_SESSION 24 by fanzhongqing

VIEWS: 4 PAGES: 17

									SESSION 24

CODE:FDT 722

TITLE: Amelogenesis Imperfecta- A Case Report

NAME: : Dr. Arti Chaudhary

   BACKGROUND:Amelogenesis imperfecta (AI) represents a group of
developmental conditions, genomic in origin, which affect the structure
and clinical app earance of enamel of all or nearl y all the teeth in a
more or less equal manner, and which may be associated with
morphologic or biochemical changes elsewhere in the body. AI exists
in isolation or associated with other abnormalities in syndromes. It
may show autosomal dominant, autosomal recessive, sex -linked and
sporadic inheritance patterns. In families with an X -linked form it has
been shown that the disorder may result from mutations in the
amelogenin gene, AMELX. Autosomal recessive AI has been report ed
in families with known consanguinit y. Diagnosis is based on the famil y
history, pedigree plotting and meticulous clinical observation.
   CASE REPORT: This paper presents a case report of a 9 year old
boy whose chief complaint was discolored te eth since childhood.
History revealed that his deciduous teeth were also discolored. The
history did not reveal any eruption disturbances and patient was caries
free. Investigations included orthopantomogram and Karyot yping.
   MANAGEMENT: A thorou gh oral prophylaxis was done. Permanent
first molars were restored with Stainless steel crowns. Esthetic crowns
were given on maxillary anterior teeth. Mandibular anterior were
restored with composite veneering.
   LIMITATIONS         As the knowledge regarding genetic mutations
associated with the various t ypes of AI increases, our ability to make
an accurate diagnosis of AI will be remarkabl y improved. The
similarit y in the clinical features of the different AI t ypes makes the
differentiation among them difficu lt at the clinical level. Correlation of
the genetic mutations with the clinical phenot ypes will be extremel y
valuable for managing patients with AI. Moreover, this knowledge
allows us to make better predictions of the AI t ypes that are associated
with problems such as calculus formation and skeletal open bites, and
to select the most optimal treatment approaches for each case.
SESSION 24

CODE:FDT 723

TITLE: GAUCHER’S –A PEDODONTIST’S PERSPECTIVE OF TREATING
THIS SPECIAL CHILD

NAME: Dr Pallavi Urs

Gaucher disease, the lysosomal storage disorder, is a result of the genetic defect in
production of the enzyme β-glucocerebrosidase, and the consequent accumulation of
glucocerebroside, in the cells of the monocyte-macrophage system .The clinical
heterogeneity, affecting 1in 100,000 people, is autosomal recessive and attributable to
more than 200 mutations within the glucocerebrosidase gene. Classically, three
clinical forms have been delineated, based on the absence (type I) or presence (types
II and III) of neurological signs, splenomegaly, growth retardation may be seen.
Anemia and thrombocytopenia, causing easy fatigability and a tendency towards
spontaneous gingival bleeding, enamel and dentin hypoplasia, are the most prominent
features of Gaucher disease.

CASE REPORT :A 5 year old child diagnosed with Gauchers type III (Juvenille
neuronopathic form) at the age of 2 years reported to the Department Of Pedodontics
And Preventive Dentistry At A.E.C.S Maaruti dental college and research center
Bangalore .He was the first child of a consanguinous married couple. The history
revealed mental retardation, slurring speech, discolored teeth, spontaneous gingival
hemorrhage and oculomotor apraxia .The child has been receiving the enzyme
replenisnment: Cerezyme from the age of three. Dental treatment was delayed as the
parents were apprehensive as most of the general practioners had suggested the
treatment under general anesthesia.
TREATMENT The mental retardation in the child was the most challenging aspect
to provide treatment under local anesthesia, but was done successfully with various
behavior management techniques such as tell show do, modeling and positive
reinforcers .The entire treatment was scheduled during the week of enzyme
replacement as the hemoglobin and platelet counts would reach normal levels. Oral
prophylaxis, restorations, pulp therapy in relation to the upper anteriors followed by
composite build up with posts was done under antibiotic prophylaxis.
LIMITATIONS: None.




SESSION 24

CODE:FDT 724

TITLE: RAPP HODGKIN’S SYNDROME – A CASE REPORT

NAME: DR.S.KARTHIKEYANI

BACK GROUND REPORT: Rapp-Hodgkin syndrome, an extremely rare inherited
multisystem disorder that is apparent at birth (congenital) or during infancy, belongs
to a group of diseases known as ectodermal dysplasias.Less than 50 cases have been
reported in medical literature.Rapp-Hodgkin syndrome, like Ectodermal dysplasias
typically affects the skin, teeth, hair, and/or nails. An incomplete closure of the roof of
the mouth (cleft palate) and/or an abnormal groove in the upper lip (cleft lip)is always
seen.In most cases, Rapp-Hodgkin syndrome is inherited as an autosomal dominant
trait.
CASE REPORT: A patient named Mst.Mubeen aged 8yrs reported to the Department
of Pediatric dentistry, Sri Ramakrishna dental college and hospital with numerous
missing teeth & surgically corrected cleft lip & palate. He had facial dysmorphism,
sparse hair & reduced sweating.
    History revealed that he was a normal, full term baby with birth weight appropriate
for his gestational age. Parents were healthy & had consanguinous marriage. A
positive family history was noted with maternal grand mother & 2 siblings showing
abnormalities of hair, skin & teeth                MANAGEMENT PROTOCOL : The
treatment of Rapp-Hodgkin syndrome is directed towards the specific symptoms that
are apparent in each individual. Treatment may require the coordinated efforts of a
team of specialists. Pediatricians, surgeons, physicians who specialize in the diagnosis
and treatment of disorders of the skin (dermatologists), specialists who assess and
treat hearing problems (audiologists); dental specialists, eye specialists
(ophthalmologists), and/or other health care professionals may need to systematically
and comprehensively plan an affected child's treatment.
LIMITATIONS: The psychological impact of the disease on the patient and the
family is devastating. Long term treatment and multidisciplinary treatment affects the
patient compliance




SESSION 24

CODE:FDT 725

TITLE: Dental Trauma – Sequel of delayed management

NAME: Dr. Anjana. G

Background of report
Dental trauma in children is the most common, devastating, and most mismanaged.
Traumatic dental injuries are unanticipated events and if not managed immediately
and appropriately, can have serious consequences. Many a times delay in
management due to the parent’s ignorance regarding the importance of immediate
care or lack of expertise on the clinician’s part, jeopardize the vitality and existence of
involved teeth. The number of mismanaged cases of dental trauma being reported
prompted this case reports and criteria for prioritization of traumatic dental injuries.
Case report
Two cases of delayed trauma management, outcome and further management is
reported. The first case reports the delayed management of loss of vitality of a tooth
with enamel dentin fracture leading to formation of a radicular cyst and further
management. The second case reports the outcome of delayed replantation and further
management.
Management protocol
The aim of correct management of dental injuries, following the guidelines for
evaluation and management is to ensure that pre teenage children do not experience
the loss of traumatized teeth, due to inaccurate diagnosis and poor treatment.
Management of traumatic injuries should be based on whether the trauma needs acute,
subacute or delayed management. The management of both cases were done as
attempts to prevent loss of anterior teeth, though with compromised prognosis, due to
improper management earlier.
Limitations
Management cases with questionable prognosis, where the pathologic sequel of
improper management is already present is hoping against hope for success.




SESSION 24

CODE:FDT 726

TITLE: UNICYSTIC AMELOBLASTOMA IN A YOUNG CHILD : A CASE
REPORT

NAME: : DEEPA SINGAL

Background of the report: Ameloblastoma is a common odontogenic epithelial
tumour of the jaws with characteristic locally aggressive behavior and high recurrence
rate. It has three variants: conventional (solid), unicystic and peripheral
ameloblastomas. In comparison to the solid variant, unicystic Ameloblastoma (UA) is
usually found in younger population and is less aggressive in nature with lower
recurrence rate. The term UA is used for those cystic lesions which resemble grossly,
clinically and radio graphically to a jaw cyst but shows typical features of
Ameloblastoma histologically. The aim of this article is to report a case of UA at very
young age (i.e. in a 11 years old female child) and its management.
Case report: 11 years old girl reported to the department of pedodontics with
swelling on right side of mandible of two months duration. On clinical and
Radiographical examination, it resembled dentigerous cyst involving 47 & 48 teeth.
On histopathological examination, it was diagnosed as Unicystic Ameloblastoma
(luminal & mural variants).
Management Protocol: Surgical resection or enucleation, with wide surgical margins
which are clear of diseased tissue, is the mainstay of treatment. Radiation therapy is
recommended when there is malignancy, inability to completely remove the
Ameloblastoma, recurrence, unacceptable loss of function, and unacceptable cosmetic
damage. In this case, enucleation with wide surgical margins was done.
 Limitations: Persistent follow-up examination is essential for managing
Ameloblastoma. Follow up should occur at regular intervals for at least 10 years.
Follow up is important, because 50% of all recurrences occur within 5 years
postoperatively. Limitation of our report is that follow up is of very short duration.


Limitations: Persistent follow-up examination is essential for managing
Ameloblastoma. Follow up should occur at regular intervals for at least 10 years.
Follow up is important, because 50% of all recurrences occur within 5 years
postoperatively. Limitation of our report is that follow up is of very short duration.




SESSION 24

CODE:FDT 727

TITLE: “MULTIDISCIPLINARY MANAGEMENT OF AN UNUSUAL CASE
OF MULTIPLE DEVELOPMENTAL DEFECTS IN LATERAL INCISOR
FOLLOWED BY INTRUSIVE INJURY TO PRIMARY INCISORS”
NAME: : Dr Arpana V Bansal

Background of report: Dental traumatic injuries occur frequently in children. The

close relationship between the apices of primary teeth and germ of the permanent

successors can lead to developmental disturbances in the permanent dentition.

Developmental disorder can occur in any tooth. One of the most common teeth

affected is lateral incisor. These developmental anomalies can cause various clinical

problems. Clinical and radiographic characteristics of these anomalies may sometime

present confusing picture. Therefore recognition of this condition, early diagnosis and

treatment are important to avoid complications.

Case report & Management: A 14 year old girl reported with discoloration and pain

in right upper lateral incisor. Past dental history revealed trauma to primary central

incisors and right lateral incisor 10 years back. Clinical and radiographic examination

reveals multiple developmental defects in the affected tooth. Concomitant presence of

these anomalies along with impacted permanent right maxillary canine was a

challenging job for clinician. Multidisciplinary treatment planning had lead to

biomechanical, structural, and esthetic integrity in our case.
SESSION 24

CODE:FDT 729

TITLE: Reconstruction of Traumatized Anterior Teeth Using Polyethylene Fibres
And Composite Resin - A Case Report

NAME: : Dr. Lata Kiran Mehta

Background of report:
Traumatic injuries in children and adolescents are a common problem and several
studies have reported that the prevalence of these injuries has increased during the
past few decades.
There is perhaps no single disturbance that has greater psychological impact on both
the parents and children than the loss or fracture of a child’s anterior teeth. This is
especially so if the injury affects the permanent dentition and involves the loss of
extensive tooth structure. The ability to predictably restore endodontically treated
teeth to its original strength and fracture resistance without placement of full-coverage
restoration could provide potential periodontal and economic benefit to the patients.
Recent advancements in adhesive dentistry have generated more conservative and
non- invasive approach for the management of such teeth.
Case report:
The present case report describes management of Ellis class III fracture using Leno
Weave Ultra High Modulus Polyethylene Fibers (RIBBOND) and composite and
restoring the functionality and aesthetic of the tooth, with a follow up of 12 months.
Management protocol:
In the restoration of traumatized anterior teeth, both aesthetic and mechanical
considerations should be taken into account. Fiber reinforced composite restorations
showed a strengthening effect on the tooth structure, with fracture resistance similar
to that of unaltered tooth. Various studies concluded that it possess adequate modulus
of elasticity and strength to function successfully in the mouth.
Limitation:
For fractured anterior teeth, there are several treatment alternatives such as composite
resin restorations and prosthetic repair. However, combining a polyethylene fiber and
composite restorations, which have lower chair time and minimal tissue removal,
could be an admirable alternative. If patient shows positive response and co-operation
towards the treatment.
SESSION 24

CODE:FDT 730

TITLE: Oral & Dental Management of Epileptic Mentally Challenged Adolescent- A
Case Report.

NAME: Dr. Saurabh Ramesh Joshi

Background- Epilepsy and seizure disorders affects about 8000 children in India.
The disease is caused by a number of genetic, physiologic, and infectious disorders as
well as trauma. Treatment is primarily pharmaceutical but can also be surgical. The
disease itself and the pharmaceutical management often have an impact on the oral
cavity. The aim of this Case report is to educate dentists on the diagnosis and dental
management of epilepsy and seizure disorders.
Case Report- A 15 year old male epileptic mentally challenged patient on
antiepileptic medication, reported to dental clinic with pain in maxillary anterior
region and with multiple decayed teeth. Few of the teeth were endodontically treated
by a previous dentist where the treatment was a failure. Few permanent molar
extractions were also carried out by previous dentist. The occlusion of patient was
deranged. The patient required a complete oral rehabilitation.
Management Protocol – A comprehensive medical and dental management protocol
was followed. This included Pain management, Control of Seizures with Anti-
Epileptic Drugs(AEDs), Caries Control, Endodontic treatment, Surgical Management
(for failed endodontic treatment), Prosthetic management, orthodontic management
as well as the Dietary changes of the patient. A non-pharmacological behavior
management was given a prime importance in this case.
Limitations- Since the patient was mentally challenged, all the dental procedures
took a longer time to complete . Also proper scheduling of appointments is essential
in such cases, where it was given a minimal importance.
SESSION 24

CODE:FDT 808

TITLE: HEARING COLOURS OR TASTING SOUNDS?? “ SYNESTHESIA”
THE WORLD OF CROSS WIRED SENSES!

NAME: Dr.Sankriti.A.Murthy

INTRODUCTION:
SYNESTHESIA (Joined sensations) is a rare capacity to hear colour, taste shapes or
experience other equally startling sensory blending. Synesthesia is
“INVOLUNTARY” and “AUTOMATIC”. Although known to medicine since 300
years, its importance has re emerged recently.
SIGNIFICANCE OF REVIEW:
Human beings have 5 senses so there can be 10 possible synesthetic pairings. This
synesthetic response can be “strong” or ‘weak” and can affect day to day activities
from a minimum to a maximum.
 Dental setup is distinctive in the fact that, all the 5 senses are aroused during a dental
procedure. Example: sound from the airotor, taste and smell of various materials, the
tactile perception and the visual stimuli. What experience a synesthete will have in a
dental set up is of importance. This review is all about understanding the various
types of synesthesia, the clinical features, probable mechanism & causes and also the
implication this peculiar and unique neurological cross wiring has on pedodontics.
 RECENT UPDATE:
Synesthesis is also said to occur in conjunction with other conditions like autism,
migraine and epilepsy.
SESSION 24

CODE:FDT 809

TITLE: POSSIBILITIES OF DENTAL IMPLANTS IN PEDIATRIC PATIENTS

NAME: : Dr. Gyanendra Kumar


INTRODUCTION: Traumatic tooth loss or congenital partial anodontia, mainly in
patients with ectodermal dysplasia, is frequently encountered in children. In those
cases, oral rehabilitation is required before skeletal and dental maturation, and
removable prosthesis is often the treatment of choice. However, it may lead to
increased caries rates, increased residual alveolar résorption, and other periodontal
complications.
 SIGNIFICANCE: Use of implants in children had been discussed lately. From a
physiologic standpoint, the conservation of bone may be the most important reason
for the use of dental implants in growing patients, and it even may be beneficial in
some cases to stimulate alveolar bone development. Other factors that favor implant
placement in children are their excellent local blood supply, positive immunobiologic
resistance, and uncomplicated osseous healing.
RECENT UPDATES : Recent studies coborates with the results with due
acknowledgement to the fact that, the dental and skeletal growth is a major confounding
variable when implants are used in children. Few other studies are also suggestive of the
preference of placing implants after growth is completed, upon sexual maturity, the
appropriate age for installation of implants. It is recommended to wait for the completion
of skeletal and dental growth before planning to place an implant; however, many
physiologic and psychological factors create pressure to commence earlier treatment.
SESSION 24

CODE:FDT 810

TITLE: ROBOTICS IN PEDIATRIC DENTISTRY - A FUTURISTIC
APPROACH

NAME: DR. A.ANANTHARAJ


INTRODUCTION

Robots have captured the imagination of inventors and storytellers for centuries.
While the birth of automation technology can be traced to the Greeks, the first
individual robots were not produced until the 1970’s. Today’s cutting edge humanoid
robots are the result of years of trial and error. Robots have been widely used in
medical field successfully where extreme precision and delicacy is necessary, and the
margin for error is slim. Dentistry is undergoing yet another change, in helping
mankind enter a new era-The Era of Robotics.

SIGNIFICANCE OF REVIEW

 CAD CAM based robot programming has been devised as robots can help in precise
and reliable cutting. Their use can range from diagnosis, clinical work on patients to
laboratory work. Dentists can use joysticks and virtual glasses to operate handpieces
to prepare cavity for restoration, perform endodontic therapy and prepare tooth
surfaces for bridges. They can also be employed for teaching purpose. Robot can be
useful in imparting dental treatment in remote areas.

RECENT UPDATE

In the 79th General session by IADR, researchers have announced that a dental robot
has been created that can perform dental procedures.

The use of robotics can make the work much more smooth and comfortable. This
presentation focuses on the current development of robotics in dentistry and also on
the future applications.




SESSION 24

CODE:FDT 811
TITLE: Between Meal Eating Episodes – A Review of the Indian Scenario and
Pedodontic Implications


NAME: : Dr. P.Praveen


Introduction:

Between Meal Eating Episodes (Snack) is defined as any intake of food or energy-
containing beverage outside of the usual meal times. Urbanization and economic
development as well as market globalization has resulted in rapid changes in the
Indian diet and lifestyles. This dietary excess is leading to chronic diseases such as
obesity, diabetes, cardiovascular diseases, cancer, osteoporosis and oral diseases.
WHO has identified these changes and identified the role of diet in oral health as a
priority area.

Significance of review
This paper seeks to review the current trends in Between Meal Eating Episodes in
India and its impact on oral health of children. Review of the relevant literature
reveals disturbing trends in dietary patterns that are contributing to deterioration in
health in general and oral health in particular. This is evidenced by the rising dental
caries experience worldwide and in the Indian subcontinent. On the contrary healthy
snacks can overall health of the individual. This review will help formulate specific
guidelines for the Pedodontic community and the care-givers.
Recent update: Several studies
The paper critically reviews all the relevant literature published over the last 5 years
in order to identify the trends and changes in Between Meal Eating Episodes among
Indian children, impact on oral health and its significance to the practice of
Pedodontics.
SESSION 24

CODE:FDT 812

TITLE: Salivary Anti-oxidants and pediatric dentistry: a review

NAME: Dr Ananth Kamath P

Introduction: Saliva, a heterogeneous fluid comprising of proteins, glycoprotein,
electrolytes, small organic molecules and compounds transported from the blood,
constantly bathes the teeth and oral mucosa. Apart from the routine functions of the
saliva, its been found that there are some substances called anti oxidants which will
act against the free radical produced due to lipid peroxidation etc. Free Radiacals
(FR) and Reactive Oxygen Species(ROS) are associated with various diseases . In the
pediatric age group oxidative damage has been implicated in the pathogenesis of
numerous diseases and entities. In the newborn period these include broncho-
pulmonary dysplasia, retinopathy of prematurity, necrotizing enterocolitis, perinatal
brain damage and neonatal hemochromatosis. Apart from this, dental diseases like
gingival and periodontal diseases and dental caries are associated with FR and ROS.
Significance: This review focuses on data indicating that the types and functions of
the salivary antioxidants and determining the various methods of Salivary total
antioxidant.
Recent clinical trials have found that antioxidant supplementation can significantly
improve certain immune responses locally as well as systemically. Anti oxidants can
be added in very low volumes in dental materials like dental cements which are
commonly used for restorative purposes. Also antioxidant supplements can be tried in
mouthwashes and topical fluorides.
SESSION 24

CODE:FDT 813

TITLE: ROLE OF GENETICS AND VARIOUS SYNDROMES ON CLEFT LIP &
PALATE FORMATION

NAME: : Prof. Subrata Sarkar

Introduction
Genes are ultramicroscopic structure of DNA which is present in the chromosome.
Total number of human genes are 30,000 of these some are functional gene and some
are non-functional genes. Gene transmits hereditary character, behavior and features
from generation to generation. Genes transmits chemical structure at molecular level,
enzymes and various metabolic products, control development, reverse genetic
mechanisms, cause various hereditary diseases
Maupertius (1689-1759) was the first person who observed that certain diseases are
inherited in character. Project (2001) suggested various oral, dental and craniofacial
manifestations are heritable in nature.
Cleft lip and Cleft Palate, is one of the common orofacial abnormalities inhuman
beings. Anatomists suggested that improper fusion of sutural growth may cause cleft.
Significance
Genetic diseases may cause gross abnormality in physical, mental and structural
abnormality.
.

								
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