Oral Care Challenges in Hypophosphatemic Vitamin D-Resistant Rickets (VDRR): A Case Report

Hypophosphatemia due to vitamin D resistant rickets is a genetic condition that involves problems with phosphate use, which causes difficulties in properly mineralizing bones and teeth.The typical clinical characteristics include bowing of the lower extremities, short stature, scoliosis, and beading at the rib-sternal junction.Dental findings of this condition include enlarged pulp chambers, pulp horns that spread outside the dentinoenamel junction, enamel and dentine defects, poorly defined lamina-dura, short roots and a hypoplastic alveolar ridge.The therapeutic approach consists of the prevention of dental infectious complications by prophylactic care.This can be achieved on temporary teeth by prophylactic pulp treatment, pulpotomy, pulpectomy, preformed stainless steel pedodontics cap and/or by composite resin and glass ionomer cement.This article presents the dental management of a child 4 years old with Hypophosphatemia and vitamin D resistance.