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Glycogen storage disease and von Willebrand's disease implications for dental treatment: Dental management of a pediatric patient
Authors:Tracy M. DeIIinger DDS    H. Mark Livingston DDS    Ray Holder MS  DMD   Charles F. Streckfus DDS  MA
Affiliation:Department of Veterans Affairs Dental Research Fellow in Jackson, Mississippi.;Assistant Professor in the Restorative Dentistry Department at the University of Mississippi School of Dentistry.;Director of the Advanced Education in General Dentistry Program and an Associate Professor in the Restorative Dentistry Department at the University of Mississippi School of Dentistry.;Director of Dental Research and a Professor in the Diagnostic Sciences Department at the University of Mississippi School of Dentistry
Abstract:Glycogen storage diseases (GSD) are metabolic disorders which impair the body's ability to store glucose and utilize it later, requiring patients to take multiple daily dietary supplementation with a high carbohydrate content. Patients undergoing this treatment modality are placed at increased risk for gross dental caries and other oral abnormalities. Additionally, GSD may prolong the patient's bleeding time, which may necessitate consultation with the treating physician. In the following case, our patient required a multi-disciplinary approach to address not only her dental needs, but also to coordinate the management of both her GSD and an additional complication, von Willebrand's disease. This was best achieved in a hospital setting
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