Orthodontic treatment in children and adolescent patients with X-linked hypophosphatemia: A case–control study

IF 2.4 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Yann Janssens, Martin Biosse Duplan, Agnès Linglart, Anya Rothenbuhler, Catherine Chaussain, Elvire Le Norcy
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Abstract

Objectives

X-linked hypophosphatemia (XLH) is a rare genetic disease that disturbs bone and teeth mineralization. It also affects craniofacial growth and patients with XLH often require orthodontic treatment. The aim of this study was to describe changes in the dental health of XLH children during orthodontic treatment compared with those in matched controls undergoing similar orthodontic procedures.

Materials and Methods

For this retrospective case–control study, we included all individuals less than 16 years old diagnosed with XLH, orthodontically treated in our centre from 2016 to 2022 and pair-matched them to patients with no chronic or genetic conditions. Clinical and radiological parameters concerning their malocclusion, craniofacial discrepancy and the characteristics and iatrogenic effects of their orthodontic treatment were analysed.

Results

Fifteen XLH patients (mean age: 11.3 ± 2.1), pair-matched to 15 control patients were included. Orthodontic treatment was successfully conducted in XLH patients with slightly shorter duration and similar iatrogenic effects as in the control group, except for the occurrence of dental abscess during and after orthodontic tooth movement. XLH patients did not show more relapse than the controls.

Conclusion

Despite the presence of oral manifestations of XLH such as spontaneous abscesses, XLH patients can undergo orthodontic treatment with no obvious additional iatrogenic effects.

X 连锁低磷血症儿童和青少年患者的正畸治疗:病例对照研究
ObjectivesX-linked hypophosphatemia(XLH)是一种罕见的遗传病,会影响骨骼和牙齿的矿化。它还会影响颅面生长,XLH 患者通常需要接受正畸治疗。本研究的目的是描述 XLH 儿童在正畸治疗期间牙齿健康的变化,并与接受类似正畸治疗的匹配对照组的牙齿健康变化进行比较。结果纳入了15名XLH患者(平均年龄:11.3 ± 2.1),并与15名对照组患者配对。XLH患者成功进行了正畸治疗,治疗时间略短,除了在正畸牙齿移动过程中和之后发生牙周脓肿外,正畸治疗的先天影响与对照组相似。结论尽管 XLH 患者存在自发性脓肿等口腔表现,但他们可以接受正畸治疗,而且没有明显的额外先天影响。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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