Dental Management in a Patient with Turner Syndrome with Dental Anomalies : A Case Report
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Turner syndrome (TS) is a chromosomal disorder caused by monosomy of the X chromosome, with complete or partial absence of the second sex chromosome. Anomalies of root morphology have been found to occur more often in patients with TS, which make endodontic treatment challenging and requires special handling. The patients with TS may also have systematic problems such as cardiac or renal malformations, so in treating these patients it is important for clinicians not only to be aware of the characteristic intraoral findings, but also to make the patients have regular dental check-ups to prevent oral complications in advance. An 12-year-old girl who had been diagnosed with TS at the age of 10 years was referred due to discomfort in the bilateral mandibular premolar regions. Dens evaginatus and taurodontism were detected in all the mandibular premolars characteristically. The bilateral mandibular first premolars had three roots and the bilateral mandibular second premolars had periapical lesion with two roots. Due to the complexity of the root canal anatomy, root canal treatment were completed with a dental microscope to ensure adequate visualization. After 2 years of regular follow-up examinations, there were no clinical sign or symptom associated with the teeth, and no periapical lesion, was found. This case report describes the characteristic oral features and dental management of TS patients.
Abstract
Turner syndrome (TS) is a chromosomal disorder caused by monosomy of the X chromosome, with complete or partial absence of the second sex chromosome. Anomalies of root morphology have been found to occur more often in patients with TS, which make endodontic treatment challenging and requires special handling. The patients with TS may also have systematic problems such as cardiac or renal malformations, so in treating these patients it is important for clinicians not only to be aware of the characteristic intraoral findings, but also to make the patients have regular dental check-ups to prevent oral complications in advance. An 12-year-old girl who had been diagnosed with TS at the age of 10 years was referred due to discomfort in the bilateral mandibular premolar regions. Dens evaginatus and taurodontism were detected in all the mandibular premolars characteristically. The bilateral mandibular first premolars had three roots and the bilateral mandibular second premolars had periapical lesion with two roots. Due to the complexity of the root canal anatomy, root canal treatment were completed with a dental microscope to ensure adequate visualization. After 2 years of regular follow-up examinations, there were no clinical sign or symptom associated with the teeth, and no periapical lesion, was found. This case report describes the characteristic oral features and dental management of TS patients.
참고문헌 (33)
- Saenger P, "Recommendations for the diagnosis and management of Turner syndrome", J Clin Endocrinol Metab, 86, pp.3061~3069 (2001)
- Batch J, "Turner syndrome in childhood and adolescence", Best Pract Res Clin Endocrinol Metab, 16, pp.465~482 (2002)[DOI]
- Faggella A, "Dental features in patients with Turner syndrome", Eur J Paediatr Dent, 7, pp.165~168 (2006)
- Ho VB, "Major vascular anomalies in Turner syndrome : prevalence and magnetic resonance angiographic features", Circulation, 110, pp.1694~1700 (2004)[DOI]
- Szilagyi A, "Oral manifestations of patients with Turner syndrome", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89, pp.577~584 (2000)[DOI]
- Varrela J, "Root morphology of mandibular premolars in human 45,X females", Arch Oral Biol, 35, pp.109~112 (1990)[DOI]
- Midtbo M, "Tooth crown size and morphology in Turner syndrome", Acta Odontol Scand, 52, pp.7~19 (1994)[DOI]
- Varrela J, "Taurodontism in 45,X females", J Dent Res, 69, pp.494~495 (1990)[DOI]
- Gonzalez L, "The patient with Turner syndrome: puberty and medical management concerns", Fertil Steril, 98, pp.780~786 (2012)[DOI]
- Lopez ME, "Oral and clinical characteristics of a group of patients with Turner syndrome", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94, pp.196~204 (2002)[DOI]
- Saenger P, "Turner's Syndrome", N Engl J Med, 335, pp.1749~1754 (1996)[DOI]
- Gotzsche CO, "Prevalence of cardiovascular malformations and association with karyotypes in Turner's syndrome", Arch Dis Child, 71, pp.433~436 (1994)[DOI]
- Sybert VP, "Cardiovascular malformations and complications in Turner syndrome", Pediatrics, 101, pp.E11~ (1998)
- Lin AE, "Further delineation of aortic dilation, dissection, and rupture in patients with Turner syndrome", Pediatrics, 102, pp.e12~ (1998)[DOI]
- Mazzanti L, "Congenital heart disease in patients with Turner's syndrome. Italian Study Group for Turner Syndrome (ISGTS)", J Pediatr, 133, pp.688~692 (1998)[DOI]
- Knickmeyer RC, "Turner syndrome: advances in understanding altered cognition, brain structure and function", Curr Opin Neurol, 25, pp.144~149 (2012)[DOI]
- Turner EK, "A case of probable ovarian agenesis with Turner syndrome in a female child aged seven months", Med J Aust, 41, pp.39~42 (1954)
- Horowitz SL, "Palatal abnormalities in the syndrome of gonadal dysgenesis and its variants and in Noonan's syndrome", Oral Surg Oral Med Oral Pathol, 38, pp.839~844 (1974)[DOI]
- Townsend G, "Reduced tooth size in 45,X (Turner syndrome) females", Am J Phys Anthropol, 65, pp.367~371 (1984)[DOI]
- Varrela J, "Tooth crown size in human females with 45,X", 46,XX chromosomes, 1988, pp.33, 291~294
- Mayhall JT, "Tooth crown size in 46,X,i(Xq) human females", Arch Oral Biol, 36, pp.411~414 (1991)[DOI]
- Midtbo M, "Tooth crown size and morphology in Turner syndrome", Acta Odontol Scand, 52, pp.7~19 (1994)[DOI]
- Garn SM, "X-linked inheritance of tooth size", J Dent Res, 44, pp.439~441 (1965)[DOI]
- Kusiak A, "Root morphology of mandibular premolars in 40 patients with Turner syndrome", Int Endod J, 38, pp.822~826 (2005)[DOI]
- MidtbMidtbo M, "Skeletal maturity, dental maturity, and eruption in young patients with Turner syndrome", Acta Odontol Scand, 50, pp.303~312 (1992)[DOI]
- Varrela J, "Root morphology of mandibular premolars in human 45,X females", Arch Oral Biol, 35, pp.109~112 (1990)[DOI]
- Varrela J, "Effect of 45,X", 46,XX mosaics on root morphology of mandibular premolars, 1992, pp.71, 1604~1606
- Cleghorn BM, "The root and root canal morphology of the human mandibular first premolar: a literature review", J Endod, 33, pp.509~516 (2007)[DOI]
- Cleghorn BM, "The root and root canal morphology of the human mandibular second premolar: a literature review", J Endod, 33, pp.1031~1037 (2007)[DOI]
- Bharti R, ""Taurodontism" an endodontic challenge: a case report", J Oral Sci, 51, pp.471~474 (2009)[DOI]
- Varrela J, "Taurodontism in females with extra X chromosomes", J Craniofac Genet Dev Biol, 9, pp.129~133 (1989)
- Joseph M, "Endodontic treatment in three taurodontic teeth associated with 48,XXXY Klinefelter syndrome: a review and case report", Oral Surg Oral Med Pathol Oral Radiol Endod, 105, pp.670~677 (2008)[DOI]
- Tsesis I, "Taurodontism: an endodontic challenge. Report of a case", J Endod, 29, pp.353~355 (2003)[DOI]