Maxillary ulceration resulting from using a rapid maxillary expander in a diabetic patient.
One of the characteristics of diabetes mellitus is the exaggerated inflammatory response. The present report shows the reaction from the use of a rapid maxillary expander in a diabetic patient. A 9-year-old child presented an uncommon reaction to the treatment with a rapid maxillary expander, and on follow-up examination, it was discovered that the patient had diabetes mellitus. After controlling the disease, the proposed treatment was used without further incidents. The case calls attention to the presence of uncommon responses to treatment and the need for the orthodontist to suspect a patient's systemic compromise.
Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista, UNESP, Araraquara, São Paulo, Brazil.
Luiz Guilherme Martins
LG
Maia
André da Costa
Ada C
Monini
Helder Baldi
HB
Jacob
Luiz Gonzaga
LG
Gandini
D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005260:Female; D006801:Humans; D008437:Maxilla / Q000473:pathology; D019226:Oral Ulcer / Q000209:etiology*; D009967:Orthodontic Appliances / Q000009:adverse effects*; D010155:Palatal Expansion Technique / Q000009:adverse effects / Q000295:instrumentation*
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