Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid
Background Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists. Aims To identify systemic conditions associated with PLPT and develop a clinical aid. Design OVID Medl...
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Veröffentlicht in: | International journal of paediatric dentistry 2024-11, Vol.34 (6), p.871-890 |
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creator | Heggie, Claudia Al‐Diwani, Hiba Arundel, Paul Balmer, Richard |
description | Background
Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists.
Aims
To identify systemic conditions associated with PLPT and develop a clinical aid.
Design
OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference s, absence of PLPT and absence of English‐language full text.
Results
Seven hundred and ninety‐one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty‐one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (n = 129), were case reports or series. Most publications, 44% (n = 62), were related to hypophosphatasia, and 25% (n = 35) were related to Papillon–Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach.
Conclusions
A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral. |
doi_str_mv | 10.1111/ipd.13188 |
format | Article |
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Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists.
Aims
To identify systemic conditions associated with PLPT and develop a clinical aid.
Design
OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference s, absence of PLPT and absence of English‐language full text.
Results
Seven hundred and ninety‐one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty‐one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (n = 129), were case reports or series. Most publications, 44% (n = 62), were related to hypophosphatasia, and 25% (n = 35) were related to Papillon–Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach.
Conclusions
A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral.</description><identifier>ISSN: 0960-7439</identifier><identifier>ISSN: 1365-263X</identifier><identifier>EISSN: 1365-263X</identifier><identifier>DOI: 10.1111/ipd.13188</identifier><identifier>PMID: 38609350</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Case reports ; Child ; dental development ; Dentists ; Differential diagnosis ; Humans ; Hypophosphatasia ; Hypophosphatasia - complications ; Hypophosphatasia - diagnosis ; medical compromise ; Pediatrics ; premature exfoliation ; primary teeth ; systemic disease ; Teeth ; Tooth Loss ; Tooth, Deciduous</subject><ispartof>International journal of paediatric dentistry, 2024-11, Vol.34 (6), p.871-890</ispartof><rights>2024 The Authors. published by BSPD, IAPD and John Wiley & Sons Ltd.</rights><rights>2024 The Authors. International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-9b389e5946375efae4ad3f483fd78984d14632045c62782016707190e6b306c3</citedby><cites>FETCH-LOGICAL-c3888-9b389e5946375efae4ad3f483fd78984d14632045c62782016707190e6b306c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fipd.13188$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fipd.13188$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38609350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heggie, Claudia</creatorcontrib><creatorcontrib>Al‐Diwani, Hiba</creatorcontrib><creatorcontrib>Arundel, Paul</creatorcontrib><creatorcontrib>Balmer, Richard</creatorcontrib><title>Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid</title><title>International journal of paediatric dentistry</title><addtitle>Int J Paediatr Dent</addtitle><description>Background
Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists.
Aims
To identify systemic conditions associated with PLPT and develop a clinical aid.
Design
OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference s, absence of PLPT and absence of English‐language full text.
Results
Seven hundred and ninety‐one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty‐one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (n = 129), were case reports or series. Most publications, 44% (n = 62), were related to hypophosphatasia, and 25% (n = 35) were related to Papillon–Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach.
Conclusions
A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral.</description><subject>Case reports</subject><subject>Child</subject><subject>dental development</subject><subject>Dentists</subject><subject>Differential diagnosis</subject><subject>Humans</subject><subject>Hypophosphatasia</subject><subject>Hypophosphatasia - complications</subject><subject>Hypophosphatasia - diagnosis</subject><subject>medical compromise</subject><subject>Pediatrics</subject><subject>premature exfoliation</subject><subject>primary teeth</subject><subject>systemic disease</subject><subject>Teeth</subject><subject>Tooth Loss</subject><subject>Tooth, Deciduous</subject><issn>0960-7439</issn><issn>1365-263X</issn><issn>1365-263X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EokvLgRdAlrjAIa0dJ47NrWoLVKoEhx56s7z2ZOvKsYOddLXPxQvW2yw9IDEXazyf_vk1P0IfKDmlpc7caE8po0K8QivKeFvVnN29RisiOam6hskj9C7nB0JoS2ryFh0xwYlkLVmhP5dOb0LMLmMdLHbBTU57POigNzBAmHDssbl33iYIeEyQy58LG7x10_2-H_Q0J8A-5rxHx-QGnXZ4AihznXM0Tk9gF17jvMsTDM5gE4Mtu2L4is9xNnHciyZ4dLB9dmLhEXwcXyz4Ys0UZ9rZE_Sm1z7D-8N7jG6_Xd1e_Khufn6_vji_qQwTQlRyzYSEVjacdS30GhptWd8I1ttOSNFYWiY1aVrD607UhPKOdFQS4GtGuGHH6PMiO6b4e4Y8qcFlA97rAHHOihEmmoZ0XVfQT_-gD3FOoZhTjFJBmWw5LdSXhTKpXCtBrw7XUpSofZCqBKmegyzsx4PivB7AvpB_kyvA2QJsnYfd_5XU9a_LRfIJ3f2prg</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Heggie, Claudia</creator><creator>Al‐Diwani, Hiba</creator><creator>Arundel, Paul</creator><creator>Balmer, Richard</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202411</creationdate><title>Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid</title><author>Heggie, Claudia ; Al‐Diwani, Hiba ; Arundel, Paul ; Balmer, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-9b389e5946375efae4ad3f483fd78984d14632045c62782016707190e6b306c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case reports</topic><topic>Child</topic><topic>dental development</topic><topic>Dentists</topic><topic>Differential diagnosis</topic><topic>Humans</topic><topic>Hypophosphatasia</topic><topic>Hypophosphatasia - complications</topic><topic>Hypophosphatasia - diagnosis</topic><topic>medical compromise</topic><topic>Pediatrics</topic><topic>premature exfoliation</topic><topic>primary teeth</topic><topic>systemic disease</topic><topic>Teeth</topic><topic>Tooth Loss</topic><topic>Tooth, Deciduous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heggie, Claudia</creatorcontrib><creatorcontrib>Al‐Diwani, Hiba</creatorcontrib><creatorcontrib>Arundel, Paul</creatorcontrib><creatorcontrib>Balmer, Richard</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of paediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heggie, Claudia</au><au>Al‐Diwani, Hiba</au><au>Arundel, Paul</au><au>Balmer, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid</atitle><jtitle>International journal of paediatric dentistry</jtitle><addtitle>Int J Paediatr Dent</addtitle><date>2024-11</date><risdate>2024</risdate><volume>34</volume><issue>6</issue><spage>871</spage><epage>890</epage><pages>871-890</pages><issn>0960-7439</issn><issn>1365-263X</issn><eissn>1365-263X</eissn><abstract>Background
Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists.
Aims
To identify systemic conditions associated with PLPT and develop a clinical aid.
Design
OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference s, absence of PLPT and absence of English‐language full text.
Results
Seven hundred and ninety‐one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty‐one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (n = 129), were case reports or series. Most publications, 44% (n = 62), were related to hypophosphatasia, and 25% (n = 35) were related to Papillon–Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach.
Conclusions
A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>38609350</pmid><doi>10.1111/ipd.13188</doi><tpages>20</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Case reports Child dental development Dentists Differential diagnosis Humans Hypophosphatasia Hypophosphatasia - complications Hypophosphatasia - diagnosis medical compromise Pediatrics premature exfoliation primary teeth systemic disease Teeth Tooth Loss Tooth, Deciduous |
title | Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid |
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