Prosthetic rehabilitation of a patient with X-linked hypophosphatemia using dental implants: a case report and review of the literature
Open accessAbstract
BACKGROUND: X-linked hypophosphatemia is associated with a range of dental problems, many of which may result in early loss of the dentition. Most patients, but especially young adults, are likely to desire fixed prosthodontic replacements, and dental implants may be the preferred solution in many cases. The use of dental implants to rehabilitate this patient group has not been widely studied with the literature limited to a small number of case reports with limited follow-up. CASE PRESENTATION: This case report describes the dental journey of a young adult with X-linked hypophosphatemia, his eventual tooth loss and rehabilitation with multiple dental implants. Over 10 years' follow-up of three of the fixtures is presented. CONCLUSIONS: This case report shows a common presentation and progression of a patient with X-linked hypophosphatemia and will hopefully provide further positive evidence for the clinician to rely on when considering dental implant based treatments for such patients.
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The spectrum of long-term follow-up in included reports ranges from reporting on the achievement of dental treatment without further monitoring to less frequent reports with more than a decade of monitoring.
“The spectrum ranges from reporting on the achievement of dental treatment without further monitoring to less frequent reports with more than a decade of monitoring (e.g., Bergendal et al. 2015; Fernandes et al. 2016; James and Roudsari 2019).”
From Dental Management of Genetic Dental Disorders: A Critical Review (2025) · cites this paper as James and Roudsari 2019
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- [2]Carpenter TO New perspectives on the biology and treatment of X-linked hypophosphatemic rickets Pediatr Clin N Am 1997 44 2 443 466 10.1016/S0031-3955(05)70485-5 9130929 · DOI
- [3]Nesbitt T Fujiwara I Thomas R Xiao ZS Quarles LD Drezner MK Coordinated maturational regulation of PHEX and renal phosphate transport inhibitory activity: evidence for the pathophysiological role of PHEX in X-linked hypophosphatemia J Bone Miner Res 1999 14 12 2027 2035 10.1359/jbmr.1999.14.12.2027 10620061 · DOI
- [4]Durmaz E Zou M Al-Rijjal RA Baitei EY Hammami S Bircan I Novel and de novo PHEX mutations in patients with hypophosphatemic rickets Bone. 2013 52 1 286 291 10.1016/j.bone.2012.10.012 23079138 · DOI
- [5]Carpenter TO Imel EA Holm IA Jan de Beur SM Insogna KL A clinician’s guide to X-linked hypophosphatemia J Bone Miner Res 2011 26 7 1381 1388 10.1002/jbmr.340 21538511 PMC3157040 · DOI
- [6]Batra P Tejani Z Mars M X-linked hypophosphatemia: dental and histologic findings J Can Dent Assoc 2006 72 1 69 72 16480608
- [7]Chaussain-Miller C Sinding C Septier D Wolikow M Goldberg M Garabedian M Dentin structure in familial hypophosphatemic rickets: benefits of vitamin D and phosphate treatment Oral Dis 2007 13 5 482 489 10.1111/j.1601-0825.2006.01326.x 17714351 · DOI
- [8]Chaussain-Miller C Sinding C Wolikow M Lasfargues JJ Godeau G Garabedian M Dental abnormalities in patients with familial hypophosphatemic vitamin D-resistant rickets: prevention by early treatment with 1-hydroxyvitamin D J Pediatr 2003 142 3 324 331 10.1067/mpd.2003.119 12640383 · DOI
- [9]Douyere D Joseph C Gaucher C Chaussain C Courson F Familial hypophosphatemic vitamin D-resistant rickets--prevention of spontaneous dental abscesses on primary teeth: a case report Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 107 4 525 530 10.1016/j.tripleo.2008.12.003 19201216 · DOI
- [10]Goodman JR Gelbier MJ Bennett JH Winter GB Dental problems associated with hypophosphataemic vitamin D resistant rickets Int J Paediatr Dent 1998 8 1 19 28 10.1046/j.1365-263X.1998.00059.x 9558542 · DOI
- [11]Murayama T Iwatsubo R Akiyama S Amano A Morisaki I Familial hypophosphatemic vitamin D-resistant rickets: dental findings and histologic study of teeth Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000 90 3 310 316 10.1067/moe.2000.107522 10982952 · DOI
- [12]Rabbani A Rahmani P Ziaee V Ghodoosi S Dental problems in hypophosphatemic rickets, a cross sectional study Iran J Pediatr 2012 22 4 531 534 23430969 PMC3533156
- [13]Sauk JJ Jr Witkop CJ Jr Electron optic analysis of human dentin in hypophosphatemic vitamin D-resistant rickets (report of a kindred with consanguinity) J Oral Pathol 1973 2 4 203 214 10.1111/j.1600-0714.1973.tb01683.x 4363334 · DOI
- [14]Schwartz S Scriver CR Reade TM Shields ED Oral findings in patients with autosomal dominant hypophosphatemic bone disease and X-linked hypophosphatemia: further evidence that they are different diseases Oral Surg Oral Med Oral Pathol 1988 66 3 310 314 10.1016/0030-4220(88)90237-X 2845325 · DOI
- [15]Seow WK Diagnosis and management of unusual dental abscesses in children Aust Dent J 2003 48 3 156 168 10.1111/j.1834-7819.2003.tb00026.x 14640368 · DOI
- [16]Soares EC, Costa FW, Ribeiro TR, Alves AP, Fonteles CS. Clinical approach in familial hypophosphatemic rickets: report of three generations. Spec Care Dentist. 2013;33(6):304-7. 23278178
- [17]Souza AP Kobayashi TY Lourenco Neto N Silva SM Machado MA Oliveira TM Dental manifestations of patient with vitamin D-resistant rickets J Appl Oral Sci 2013 21 6 601 606 10.1590/1679-775720130249 24473729 PMC3891287 · DOI
- [18]Souza MA Soares Junior LA Santos MA Vaisbich MH Dental abnormalities and oral health in patients with hypophosphatemic rickets Clinics (Sao Paulo) 2010 65 10 1023 1026 10.1590/S1807-59322010001000017 21120305 PMC2972601 · DOI
- [19]Witkop CJ Jr Manifestations of genetic diseases in the human pulp Oral Surg Oral Med Oral Pathol 1971 32 2 278 316 10.1016/0030-4220(71)90232-5 4327157 · DOI
- [20]Rathore R, Nalawade TM, Pateel D, Mallikarjuna R. Oral manifestations of vitamin D resistant rickets in orthopantomogram. BMJ Case Rep. 2013;2013:1-2. PMC3618756 23486344
- [21]Bender IB Naidorf IJ Dental observations in vitamin-D-resistant rickets with special reference to periapical lesions J Endodont 1985 11 11 514 520 10.1016/S0099-2399(85)80225-9 3007650 · DOI
- [22]Hillmann G Geurtsen W Pathohistology of undecalcified primary teeth in vitamin D-resistant rickets: review and report of two cases Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996 82 2 218 224 10.1016/S1079-2104(96)80260-5 8863313 · DOI
- [23]Zambrano M Nikitakis NG Sanchez-Quevedo MC Sauk JJ Sedano H Rivera H Oral and dental manifestations of vitamin D-dependent rickets type I: report of a pediatric case Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003 95 6 705 709 10.1067/moe.2003.116 12789152 · DOI
- [24]Abe K Ooshima T Lily TS Yasufuku Y Sobue S Structural deformities of deciduous teeth in patients with hypophosphatemic vitamin D-resistant rickets Oral Surg Oral Med Oral Pathol 1988 65 2 191 198 10.1016/0030-4220(88)90165-X 2830573 · DOI
- [25]Biosse Duplan M Coyac BR Bardet C Zadikian C Rothenbuhler A Kamenicky P Phosphate and vitamin D prevent periodontitis in X-linked hypophosphatemia J Dent Res 2017 96 4 388 395 10.1177/0022034516677528 27821544 · DOI
- [26]Andersen MG Beck-Nielsen SS Haubek D Hintze H Gjorup H Poulsen S Periapical and endodontic status of permanent teeth in patients with hypophosphatemic rickets J Oral Rehabil 2012 39 2 144 150 10.1111/j.1365-2842.2011.02250.x 21902707 · DOI
- [27]Cohen S Becker GL Origin, diagnosis, and treatment of the dental manifestations of vitamin D-resistant rickets: review of the literature and report of case J Am Dent Assoc 1976 92 1 120 129 10.14219/jada.archive.1976.0327 173749 · DOI
- [28]Larmas M Hietala EL Simila S Pajari U Oral manifestations of familial hypophosphatemic rickets after phosphate supplement therapy: a review of the literature and report of case ASDC J Dent Child 1991 58 4 328 334 1658098
- [29]Seow WK Needleman HL Holm IA Effect of familial hypophosphatemic rickets on dental development: a controlled, longitudinal study Pediatr Dent 1995 17 5 346 350 8524683
- [30]Salmon B Bardet C Khaddam M Naji J Coyac BR Baroukh B MEPE-derived ASARM peptide inhibits odontogenic differentiation of dental pulp stem cells and impairs mineralization in tooth models of X-linked hypophosphatemia PLoS One 2013 8 2 e56749 10.1371/journal.pone.0056749 23451077 PMC3579870 · DOI
- [31]Daley TD Jarvis A Wysocki GP Kogon SL X-ray microanalysis of teeth from healthy patients and patients with familial hypophosphatemia Calcif Tissue Int 1990 47 6 350 355 10.1007/BF02555886 1963380 · DOI
- [32]Shellis RP Structural organization of calcospherites in normal and rachitic human dentine Arch Oral Biol 1983 28 1 85 95 10.1016/0003-9969(83)90030-4 6575740 · DOI
- [33]Via WF Jr “Spontaneous” degeneration of the dental pulp associated with phosphate diabetes Oral Surg Oral Med Oral Pathol 1967 24 5 623 628 10.1016/0030-4220(67)90203-4 5234277 · DOI
- [34]Opsahl Vital S Gaucher C Bardet C Rowe PS George A Linglart A Tooth dentin defects reflect genetic disorders affecting bone mineralization Bone. 2012 50 4 989 997 10.1016/j.bone.2012.01.010 22296718 PMC3345892 · DOI
- [35]McMillan JA Feigin RD DeAngelis C Oski’s solution: Oski’s pediatrics: principles and practice 2006 Philadelphia Wolters Kluwer
- [36]Pliskin ME Brown AM Baden EE Kimball HG Vitamin D resistant rickets of a young adult patient. A review and case report J Oral Med 1975 30 3 77 80 167139
- [37]McWhorter AG Seale NS Prevalence of dental abscess in a population of children with vitamin D-resistant rickets Pediatr Dent 1991 13 2 91 96 1652746
- [38]Shields ED Scriver CR Reade T Fujiwara TM Morgan K Ciampi A X-linked hypophosphatemia: the mutant gene is expressed in teeth as well as in kidney Am J Hum Genet 1990 46 3 434 442 2155529 PMC1683613
- [39]Sabandal MM Robotta P Burklein S Schafer E Review of the dental implications of X-linked hypophosphataemic rickets (XLHR) Clin Oral Investig 2015 19 4 759 768 10.1007/s00784-015-1425-4 25677243 · DOI
- [40]Resnick D Implant placement and guided tissue regeneration in a patient with congenital vitamin D-resistant rickets J Oral Implantol 1998 24 4 214 218 10.1563/1548-1336(1998)024<0214:IPAGTR>2.3.CO;2 10321209 · DOI
- [41]Friberg B Branemark system implants and rare disorders: a report of six cases Int J Periodontics Restorative Dent 2013 33 2 139 148 10.11607/prd.1429 23484169 · DOI
- [42]Bergendal B Ljunggren Ö Treatment with oral implants in X-linked hypophosphataemic rickets and hypophosphatasia – report from a workshop Swed Dent J 2001 25 165
- [43]Lee BN Jung HY Chang HS Hwang YC Oh WM Dental management of patients with X-linked hypophosphatemia Restor Dent Endod 2017 42 2 146 151 10.5395/rde.2017.42.2.146 28503481 PMC5426218 · DOI
- [44]Araujo MG Lindhe J Peri-implant health J Clin Periodontol 2018 45 Suppl 20 S230 S2S6 10.1111/jcpe.12952 29926494 · DOI
- [45]Berglundh T Armitage G Araujo MG Avila-Ortiz G Blanco J Camargo PM Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions J Clin Periodontol 2018 45 Suppl 20 S286 SS91 10.1111/jcpe.12957 29926491 · DOI · Paper page
- Authors
- James, M., & Roudsari, R. V.
- Affiliations
- University Dental Hospital of Manchester (GB)
- University of Manchester (GB)
- Corresponding author
- James, Martin
- Venue
- International Journal of Implant Dentistry
- Published
- 2019-04-22
- Volume
- 5
- Issue
- 1
- Pages
- 15-15
- ISSN
- 2198-4034 (ISSN-L)
- PMC
- PMC6475631
- OpenAlex
- W2942458471
- Cited by
- 6
- References
- 44
- Citations by year
- 2025: 3 · 2021: 2 · 2020: 1
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Implant Dentistry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
- Keywords
- X-linked hypophosphatemia, dental implants, prosthodontic rehabilitation, tooth loss, young adults, implant survival, long-term follow-up
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