J Korean Dent Sci.  2024 Jun;17(2):75-83. 10.5856/JKDS.2024.17.2.75.

Long-term Complications of Stevens-Johnson Syndrome on Permanent Teeth : A Case Report

• Kim D
• Jih M
• Lee N

• KMID: 2557598
• DOI: http://doi.org/10.5856/JKDS.2024.17.2.75

Abstract

Stevens-Johnson syndrome (SJS) is a severe adverse cutaneous drug reaction seen rarely in clinical practice. Although relatively rare, the condition can be fatal. Mainly, it is caused by side effects of certain medications. Previous reports have associated Stevens-Johnson syndrome with abnormal root development, but the other long-term dental complications have rarely been reported. In this case, the patient developed SJS at the age of 5, and abnormal root development of the maxillary and mandibular first molars and mandibular incisors was observed, as well as impaction of the mandibular canine and enamel hypomineralization of multiple teeth. Accordingly, appropriate restorative treatment and orthodontic treatment were performed, and the clinical characteristics of this symptoms and its treatment were discussed in more detail. We aim to highlight the need for dentists to be aware of the potential dental complications of SJS and to enable early diagnosis and management of the condition to avoid undesirable sequelae.

Keyword

Stevens-Johnson syndrome; Toxic epidermal necrolysis; Abnormal root development; Enamel hypomineralization; Impaction