Anterior crown restoration using resin composite in a patient with biliary atresia: a case report
Alzamzami Mohammed K., 김현태, 송지수, 신터전, 김영재, 김정욱, 장기택, 현홍근,
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( Alzamzami Mohammed K. ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김현태 ( Kim Hyun-Tae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
송지수 ( Song Ji-Soo ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
신터전 ( Shin Teo-Jeon ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김영재 ( Kim Young-Jae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김정욱 ( Kim Jung-Wook ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
장기택 ( Jang Ki-Taeg ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
현홍근 ( Hyun Hong-Keun ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
Abstract
Biliary atresia is a rare disease that occurs in infancy, describing complete obstruction of bile flow owing to the destruction or absence of all or part of the extrahepatic bile ducts. The etiology of biliary atresia remained unclear. Clinically, the disease is characterized by obstructive jaundice, dark urine, pale yellow (acholic) stools, hepatosplenomegaly, pruritus, skin xanthomas, steatorrhea, and high-flow cardiac murmur. The effects of this disease on a child’s oral development usually include green discoloration and occasional hypoplastic defects of the teeth, as well as bleeding problems. Currently, biliary atresia is best managed by hepatic portoenterostomy with or without liver transplantation. A 9-year-old girl with biliary atresia experienced esthetic discomfort related to the presence of irregularities and discoloration in her anterior incisors. Dental history and clinical examination revealed that she had a form of enamel hypoplasia and very poor oral hygiene, which resulted in chronic periodontitis and multiple dental caries. She was treated multiple times under nitrous oxide and oxygen inhalation sedation or general anesthesia, and composite resin restorations could improve the appearance and uniformity of the teeth, improving patient self-esteem. A correct diagnosis of lesion depth would be necessary for establishing treatment plan and to ensure successful short- and longterm outcomes.
키워드
Biliary atresia; Liver transplantation; Green-stained teeth; Enamel hypoplasia; Composite resin
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