{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:12:53Z","timestamp":1789035173207,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Mucopolysaccharidosis type VI (MPS VI), a rare metabolic disorder, results from glycosaminoglycan accumulation in tissues, frequently leading to hyperplastic gingival alterations that necessitate comprehensive intervention. An 11\u2010year\u2010old male patient diagnosed with MPS VI required hospitalization due to complications associated with a ventriculoperitoneal shunt (VPS) valve. A dental evaluation identified bone malformation in the maxillomandibular complex accompanied by pronounced gingival hyperplasia. The surgical team performed a gingivoplasty in the operating room under general anesthesia, employing a combined technique involving manual scalpels and a diode laser to excise hyperplastic gingival tissue and cauterize bleeding sites. The patient exhibited an uneventful postoperative recovery, with no hemorrhagic or infectious complications. The diode laser demonstrated safety and efficacy in removing gingival tissue in this patient with MPS VI, facilitating local tissue repair, enhancing the aesthetic and functional profile, and ultimately improving the patient's oral health and quality of life.<\/jats:p>","DOI":"10.1111\/scd.70224","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T09:54:44Z","timestamp":1786182884000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["High\u2010Power Surgical Laser for Treatment of Oral Manifestations of Mucopolysaccharidosis VI: A Case Report"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1636-3688","authenticated-orcid":false,"given":"Regina Maria","family":"Raffaele","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry and Hospital Dentistry  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0026-595X","authenticated-orcid":false,"given":"Mario Eduardo","family":"Baldo","sequence":"additional","affiliation":[{"name":"Department of Health and Development, UFMS Dom Bosco Catholic University \u2010 Mato Grosso do Sul  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0995-6348","authenticated-orcid":false,"given":"Bianca Ribeiro","family":"Marques","sequence":"additional","affiliation":[{"name":"Multidisciplinary Program \u2013 Critical Patient Care Federal University of Mato Grosso do Sul  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0425-7595","authenticated-orcid":false,"given":"Stefan Gabriel Gon\u00e7alves","family":"Martiniano","sequence":"additional","affiliation":[{"name":"Multidisciplinary Program \u2013 Critical Patient Care Federal University of Mato Grosso do Sul  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-3264","authenticated-orcid":false,"given":"Gleyson Kleber do Amaral","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Stomatology, FOP\/UNICAMP Federal University of Mato Grosso do Sul (FAODO\/UFMS)  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5879-2782","authenticated-orcid":false,"given":"Rafael","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Mato Grosso do Sul  Campo Grande MS Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-019-03341-8"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ymgme.2017.05.016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1678-7757-2020-0978"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.24953\/turkjped.2018.04.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2011.654255"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2174\/138920111795542688"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10545-013-9645-8"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2184"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.21142\/2523-2754-0901-2021-051"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2021-0288"},{"key":"e_1_2_7_12_1","first-page":"109","volume-title":"Odontologia para pacientes com necessidades especiais: protocolos para o atendimento cl\u00ednico","author":"Silva L. 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