Advertisement

European Archives of Paediatric Dentistry

, Volume 15, Issue 1, pp 55–57 | Cite as

Diagnostic dental radiographs not allowed! A child with ataxia telangiectasia

  • E. J. KeeneEmail author
Case Report

Abstract

Background

Ataxia telangiectasia (AT) is a rare neurodegenerative condition which has not previously been reported in the dental literature. It is a life threatening and debilitating disorder of progressive cerebellar ataxia and choreoathetosis, progressive oculocutaneous telangiectasias, immunodeficiency with susceptibility to sinopulmonary infections, impaired organ maturation, X-ray hypersensitivity, and a high incidence of malignancies. Of importance in dentistry is the contra-indication for taking diagnostic radiographs.

Case report

A 5-year-old girl with AT was referred by her paediatrician for dental care as she had never been seen by a dentist. She presented with caries affecting a number of primary teeth. Diagnostic radiographs could not be taken due to her X-ray hypersensitivity.

Treatment

She was given antibiotic prophylaxis for dental treatment under general anaesthetic. She had composite restorations, stainless steel crowns and extractions completed.

Follow-up

She has been reviewed for over 2 years with ongoing enhanced prevention.

Conclusion

This case reports a rare condition in which diagnostic dental radiographs are contra-indicated.

Keywords

Ataxia telangiectasia Radiographs 

Notes

Acknowledgments

I would like to extend a large thank you to the family of this girl who have supported the publication of their daughters’ medical and dental findings.

References

  1. Aicardi J. Diseases of the nervous system in childhood. London: Mac Keith; 1998.Google Scholar
  2. El Ouahabi A, Thiry M, Pector V et al. The role of endosome destabilizing activity in the gene transfer process mediated by cationic lipids. FEBS Lett. 1997;414:187–92.PubMedCrossRefGoogle Scholar
  3. Paterson MC, Anderson AK, Smith BP, Smith PJ. Enhanced radiosensitivity of cultured fibroblasts from ataxia telangiectasia heterozygotes manifested by defective colony-forming ability and reduced DNA repair replication after hypoxic gamma-irradiation. Cancer Res. 1979;39:3725–34.PubMedGoogle Scholar
  4. Paterson MC, Smith PJ. Ataxia telangiectasia: an inherited human disorder involving hypersensitivity to ionizing radiation and related DNA-damaging chemicals. Annu Rev Genet. 1979;13:291–318.PubMedCrossRefGoogle Scholar
  5. Vinken PJ, Bruyn GW. Metabolic and deficiency diseases of nervous-system. Psychol Med. 1978;8:531.Google Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Bradford District Care Trust Salaried Dental ServiceBradfordUK
  2. 2.Rotherham Community Dental ServiceRotherham Community Health CentreRotherhamUK

Personalised recommendations