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Case Report

Surgery Under General Anesthesia to Treat Gingival Hyperplasia Endanger the Life of Children with Mucolipidosis II - A Case Report

Abstract

Background and case description: A 28 month old Caucasian boy, diagnosed with Muccolipidosis II, presented at the Pediatric Dentistry Department of the Hadassah medical center demonstrating characteristic features including hypertrophic gums with delayed teeth eruption. The child has tracheostomy, gastrostomy and hearing and eyesight deficiencies. Because of severe limitation on airway management that may cause respiratory and cardiovascular complications, surgical intervention was not performed. As the child has no pain from the gingival enlargement and there was no esthetic issue, a follow- up with active oral hygiene instruction was decided on. Clinical implications: Surgical intervention should be highly avoided in children with Mucolipidosis II (I-cell disease).

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