A case of giant dental calculus in a patient with centronuclear myopathy

Spec Care Dentist. 2023 Jul-Aug;43(4):481-485. doi: 10.1111/scd.12772. Epub 2022 Aug 28.

Abstract

Introduction: Centronuclear myopathy is a hereditary congenital muscle disease. It is characterized by generalized muscle hypotonia from early childhood, elongated cacial appearance, mandibular undergroth, and dental malposition. In this report, we discuss the clinical course and management of a patient with centronuclearmyopathy, who developed a giant dental calculus in the floor of the mouth and underwent surgical excision.

Case report: A 37-year-old Japanese man was referred to our hospital, and reported a swelling in the floor of the mouth. The patient affects centronuclear myopathy and has generalized muscle weakness. CT images showed a high-density area in the floor of the mouth measuring 35 × 28 × 20 mm. The lesion was clinically diagnosed as giant dental calculus, and surgically removed.

Conclusion: We have experienced a case of giant dental calculus in a patient with centronuclear myopathy. In dental treatment, we must consider generalized muscle weakness.

Keywords: centronuclear myopathy; congenital myopathy; giant dental calculus.

Publication types

  • Case Reports