Impacted Teeth and Early Detection of Hypoparathyroidism: A Rare Case Report with Literature Review

Abstract

Hypoparathyroidism is a rare endocrinological disorder accompanied by anomalies of various systems, bones and teeth. If diagnosed within first 10 years after birth and devoid of etiology, the condition is termed as idiopathic hypoparathyroidism (IHP). The dental defects due to hypoparathyroidism may present as hypocalcaemia, aplasia and/or, hypoplasia of enamel, incomplete mineralization of dentin, short and blunted roots, blunted molar apices, delayed eruptions and missing or, impacted teeth. Retention of multiple primary teeth and impacted permanent teeth can, also, be associated with various other syndromes or, hormonal and metabolic disorders. Early detection of this disorder is vital for effective management not only paving way for prevention of further dental damage progression, but, also, in improving the medical management and related outcomes. This case report elaborates a rare case where multiple impacted permanent teeth and retained primary teeth accompanied by other clinical manifestations led to further investigations which, eventually, helped in the early diagnosis of hypoparathyroidism.