Syndromes et pathologies associés à une exfoliation précoce des dents chez l'enfant à partir d'un cas archéologique : revue systématique de la littérature

Abstract : In 2015, E. Garot provided a re-examination of an archaeological specimen (FAO90_1296, London, 1770-1849). Premature exfoliation of several deciduous and permanent teeth were recorded. Tuberculosis or brucellosis were diagnosed by the anthropologist Tania Kausmally to explain bone lesions reported on the skeleton. The individual is 6 years old (age at death). The aim of this systematic review of literature was to search a new diagnostics hypothesis that could explain both bone lesions and premature teeth exfoliations. We searched in three database, Cochrane, MedLine/PubMed and Scopus, according to the PRISMA criteria and selected 49 articles. A total of 99 children had a syndrome or a disease associated to at least one premature tooth exfoliation. We proposed two diagnostic guides, one for dentists (craniofacial area) and the other one for anthropologists (bone and tooth lesions), based on the symptoms listed for the 19 diseases involved. Then we applied this guide to our archaeologic case that has led to a new probable diagnosis of hypophosphatemic ricket. It is thus valuable to underline the importance of a meticulous denture examination by anthropologists to assess health conditions in the past.
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Marion Andriantavy. Syndromes et pathologies associés à une exfoliation précoce des dents chez l'enfant à partir d'un cas archéologique : revue systématique de la littérature. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02143414⟩

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