Alterations in tooth eruption and spastic paraparesis: case report.

Abstract

Introduction: Permanent teeth begin between 5 and 7 years, being an important success in development. Any change in the eruption could negatively affect oral functions. Often, these are linked to agenesis, systemic anomalies and/or genetic syndromes. At the same time, spastic paraparesis is a disorder that affects neuromuscular reflexes and gait. Although the relationship between these conditions is not described in the literature, both have an important genetic component. The purpose is to report the radiographic manifestation of eruptive alterations in a patient with spastic paraparesis. Case report: Female patient, 8.5 years old with spastic paraparesis, derived from the Instituto de Rehabilitación Teletón, attends postgraduate pediatric dentistry for comprehensive treatment. During clinical examination, a delay in the eruption of first permanent molars is detected, which is why a panoramic x-ray is requested. This is where changes are observed in the chronology, sequence and development of permanent molars. Conclusions: It is important to highlight the contribution of panoramic radiography when detecting clinical anomalies in order to define the pediatric dental approach as well as clinical and radiographic follow-up. It is suggested to carry out more genetic studies since spastic paraparesis has a large number of associated genes, some of which could coincide with the gene related to eruptive changes.