2010, Number 1
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Rev Odont Mex 2010; 14 (1)
Oral rehabilitaton with general anesthesia in Alagille syndrome. Case report
Espinosa VL, Teja ÁE, Durán GLA, Gaitán CLA
Language: Spanish
References: 19
Page: 63-68
PDF size: 243.35 Kb.
ABSTRACT
The Alagille syndrome is a multi-systemic disorder, it is inherited as an autosomal dominant trait, with variable clinical manifestations, mainly affects the liver, and biliary conduits, kidneys, heart, eyes, and an unusual butterfly shape of the bones of the spinal column. The estimated prevalence of Alagille syndrome is 1 in 100,000 live births. It is important to eliminate caries in the buccal cavity of these patients by the susceptibility to present infectious processes and sepsis by inherent immunological depression of the syndrome. This article describes the case of a patient with diagnosis of Alagille Syndrome and the multidisciplinary treatment to carry out the buccal rehabilitation under general anesthesia, it is important to inform that the patient presented complete green pigmentation of the primary dentition, because of the bilirubin, the treatment was radical for the elimination of infectious centers, putting in front the health of patient to the aesthetic one.
REFERENCES
Alagille D, Estrada A, Hadchouel M, Gautier M, Odiévre M, Dommergues JP. Syndromic paucity of interlobular bile ducts (Alagille syndrome or arteriohepatic dysplasia). Review of 80 cases. J Pediatr 1987; 110: 195-200.
Shendge H, Tullu MS, Shenoy A, Chaturvedi R, Kamat JR, Khare M et al. Alagille syndrome. Indian J Pediatr 2002; 69: 825-7.
Castañeda C, Fragoso T, Gra B, Guerra L, Castellanos O, Trujillo ME. Alagille’s syndrome in Cuba. A report of 9 cases. Genetics 1992; 46(4): 341-6.
Tank G. Oral changes associated with end-stage liver disease and liver transplantation: implications for dental management. ASDC J Dent Child 1991; 58(6): 474-80.
Méndez V. Colestasis neonatal: evolución de los pacientes diagnosticados entre 1983 y 2000 en dos servicios gastroenterológicos de referencia de Montevideo. Arch Pediatr Urug 2005; 76(3): 210-221.
Jiménez JR, Castellanos RK, Huerta AR, Justiniani CN, Yañez LM, Sierra TA. Un caso del síndrome de Alagille. Rev Mex Pediatr 2007; 74(4); 152-157.
Quiros-Tejeira RE, Ament ME, Heyman MB. Variable morbidity in Alagille syndrome: a review of 43 cases. J Pediatr Gastroenterol Nutr 1999; 29(4): 431-437.
Herbert FL, Delcambre TJ. Unusual case of green teeth resulting from neonatal hyperbilirubinemia. ASDC J Dent Child 1987; 54(1): 54-6.
Sengupta S, Das JK, Gangopadhyay A. Alagille syndrome with prominent skin manifestations. Indian J Dermatol Venereol Leprol 2005; 71: 119-21.
Monte AL, Pomarico L, Souza PI, Rangel JM. Green pigmentation of deciduous teeth: Report of two cases. J Dent Child 2004; 71(2): 179-181.
Fantasia JE, Damm DD. Green primary teeth. Diagnosis: Bilirrubin deposition. Gen Dent 2005; 53(1): 84-5.
Rosenthal PH, Ramos A. Management of children withh yperbilirubinemia and green teeth. J Pediatr 1986; 108: 103-5.
Villa GM, Mate SA, Murguía T. Ictericia neonatal fisiopatología, etiología, diagnóstico y encefalopatía bilirrubínica. Bol Med Hosp Inf Mex 200; 57: 92-103.
Seow WK, Shepherd RW, Ong TH. Oral changes associated with biliary atresia and liver transplantation. J Clin Pediatr Dent 1993; 18(1): 38-42.
Zaia AA, Graner E, de Almeida OP, Scully C. Bilirubin pigmentation of human teeth caused by hyperbilirubinemia. J Oral Pathol Med 1999; 28(3): 128-30.
Cadena GA, De la Teja AE, Soto BJ, Guzmán MA, Ocampo AF. Hiperbilirrubinemia neonatal como causa de pigmentaciones dentarias intrínsecas. Presentación de dos casos. Acta Pediatr Méx 2002; 23(3): 123-127.
Shendge H, Tullu MS, Shenoy A, Chaturvedi R, Kamat JR, Khare M et al. Alagille syndrome. Indian J Pediatr 2002; 69: 825-7.
Schwarzenberg SJ, Grothe RM, Sharp HL, Snover DC, Freese D. Long-term complications of arteriohepatic dysplasia. Am J Med 1992; 93: 171-176.
Al-Mutawa S, Mathews B, Salako N. Oral findings in Alagille syndrome. A case report. Med Princ Pract 2002; 1(3): 161-3.