Multiple hereditary osteochondromatosis: a case report

Abstract

Objectives: Common carious lesions owing to vomiting are not widespread in children. In this case, we aimed to report an 11-years-old male patient with common carious lesions due to repeated vomitings, chewing and eating difficulty and retarded growth with Multiple Hereditary Osteochondromatosis (MHO).

Case report: An 11-years-old boy was referred to Department of Pediatric Dentistry in Faculty of Dentistry because of eating difficulty owing to common carious lesions. It was seen that the patient growth was generally retarded in extra-oral examination. Some exostoses were also present on the extremities. It was learned that he was previously diagnosed as MHO in Faculty of Medicine. Nausea and vomiting have been commonly occurring after taking of Didronat. Chewing and eating difficulty and inadequate nutrition were present because of bad oral hygiene, carious lesions and remained roots. Growth was negatively affected by malnutrition and MHO.

Results: Diet recommendations were given and oral hygiene behaviors were rearranged. Preventive, surgical, restorative and prosthetical dental applications were applied for dental treatments.

Keywords: Bisphosphonates; Bone tumor; Chondrosarcoma; Hereditary multiple osteochondromatosis; Multiple hereditary exostoses.

Figure 1

The clinical view of the shoulders and left side of the thorax.

Figure 2

The clinical view of the subjacent extremities.

Figure 4

The intra-oral radiographical view of the patient.

Figure 3

The intra-oral clinical view of the patient.

Figure 5

The intra-oral clinical view of the patient after prosthetical dental treatment.