Inr In Pediatric Patients With Acute Dental Infections : A Plot Study.

Patients with congenital or acquired coagulopathies are common in the general population. Dentists should have access to the patients’ appropriate and current laboratory values to prevent bleeding complications during and after invasive dental procedures. A laboratory test called an INR(International Normalized Ratio) measures the time it takes for blood to clot and compares it to an average. Many drugs can change the INR such as aspirin, ibuprofen and Antibiotics the most common drugs used for treating acute dental infections. Aims: To determine whether there is any change in bleeding tendencies of pediatric patients with acute dental infections also to evaluate the utility of testing INR in patients who have to receive invasive dental treatments especially those with acute dental infections. Method: 10 patients, 7 boys and 3 girls, with acute dental infections were randomly selected from the patients arriving at Department of Pedodontics. Blood sample was collected through venepuncture and was immediately sent for prothrombin time tests. Using these values INR was calculated. Results: The mean INR value for the study was 1.194. The Mean INR among boys was 1.164 and Mean INR among girls was 1.29. The Mean Prothrombin Time was 14.39 sec. The Mean Prothrombin time among the boys was found to be 13.98 secs. The Mean Prothrombin time among the girls was found to be 15.33 sec. Conclusion: There was no significant change in INR in patients with acute dental infections.

Single Sitting Interim Fixed Prosthesis Using Natural Teeth Subsequent to Avulsion In 13 Year Old Child.

Facial trauma resulting in tooth avulsion results in problems of physical and emotional nature for the patient, parent and a challenge for the dentist. Avulsion accounts for 0.5–16% of traumatic injuries in the permanent dentition which can occur at any age and is most common in the young permanent dentition and in the maxillary anterior region. Re-implantation of the avulsed tooth is the preferred emergency treatment depending on the extra-alveolar period and the storage medium used. The biggest advantage of immediate re-implantation is the psychological boost to the child of retaining his/her own natural teeth. A case report of 13 year old female patient with a history of trauma to the anterior region of maxilla and avulsion of 3 anterior teeth is discussed. An interim fixed partial denture was delivered using patient’s avulsed natural teeth in a single appointment.