A dental exam uncovers undetected hypothyroidism in a 13-year-old girl

A dental exam uncovers undetected hypothyroidism in a 13-year-old girl

They say a picture is worth a thousand words. It’s one thing to read the list of over 300 hypothyroidism symptoms, but it’s another thing to see actual photos of the symptoms. When people dismiss your thyroid symptoms as all in your head as if they are imaginary symptoms you’ve made up in your mind (like anyone would make up these horrible symptoms), remember this: hypothyroidism can rear its ugly head in any part of the body. And that includes the mouth.

Hypothyroidism symptoms obvious in photos

A case study titled “Undetected hypothyroidism: A rare dental diagnosis” was published in the Journal of Oral and Maxillofacial Pathology in 2014. A 13-year-old girl came to the out-patient Department of Oral Medicine and Radiology in India with maligned teeth as the chief complaint. However, she presented with these obvious physical symptoms of hypothyroidism that had gone undetected. The dental plans were put on hold until a complete medical evaluation was performed.

  • Overweight (she gained abnormal weight after 9 years of age)
  • Short stature
  • Hoarseness of voice
  • Dry, cool skin
  • Stubby hands
  • Poor muscle tone
  • Puffy face
  • Broad, flat nose
  • Thick lips

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Overweight, short-stature

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Stubby hands

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Puffy face; broad, flat nose and thick lips

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Thick lips, macroglossia (large tongue) and spacing between incisors

  • Large, protruding tongue
  • Delayed shedding of deciduous teeth (baby teeth)
  • Delayed eruption of permanent teeth
  • Malocclusion (misaligned bite)
  • Over-retained deciduous canine
  • First and second molars in all four quadrants of the jaw
  • Only central and lateral permanent insiders and first permeant molars were erupted in all four quadrants
  • Retarded bone age in skull
  • Retarded bone age in hand-wrist

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Photograph of PA skull radiograph showing over-retained deciduous and unerupted permanent teeth

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Photograph of hand-wrist radiograph showing retarded bone age

Blood tests were taken and her TSH was found to be sky high at 153.46.

She was prescribed thyroxine sodium tablets by an endocrinologist. After five months of treatment, her clinical features of hypothyroidism visibly improved.

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Five month post-treatment photograph showing loss of excessive weight and puffy face

A dental exam uncovers undetected hypothyroidism in 13-year-old girl

Five month post-treatment photograph showing improvement in stubby hands

 Reference:

Sonal B. Dudhia and Bhavin B. Dudhia. Undetected hypothyroidism: A rare dental diagnosis. Journal of Oral and Maxillofacial Pathology. 2014 May-Aug;18(2):315-319.

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About Dana Trentini

I founded Hypothyroid Mom October 2012 in memory of the unborn baby I lost to hypothyroidism. Hypothyroid Mom is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Hypothyroid Mom includes affiliate links to favorite resources including the Amazon Services LLC Associates Program. Connect with me on Google+

Comments

  1. I am planning to have my daughter checked for hypothyroidism after speaking with a friend about my suspicions. She had her daughter treated at 14 after years of trying to get her treated by doctors who would not treat her based on symptoms but blood work. She recommended your blog as well as doctors in the area. My daughter is 7 now and her incisors came in separated and crooked. She is overweight constipated, has poor muscle tone, tit a easily, gets cold in the pool and would turn purple as a toddler, has a protruding abdomen, pudgy slightly stubby hands, breasts, big lips, a tongue tie with tongue thrusting(which we also plan to have released next month), SPD and had a funnel chest(conclave chest). All of these symptoms I was searching for, especially of her pudgy hands as a toddler, finally are making sense. I can not wait for the doctor’s office to call me back to schedule her an appointment! It has been disheartening and worrisome to look at her and just think that something is not normal. Thank you so much for posting this!

    • My daughter ended up having high rT3 and high thyroid antibodies at 7 years old. Doctor wants to get to the underlying cause so waiting on medication. I am not sure if that is the best route but at least we are starting to get somewhere. Thanks for all you do with your website!

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