1. Dental characteristics of Rickets disorder. Case report
Ana Lucia A, Capelozza; Roberta H. Abujamra; Izabel R.F.R Bullen.
Faculdade de Odontologia de Bauru
University Of São Paulo Brazil

2. Signs and symptoms
Delayed growth: short stature and deformity of extremities
Breastbone projection
Pain in the spine , pelvis and legs
Muscle weakness
Skeletal deformities
Bowed legs
Thickened wrists and ankles

3. Rickets disorder (affects the growing skeleton in infants and children) Osteomalacia ( affects the mature skeleton in adults)
Occurs due to a genetic condition
Skeletal deformities due to deficiency of vitamin D

4. Radiographic features of the jaws
Mandibular border or the walls of the mandibular canal thin
Trabeculae: reduced in density, number and thickness
Teeth: hypoplasia of the dental enamel
erupted and unerupted teeth
Lamina dura and cortical boundarry of tooth follicles may be thin or missing
Pulp chambers: Large
Bone loss around the teeth
External root resorption

5. Differential diagnosis
Amelogênese imperfeita
Identification is made primarily by clinical examination
low or absent cusp
square shape of the crown
thin opaque layer of enamel
Differential diagnosis
Dentin Dysplasia (opalescent dentin)
altered color
occluded pulp chambers
Dentinogenesis imperfecta
history of familial envolvment
bulbous crows
narrow roots
obliteration of pulp chambers and root canals
Regional Odontodysplasia
enamel and dentin are hypoplastic and hypocacified
not hereditary
segment of the arch are affected

6. Report of case
A 12 year old male patient was referred from Bauru School of dentistry due orthodontic evaluation.
The parents reported that the patient is one of triplets and at the birth were the biggest new born .
The diagnosis was made when he was 3 years old.

8. Signs
Symptoms
Extraoral exploration :
lower limb bow,
frontal bulging bone,
short and orthopedic deformities of extremities.
Patient reports: bone pain in the hip region feets, ankles and back. Tooth pain Pus in the structures that surround the teeth
Intra-oral examination
spontaneous dental abscesses,
delay in teeth eruption.

10. enlarged pulp chambers with pull horns extending up to dentin-enamel junction, presence of a radiolucent area along the lower incisors

11. Dental examination should be carried out at least twice a year.
Patients should received multiple integrated treatments as surgeries, orthodontic and orthopedic assistance
Dental radiographs may be performed to identify periapical lesions and other alterations
The multidisciplinary treatment included prophylactic pulpotomies and chrome steel crowns in molars and resin in anterior teeth
Dental examination should be carried out at least twice a year.