87 (2010). https://doi.org/10.1007/BF03262717
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DOI: https://doi.org/10.1007/BF03262717