1/87. Combined surgical and orthodontic management of the oral abnormalities in children with cleidocranial dysplasia.Children with cleidocranial dysplasia have dental abnormalities which combine to prevent normal tooth eruption, and which if untreated may result in abnormal facial and jaw growth. A technique combining orthodontics and oral surgery has resulted in the establishment of excellent occlusion and facial appearance in these patients. Recent advances in direct enamel bonding techniques for orthondontic attachments have permitted a conservative surgical approach with minimal bone removal during surgery to expose unerupted teeth prior to orthodontic treatment.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
2/87. Taurodontism in association with supernumerary teeth.The dental, radiological, genetic and dermatoglyphic findings of an additional patient with taurodontism in association with supernumerary teeth were presented and the findings of the patient were compared with those in the literature.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
3/87. Radiographic localization of unerupted maxillary anterior teeth using the vertical tube shift technique: the history and application of the method with some case reports.The preferred means of radiographic localization is the parallax method introduced by Clark in 1910. He used 2 periapical radiographs and shifted the tube in the horizontal plane. In 1952, Richards appreciated that a vertical tube shift could also be carried out. No major changes then occurred in the technique until Keur, in australia, in 1986 replaced the periapical radiographs with occlusal radiographs. This modification enables a greater tube movement and therefore a greater shift of the image of the impacted tooth; it also ensures that the whole of the tooth is captured on the radiograph. For the vertical tube shift, Keur introduced the use of a rotational panoramic radiograph with an occlusal radiograph. In 1987, Southall and Gravely discussed this vertical tube shift combination in the English dental literature, and it is now the preferred combination of radiographs for localizing impacted maxillary anterior teeth. Jacobs introduced this method to the American literature in 1999, but it has yet to gain acceptance in the continental European literature. Jacobs recommended, when using this combination, to routinely increase the vertical angulation for the occlusal radiograph by 10 degrees to achieve a greater image shift. Four case reports are presented in this article. Three have photographs taken at surgical exposure to illustrate how the position of the impacted tooth can be accurately predicted by appropriate interpretation of the radiographs.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
4/87. Mesiodens in the primary dentition--a case report.Supernumerary teeth are among the most significant dental anomalies affecting the primary and the permanent dentitions. Mesiodens is a supernumerary tooth with a cone shaped crown and a short root. Though it occurs frequently in the permanent dentition, it is extremely rare in the primary dentition. The exact etiology is still obscure and not well understood. Supernumerary teeth occur as isolated dental findings or as part of a syndrome. The frequency with which supernumerary teeth occur and the effects they have on development of normal occlusion justify the radiographic examination of preschool children. Early removal of such teeth is recommended if they impede the eruption of adjacent permanent teeth, appear inverted or rudimentary, associated with certain pathologic conditions or are symptomatic.- - - - - - - - - - ranking = 2keywords = dental (Clic here for more details about this article) |
5/87. Dental management of a pediatric patient with myelodysplastic syndrome.Myelodysplastic syndrome in the pediatric population is an extremely rare-hematological disorder. An eleven-year-old girl with a remarkable, past medical history of myelodysplastic syndrome is presented. She was treated for a falling hematocrit and platelet count, with splenectomy as a lifesaving measure. The features of the syndrome and treatment options are described. The clinical protocol for the dental management of the pediatric patient with myelodysplastic syndrome is discussed.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
6/87. leopard syndrome--report of a variant case.This case report presents a patient with leopard syndrome, with multiple lentigines all over the body and face, ocular hypertelorism, delayed secondary sexual characteristics, mild cardiac abnormalities and supernumerary teeth. Clinical relevance of this syndrome lies in its early recognition and precautions to be taken during any invasive dental procedure, which if not performed under antibiotic prophylaxis and premedication, could lead to infective endocarditis. Additionally, a multidisciplinary approach with pediatric and medical consultants is mandatory during the management of such cases.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
7/87. Multiple supernumerary teeth in the mixed dentition.Supernumerary or extra teeth result from disturbances during the initiation and proliferation stages of dental development. Teeth formed in excess of the normal number are termed supernumerary teeth. A supernumerary tooth may closely resemble the teeth of the group to which it belongs i.e. molars, premolars or anterior teeth or it may bear little resemblance in size or shape to the teeth with which it is associated. Discussed here are reports of three cases with multiple supernumerary teeth in the mixed dentition and its management.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
8/87. Uncommon mesiodens--a report of two cases.Mesiodens is a supernumerary tooth with a cone shaped crown and a short root situated between the maxillary central incisors. Supernumerary teeth occur as isolated dental findings or as part of a syndrome. They are frequently discovered when a normal tooth is either delayed in its eruption or displaced often resulting in arch length inadequacy. An early diagnosis allows early intervention, more favourable prognosis and minimal complications. Presented here are two cases of unusual bilateral mesiodens.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
9/87. Inverted mesiodens--a case report.A nine and a half years old female school child was examined in a during routine dental examination. The patient had swelling over maxillary midline area just near the labial frenum. Both the central incisors were in position. Radiographic examination revealed presence of an inverted supernumerary tooth between the roots of the central incisors. Surgical extraction of the supernumerary was planned. A unique case of inverted (upside down) mesiodens is presented.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
10/87. A multidisciplinary approach to the treatment of an intruded maxillary permanent incisor complicated by the presence of two mesiodentes.Treatment of a traumatically intruded maxillary incisor with an immature apex remains controversial. Treatment options include observation, surgical repositioning, or orthodontic forced eruption. Likewise, the ideal timing of surgical removal of a mesiodens is highly controversial: immediate versus delayed intervention. The complications associated with untreated supernumerary teeth include: overretention of primary teeth, delayed eruption of permanent incisors, rotations, impaction, diastema, pulp necrosis and root resorption. Less common sequelae include enlarged follicular sacs, cystic degeneration and nasal eruption. This paper describes another risk factor associated with delayed removal of a mesiodens previously not mentioned in the dental literature, namely potential complications arising from a traumatic injury, in particular intrusion, of the maxillary permanent incisors.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
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