The oral phenotype and dental management in patients with maple syrup urine disease; case report and scoping review.

Autor: Hassona, Yazan, Alqaisi, Dua'a, Flaifl, Yara, Alkilani, Asma
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Zdroj: BMC Oral Health; 3/21/2024, Vol. 24 Issue 1, p1-8, 8p
Abstrakt: Background and objectives: The literature about oral manifestations and dental management in maple syrup urine disease (MSUD) is sparse. The aim of this report is to present a new case of MSUD with special emphasis on oral findings and to review the relevant literature. Method: A case report of a 4-year-old boy with MSUD was described according to the CARE guidelines for describing case reports. Scoping review of relevant literature was performed, according to the PRISMA-ScR guidelines, by searching PubMed, Medline, Embase, and the grey literature for articles describing dental management and/or oral manifestations in MSUD. Results: The initial search identified 219 articles, but only 4 met the inclusion criteria. Rampant caries and plaque induced gingivitis were the main oro-dental findings in MSUD. Other oral findings included enamel hypoplasia, skeletal abnormalities, and abnormal oral behaviors. Disease-related factors appeared to play a major role in the development of the observed oral phenotype. Conclusion: Oral health in MSUD seems to be influenced by the reliance on semi-synthetic diet and associated neurocognitive complications. Tailored oral health promotional interventions should be included in the multidisciplinary management of patients with MSUD. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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