Clinical Aspects and Conservative Dental Management of a Patient with Fibrodysplasia Ossificans Progressiva

Abstract

FOP is a rare disease dentists must familiarize themselves with to provide adequate, personalized treatment, which minimizes traumas that may exacerbate the disease.

Progressive ossificans fibrodysplasia endodontic management: Case report

“…Local anesthetics may be used in other ways in POF patients to reduce soft tissue trauma, either through infiltration into the periodontal ligament or in intraligamentar area, or using mucosal infiltrative injections or intrapulpal infiltration . The latter, as performed in the present clinical case, is an effective alternative, but its clinical applicability is difficult especially in posterior teeth due to the difficulty of access, limitation of buccal opening or behavioral reasons of the patient, and general anesthesia may be necessary.…”

“…Endodontic treatment can be included in the treatment plan of individuals with POF as a conservative alternative to surgical therapies. However, the use of this therapy is not reported in the literature due to the severe limitations in the opening of the mouth of these individuals that hinder access and endodontic instrumentation . Only a case report, to date, has opted for endodontic treatment as an alternative to tooth extraction .…”

“…However, the use of this therapy is not reported in the literature due to the severe limitations in the opening of the mouth of these individuals that hinder access and endodontic instrumentation . Only a case report, to date, has opted for endodontic treatment as an alternative to tooth extraction . However, this was performed in a patient with no history of TMJ limitations.…”

“…Endodontic treatment of patients with POF can be performed through conservative therapy through intrapulpal anesthesia . However, there are few studies in the literature that describe endodontic treatment in patients with POF.…”

“…However, there are few studies in the literature that describe endodontic treatment in patients with POF. This is due to the severe limitations of mouth opening, and surgical intervention is the only option for many cases of endodontically compromised teeth in these individuals …”