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01121 Journal of Nara Medical Association >
Vol.42 No.5 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/1958

Title: 歯牙萌出に興味ある口腔内所見を認めたクレチン症の1例
Authors: 草野, 雅章
吉田, 精司
木南, 秀雄
堀内, 克啓
藤本, 昌紀
匠原, 悦雄
杉村, 正仁
岡本, 新悟
Keywords: cretinism
oral health maintenance
Issue Date: 31-Oct-1991
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.42 No.5 p.459-468
Abstract: The authors report a case found as cretinism at the age of 34 years, especially on the oral and maxillofacial aspects. The patient, a female, was referred to our clinic at the age of 35 years with the complaints of prolonged retention of the deciduous teeth and multiple dental caries. When the patient suffered from pseudo intestinal obstruction at the age of 34 years, she was found to suffer from cretinism in the hospital, from where she was referred to us. The patient had been untreated until then. The patients height was 114 cm and body weight 26 kg. The face was edematous and the nose was flat, which were characteristic of cretinism. The bone age was matched as ten years. IQ was below sixty, which meant that mental age was estimated to be about two or three years. Oral findings were as follows : 1) residual teeth : <EDC>___-|<CDE>___-, <EDC>^^^-|<CDE>^^^- 2) impacted teeth : <543>___-|<345>___-, <8543>^^^^-|<45>^^- 3) multiple dental caries 4) Radiographic examination showed that the border of cortical bone and cavernosus bone was not clear, and that the maxillary and mandibular bone was osteosclerotic. As the serum levels of T_3, T_4 and TSH were normalized, extraction of caries teeth was routinely performed. Wound healing was good.
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URI: http://hdl.handle.net/10564/1958
ISSN: 04695550
Appears in Collections:Vol.42 No.5

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