全顎的に著しい歯の動揺を伴う原発性高シュウ酸尿症と考えられた1例

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  • A case of suspected primary hyperoxaluria with severe teeth mobility
  • ゼン ガクテキ ニ イチジルシイ ハ ノ ドウヨウ オ トモナウ ゲンパツセイ コウシュウサン ニョウショウ ト カンガエラレタ 1レイ

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Primary hyperoxaluria is a congenital, metabolic, autosomal, recessive, and genetic disease that produces excess oxalalic acid. The excess oxalic acid results in calcium oxalate deposition in the kidney, bone, heart,articulations, blood vessels, nerves, and retina. In the oral and maxillofacial region, calcium oxalate crystals deposited in dentin and pulp cause toothache, tooth mobility, and root resorption. A 30-year-old man with suspected primary hyperoxaluria was referred to us because of teeth mobility and occlusal pain. Clinical examination and panoramic tomography showed generalized root resorption and teeth mobility. Teeth fixation with a mouth guard was performed, and poor mastication improved. Primary hyperoxaluria developing in young persons has a poor prognosis. Teeth fixation with a mouth guard is one method that effectively reduces symptoms.

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