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This case report presents oral rehabilitation in a 4-year-old child with dental involvement, where metaphyseal irregularities and dysplastic radiographic findings coexisted with multiple root pieces and impaired mastication. Planned staged extractions and restorations with stainless-steel crowns under general anesthesia supported functional dental management.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/oral-rehabilitation-of-a-4-year-old-child-with-metaphyseal-chondrodysplasia-a-case-report/432816/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/oral-rehabilitation-of-a-4-year-old-child-with-metaphyseal-chondrodysplasia-a-case-report/432816.png","ImageObject",300,407,{"name":92,"@type":93},"Alexandar","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is metaphyseal chondrodysplasia and why is diagnosis challenging?","Question",{"text":112,"@type":113},"It is a rare genetic skeletal dysplasia with many subtypes. Determining the exact type can require gene sequencing and testing that may not be widely accessible or affordable.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What dental and functional problems did the 4-year-old present with?",{"text":117,"@type":113},"The child had carious broken teeth, multiple root pieces in both jaws, and difficulty chewing, with food needing to be mashed into a paste.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the oral rehabilitation performed in this case?",{"text":121,"@type":113},"Treatment used a two-stage approach under general anesthesia: formocresol pulpotomy and stainless-steel crown restorations, along with planned extractions of affected root pieces to reduce mandibular fracture risk.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},432816,1790827192,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},962090768658,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Oral Rehabilitation of a 4-Year-Old Child with Metaphyseal Chondrodysplasia: A Case Report  \nMansi Gandhy Baviskar 1*, Ajit Baviskar2  \n1. Pediatric and Preventive dental department, School of Dentistry, DY Patildeemed to be University, Navi Mumbai, India School of Dentistry, India  \n2. Emergency Medicine department, School of Medicine, DY Patil deemed to be University, Navi Mumbai, India  \n\n| Article Info | A B S T R A C T |\n| --- | --- |\n| Article type:\u003Cbr>Case Report | Metaphyseal chondrodysplasia is a rare genetic disorder with an incidence of 3-6 c per one million births. It is characterized by short long bones, cupping of metaph |\n|  | and phalanges, and many other variable components. There are over 100 type identified metaphyseal dysplasia targeting various genes, and many more that unidentified. This case report describes oral rehabilitation of a 4-year-old child wit unknown type of metaphyseal dysplasia with dental involvement. |\n| Article History:\u003Cbr>Received: 02 Aug 2024\u003Cbr>Accepted: 10 Mar 2025\u003Cbr>Published: 03 Sep 2025 |  |\n|  | Keywords: Metaphyseal Chondrodysplasia; Genetic; Dental; Oral Rehabilita |\n|  | Anaesthesia; General |\n| * Corresponding author: |  |\n| Pediatric and Preventive dental department, School of Dentistry, DY Patildeemed to be University, Navi Mumbai, India School of Dentistry, India\u003Cbr>[Email:](Email: mansi.baviskar@dypatil.edu)[ ](Email: mansi.baviskar@dypatil.edu)[mansi.baviskar@dypatil.edu](Email: mansi.baviskar@dypatil.edu) |  |\n| 􀂾 Cite this article as: Baviskar MG, Baviskar A. Oral Rehabilitation of a 4-Year-Old Child with Metaphyseal Chondrodysplasia: A Case Report. Front Dent. 2025:22:35. [http://doi.org/10.18502/fid.v22i35.19698](http://doi.org/10.18502/fid.v22i35.19698) |  |\n\nINTRODUCTION  \nMetaphyseal chondrodysplasia is a rare genetic, heterogenous group of intrinsic skeletal dysplasia that may show an autosomal dominant or recessive transmission. There are over 400 types of skeletal dysplasia with over 100 distinct types of chondrodysplasia. The Schmid type, Pyle type, Spahr type, and Jansen type of achondroplasia have been more commonly documented [1-3]. They vary from mild distortion of the cartilaginous structures to severe malformations.  \nMetaphyseal chondrodysplasia is  \ncharacterized by metaphyseal irregularities; hence, it can be mistaken for rickets [4]. The type of chondrodysplasia is very difficult to pin  \nas it requires gene sequencing and testing that are not easily available and affordable in developing countries [5]. Literature is scarce regarding the various types of chondrodysplasias, and any correlation with dental anomaly. Literature has shownodontochondrodysplasia to be associated with dentinogenesis imperfecta [6].  \nHerein, we report a case of metaphyseal chondrodysplasia with dental abnormality. To the best of the authors’ knowledge, this is the first known case of documented oral rehabilitation of a child with this abnormality.  \nCASE PRESENTATION  \nA 4-year-old child was brought by his father  \nwith the chief complaint of carious broken teeth. The father complained that his child was unable to chew food and that food had to be mashed to paste.  \nMedical history:  \nThe child was suspected with skeletal dysplasia on prenatal ultrasonography that revealed short bones and developmental delay in the 7th month of pregnancy. Delivery was normal, and the birth weight was 3.3kg. The child was breastfed until 2 years and had no bottle feeding thereafter.  \nFig 1. Hand wrist X-ray  \nRadiograph of the pelvis and both hips showed dysplastic metaphyses with cupping and cavitary changes [6]. Ultrasonography of the abdomen revealed dilation of renal pelvis and mild to moderate hydronephrosis of the left kidney. Renal profile revealed low serum creatinine level (0.3mg/dl) and low serum uric acid level (3.3mg/dl) . Type of metaphyseal chondrodysplasia was not determined even after targeted gene sequencing (Medgenome) that was done when the child was 7 months old.  \nHe gav","cbCaiccErVIgNAmA","https://ap.wps.com/l/cbCaiccErVIgNAmA","pdf",1373425,"English","# Introduction\n# Case Presentation\n## Medical History\n## Family History\n## Oral Examination\n## Treatment Planning and Staged Management","[{\"question\":\"What is metaphyseal chondrodysplasia and why is diagnosis challenging?\",\"answer\":\"It is a rare genetic skeletal dysplasia with many subtypes. Determining the exact type can require gene sequencing and testing that may not be widely accessible or affordable.\"},{\"question\":\"What dental and functional problems did the 4-year-old present with?\",\"answer\":\"The child had carious broken teeth, multiple root pieces in both jaws, and difficulty chewing, with food needing to be mashed into a paste.\"},{\"question\":\"How was the oral rehabilitation performed in this case?\",\"answer\":\"Treatment used a two-stage approach under general anesthesia: formocresol pulpotomy and stainless-steel crown restorations, along with planned extractions of affected root pieces to reduce mandibular fracture risk.\"}]","Oral Rehabilitation of a 4-Year-Old Child with Metaphyseal Chondrodysplasia - A Case Report | PDF",1790661457]