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Syndromic gingival fibromatosis associated with pathogenic variation in the voltage-gated potassium channel gene KCNH1: a case report and proposed treatment protocol
by
Do, Nhat Minh
, Klienkoff, Pierre
, Marcoux, Laurent
, Caravello, Gaétan
, Jimenez-Armijo, Alexandra
, Baer, Sarah
, de Saint Martin, Anne
, Schaefer, Elise
, Clauss, François
, Bloch-Zupan, Agnès
, Geyer, Lucas
in
Analysis
/ Care and treatment
/ Case Report
/ Case reports
/ Central nervous system
/ Channel gating
/ Child development
/ Child, Preschool
/ Children & youth
/ Connective tissue diseases
/ Convulsions & seizures
/ Dentistry
/ Diagnosis
/ Dosage and administration
/ Encephalopathy
/ Epilepsy
/ Ether-A-Go-Go Potassium Channels - genetics
/ Families & family life
/ Fibromas
/ Fibromatosis, Gingival - diagnosis
/ Fibromatosis, Gingival - genetics
/ Fibromatosis, Gingival - therapy
/ Genes
/ Genetic aspects
/ Genetic variation
/ Gingiva
/ Gingival fibromatosis
/ Gingival hyperplasia
/ Gingivoplasty
/ Hallux - abnormalities
/ Humans
/ Intellectual disabilities
/ Intellectual Disability - genetics
/ KCNH1 developmental and epileptic encephalopathy
/ Male
/ Medicine
/ Molars
/ Morphology
/ Nails, Malformed
/ Oral and Maxillofacial Surgery
/ Oral hygiene
/ Polymorphism
/ Potassium
/ Potassium channels (voltage-gated)
/ Potassium Channels, Voltage-Gated - genetics
/ Recovery of function
/ Teeth
/ Temple-Baraitser Syndrome
/ Thumb - abnormalities
/ Tranexamic acid
/ Tremor - genetics
/ Zimmermann-Laband Syndrome
2025
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Syndromic gingival fibromatosis associated with pathogenic variation in the voltage-gated potassium channel gene KCNH1: a case report and proposed treatment protocol
by
Do, Nhat Minh
, Klienkoff, Pierre
, Marcoux, Laurent
, Caravello, Gaétan
, Jimenez-Armijo, Alexandra
, Baer, Sarah
, de Saint Martin, Anne
, Schaefer, Elise
, Clauss, François
, Bloch-Zupan, Agnès
, Geyer, Lucas
in
Analysis
/ Care and treatment
/ Case Report
/ Case reports
/ Central nervous system
/ Channel gating
/ Child development
/ Child, Preschool
/ Children & youth
/ Connective tissue diseases
/ Convulsions & seizures
/ Dentistry
/ Diagnosis
/ Dosage and administration
/ Encephalopathy
/ Epilepsy
/ Ether-A-Go-Go Potassium Channels - genetics
/ Families & family life
/ Fibromas
/ Fibromatosis, Gingival - diagnosis
/ Fibromatosis, Gingival - genetics
/ Fibromatosis, Gingival - therapy
/ Genes
/ Genetic aspects
/ Genetic variation
/ Gingiva
/ Gingival fibromatosis
/ Gingival hyperplasia
/ Gingivoplasty
/ Hallux - abnormalities
/ Humans
/ Intellectual disabilities
/ Intellectual Disability - genetics
/ KCNH1 developmental and epileptic encephalopathy
/ Male
/ Medicine
/ Molars
/ Morphology
/ Nails, Malformed
/ Oral and Maxillofacial Surgery
/ Oral hygiene
/ Polymorphism
/ Potassium
/ Potassium channels (voltage-gated)
/ Potassium Channels, Voltage-Gated - genetics
/ Recovery of function
/ Teeth
/ Temple-Baraitser Syndrome
/ Thumb - abnormalities
/ Tranexamic acid
/ Tremor - genetics
/ Zimmermann-Laband Syndrome
2025
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Syndromic gingival fibromatosis associated with pathogenic variation in the voltage-gated potassium channel gene KCNH1: a case report and proposed treatment protocol
by
Do, Nhat Minh
, Klienkoff, Pierre
, Marcoux, Laurent
, Caravello, Gaétan
, Jimenez-Armijo, Alexandra
, Baer, Sarah
, de Saint Martin, Anne
, Schaefer, Elise
, Clauss, François
, Bloch-Zupan, Agnès
, Geyer, Lucas
in
Analysis
/ Care and treatment
/ Case Report
/ Case reports
/ Central nervous system
/ Channel gating
/ Child development
/ Child, Preschool
/ Children & youth
/ Connective tissue diseases
/ Convulsions & seizures
/ Dentistry
/ Diagnosis
/ Dosage and administration
/ Encephalopathy
/ Epilepsy
/ Ether-A-Go-Go Potassium Channels - genetics
/ Families & family life
/ Fibromas
/ Fibromatosis, Gingival - diagnosis
/ Fibromatosis, Gingival - genetics
/ Fibromatosis, Gingival - therapy
/ Genes
/ Genetic aspects
/ Genetic variation
/ Gingiva
/ Gingival fibromatosis
/ Gingival hyperplasia
/ Gingivoplasty
/ Hallux - abnormalities
/ Humans
/ Intellectual disabilities
/ Intellectual Disability - genetics
/ KCNH1 developmental and epileptic encephalopathy
/ Male
/ Medicine
/ Molars
/ Morphology
/ Nails, Malformed
/ Oral and Maxillofacial Surgery
/ Oral hygiene
/ Polymorphism
/ Potassium
/ Potassium channels (voltage-gated)
/ Potassium Channels, Voltage-Gated - genetics
/ Recovery of function
/ Teeth
/ Temple-Baraitser Syndrome
/ Thumb - abnormalities
/ Tranexamic acid
/ Tremor - genetics
/ Zimmermann-Laband Syndrome
2025
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Syndromic gingival fibromatosis associated with pathogenic variation in the voltage-gated potassium channel gene KCNH1: a case report and proposed treatment protocol
Journal Article
Syndromic gingival fibromatosis associated with pathogenic variation in the voltage-gated potassium channel gene KCNH1: a case report and proposed treatment protocol
2025
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Overview
Background
The
KCNH1
gene (OMIM #603,305) encodes a voltage-gated potassium channel primarily found in the central nervous system. Recent discoveries have linked pathogenic variations in this gene to Temple-Baraitser syndrome (TMBTS, OMIM #611,816) and Zimmermann-Laband syndrome (ZLS, OMIM #135,500). A common manifestation of these syndromes is gingival fibromatosis, which may partially or completely cover tooth crowns, leading in some cases to functional and aesthetic problems, as well as delayed tooth eruption.
Case presentation
A four-year-old boy and his parents first consulted for delayed primary molars eruption. Shortly after birth, he was diagnosed with a developmental encephalopathy caused by a de novo pathogenic variant in
KCNH1
.
Treatment
The first step of oral treatment consisted of myofunctional and speech/language therapy to stimulate biting and chewing. It also helped with the rehabilitation of proper tongue function. This was followed by a gingivoplasty to expose the submerged teeth. We propose a clinical approach to optimize disease management. This aims to minimize complications associated with this rare disorder.
Conclusion
This case illustrates the need for appropriate and early gingivoplasty to prevent teeth impaction and restore dental function. Additionally, it explores potential complications and provides grounds for a comprehensive protocol for managing gingival fibromatosis for patients with
KCNH1
variant.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Epilepsy
/ Ether-A-Go-Go Potassium Channels - genetics
/ Fibromas
/ Fibromatosis, Gingival - diagnosis
/ Fibromatosis, Gingival - genetics
/ Fibromatosis, Gingival - therapy
/ Genes
/ Gingiva
/ Humans
/ Intellectual Disability - genetics
/ KCNH1 developmental and epileptic encephalopathy
/ Male
/ Medicine
/ Molars
/ Oral and Maxillofacial Surgery
/ Potassium channels (voltage-gated)
/ Potassium Channels, Voltage-Gated - genetics
/ Teeth
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