Ocular clinical profile of patients with pseudoexfoliation syndrome in a Tertiary Eye Care Center in South India

To study the clinical profile of pseudoexfoliation [PEX] syndrome in a hospital setting. A case series of patients with PEX, with and without glaucoma attending the general ophthalmology clinic of a tertiary care center in South India. All patients underwent a complete ophthalmologic evaluation including recording diurnal variation of tension [DVT], gonioscopy and visual field assessment. The study cohort comprised 529 patients [752 eyes]. There were 296 [56%] females. The highest number of patients [261 patients] was from the age group between 60 and 69 years. Of 752 eyes, 57.8% eyes had unilateral PEX and 72% had established PEX. Gonioscopy showed open angles in 98.1% of eyes. Intraocular pressure [IOP] greater than 21 mmHg in at least 1 of 4 measurements was recorded in 5.7% eyes. DVT was normal in 96.4% of unilateral PEX eyes, similar to fellow non-PEX eyes. Pseudoexfoliation glaucoma occurred in 1.9% of eyes and 4.7% of eyes were glaucoma suspects. There was no correlation between the stage of PEX and increased IOP. Mean central corneal thickness of PEX eyes was 522 +/- 27æ. Pupillary dilatation in 90.5% eyes with early PEX was=7 mm. Conclusions: A small percentage of PEX eyes had raised IOP, and the number of eyes with glaucomatous optic neuropathy was even lower. PEX eyes did not demonstrate wide fluctuations in IOP. No correlation was found between raised IOP and stage of PEX. There was good pupillary dilatation in early stage PEX eyes suggesting that all PEX eyes may not have poor pupillary dilatation and related complications

Disappeared roots: a case report.

Tooth resorption is a perplexing problem for all dental practitioners. The etiologic factors are vague, the diagnoses are educated guesses and, often, the chosen treatment does not prevent the rapid disappearance of the calcified dental tissues. This becomes all the more confusing if the tooth in question is a pulpally involved young permanent tooth. Presented in this report is the case of an upper first young permanent molar that underwent complete root resorption following root canal therapy and obturation.

Comparative evaluation for microleakage between Fuji-VII glass ionomer cement and light-cured unfilled resin: a combined in vivo in vitro study.

Glass ionomer cement, besides being used as restorative material, can also be used as pit and fissure sealant. The use of glass ionomer cement as pit and fissure sealant has added benefit by its fluoride-releasing property that results in increased resistance of the fissures to demineralize. The capacity of a sealant to prevent microleakage into the fissure is important, since microleakage may initiate and support a carious lesion beneath the sealant. The study was carried out to compare marginal microleakage between Fuji-VII glass ionomer cement (G C Corporation, Tokyo, Japan) and the conventional light-cured unfilled resin as pit and fissure sealants (3M Concise, 3M Dental Products, St. Paul, USA). The dye used was 2% methylene blue (Qualigens Fine Chemicals, Mumbai, India). The teeth were sectioned and studied under the stereomicroscope. The result revealed that there was no difference in microleakage (P > 0.05) between the two materials.

Crouzons syndrome: a case report.

Human skull is made up of many bone joints connected by sutures. The sutures fuse in later life after the complete growth of the brain. If any of these sutures closes early, it may interfere with the normal growth of the brain. The developing brain may exert pressure on the skull and may grow in the direction of the other open sutures. Premature sutural fusion may occur alone or together with other anomalies, making up various syndromes. Crouzons syndrome is an example of such a syndrome that is associated with premature synostosis of the sutures of the skull. Presented in this article is a case of Crouzons syndrome seen in a boy aged 9 years.

Permanent molars: Delayed development and eruption.

Delayed development and eruption of all the permanent molars is a rare phenomenon, which can cause disturbance in the developing occlusion. The eruption of permanent first and second molars is very important for the coordination of facial growth and for providing sufficient occlusal support for undisturbed mastication. In the case described, the first permanent molars were delayed in their development and were seen erupting at the age of nine and a half years. Severe disparity between the left and the right side of the dentition with respect to the rate of development of molars were also present.

Taurodontism of deciduous and permanent molars: report of two cases.

Taurodontism is an aberration of teeth that lacks the constriction at the level of the CEJ characterized by elongated pulp chambers and apical displacement of bifurcation or trifurcation of the roots, giving it a rectangular shape. Its occurrence in permanent teeth is common and is quite rare in deciduous dentition. Presented in this article are two cases with taurodontism involving deciduous and permanent molars.

Supernumerary teeth: A case report.

Supernumerary teeth are the teeth present in addition to the normal set of teeth. They may be single, multiple, unilateral or bilateral erupted or unerupted and in one or both jaws. Multiple supernumerary teeth are rare in individuals with no other associated diseases or syndromes. Our case presents with 12 supernumerary teeth in permanent dentition, of which six were erupted and six unerupted and a history of extraction of three teeth with no associated syndrome.

Parental presence in the dental operatory-parent's point of view.

Parental presence in the dental operatory is considered a controversial issue and majority of dentists prefer mothers not to be present in the operatory while the child receives dental care. Very few studies have focussed on the parental' point of view. The present study was carried out to find out the attitudes of parents towards being present determine in the operatory during dental procedure and also to determine if willingness to be present was influenced by variables like age, sex, order of the child among siblings and previous dental behavior. Data was collected from 1350 parents using a questionnaire designed by the authors. In the present study, 78.3% of parents expressed their willingness to be present with the child during dental procedures. The study also showed that parents of younger children were more likely to be willing to be present in the operatory and as age advanced, the percentage of parents willing to be present in the operatory decreased.