Osteoporosis, bone & mineral

Improved Oral Health in Adults With X-Linked Hypophosphatemia Treated With Burosumab

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

We observed that adults with XLH treated with burosumab developed fewer endodontic infections during dental follow-up than patients who were untreated or received CT.

Study context

Population
Adults with X-linked hypophosphatemia (XLH) who had undergone dental monitoring for at least 6 months
Participants
44 adults
Exposure
Burosumab vs conventional treatment vs no treatment
Outcome
Oral health (number of missing or endodontically treated teeth, periodontal disease) and incidence of endodontic infections
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Incidence of dental infections during follow-up

Reduction of infections

55.9%

P < 0.0001

Conventional treatment (CT)

Reduction of infections

86.4%

P < 0.0001

Burosumab

Observational data: associations, not effects.

Further findings

Infection incidence, within-patient comparison of treatment vs nontreatment periods

Strong association between burosumab treatment and decreased infection incidence (infection per month)
.006 vs .09, P < .01

Original publication

Improved Oral Health in Adults With X-Linked Hypophosphatemia Treated With Burosumab. J Clin Endocrinol Metab. Published 12 June 2024. doi:10.1210/clinem/dgae398

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