Document Detail


Dental treatment of an adult patient with a history of biliary atresia.
MedLine Citation:
PMID:  22532949     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: Biliary atresia is a congenital disease treated by liver transplantation. Adults may have oral consequences of the medical therapy. Green teeth are oral manifestations of the induced hyperbilirubinemia. Gingival enlargement is associated with the immunosuppressive drug. This case report describes the successful treatment of an 18-year-old patient displaying severe green teeth and gingival enlargement. Method and Materials: The gingival enlargement was treated by reducing the pathogenic oral microflora through scaling and root planing of the teeth, gingival excision surgeries, and conversion from cyclosporin to tacrolimus. Results: Gingival enlargement and inflammation had completely disappeared after nonsurgical treatment for the maxilla and after surgical treatment for the mandible. The green coloration of the teeth was masked using composite restorations. Conclusion: This case report indicates that a patient's quality of life can be improved by a team approach combining pharmacologic and dental therapies. (Quintessence Int 2012;43:337?341) ;
Authors:
Helene Range; Sophie Camy; Joseph Cohen; Pierre Colon; Philippe Bouchard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Quintessence international (Berlin, Germany : 1985)     Volume:  43     ISSN:  1936-7163     ISO Abbreviation:  Quintessence Int     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342677     Medline TA:  Quintessence Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  337-41     Citation Subset:  D    
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