ABSTRACT
Introduction: A modified frenal treatment for aberrant frenum is presented in this report to reduce scar tissue formation and maintain the attached gingiva. Description: The case report describes two cases in which a V-shaped incision removed the aberrant frenum and then the flaps of the frenum were sutured at the mid line. Results: The results showed reduced scar tissue in the mid line and the tissue healed with adequate attached gingiva. Take-Away Lessons: The modified frenotomy technique presented here is ideal for a large frenum that could expose the underlying connective tissue that could reduce the scar tissue formation.
ABSTRACT
Abstracts: Background: People with epilepsy have compromised livelihood due to the effect of disease and medications on the quality of life. Patients with accompanied intellectual disability have further difficulty to cope up in daily chores. Article highlights holistic management of patient having complex partial seizure with intellectual disability. Control of seizures along with the Psychological therapy was done to ameliorate standard of life. Management of patient consisted of history, oral prophylaxis, patient-parent counselling followed by non pharmacological treatment consisting of cognitive behaviour therapy, promotive autonomy therapy and promotive creativity therapy. She was coached in special school for physiotherapy, speech therapy, music therapy, yoga therapy and special education techniques. Team work between dentist, teachers and psychotherapists gave better accordance with each subsequent appointment. Apart from just teeth oriented approach one should focus on overall care. Timely referral to physician should be done for physical and mental ailments. The article also gives brief clinical guidelines on dental problems and there treatment in such patients along with seizure control of epileptic patients and behaviour management of patients with mental impairment.