Rare Case of Multiple Compound Odontomas with Dens Invaginatus Associated with Impacted Primary and Unerupted Permanent Maxillary Central Incisor – A Case Report.

Aims: An Odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. Histopathological examination of the Odontoma revealed presence of surface invagination similar to Dens invaginatus. Presentation of Case: A seven year-old healthy girl presented with an unerupted maxillary left primary central incisor along with swelling of labial gingiva in that region. No history of traumatic injury was recorded. Radiological examination revealed impacted primary maxillary left central incisor and three irregular masses of calcified tooth like tissues. Discussion: Odontomas are commonly occuring hamartomas associated with permanent dentition. Odontomas are rarely associated with Primary dentition. Multiple Odontomas leading to impaction of primary incisors is still rarer. This report presents a case of an impacted primary central incisor and unerupted permanent central incisor due to multiple odontomas, one of which was histologically diagnosed as multiple compound odontoma with Dens invaginatus. The Odontomas and impacted primary central were surgically removed to facilitate the eruption of permanent incisor. Conclusion: This report presents a unique and rare case of multiple Odontomas leading to impaction of primary tooth and unerupted permanent incisor. This report also proves Odontomas with deep surface invagination similar to Dens Invaginatus can be present.

A Female Child with Oligodontia in Primary Dentition – Report of a Rare Case.

Aims: Non-Syndromic congenital absence of primary dentition is rare. A female child with congenital absence of primary incisors (n=6) is presented. Presentation of Case: A 4 year-old non-syndromic female child reported with missing several teeth. Intraoral examination revealed absence of (n=6) all four Mandibular Primary Incisors and two Maxillary Primary Lateral Incisors. Radiographic examination revealed absence of corresponding permanent tooth buds. Discussion: The management of this situation is critical for the child and parent point of view due to higher number of missing teeth and early age of reporting. The hypodontia leads to speech problems with lowered self esteem and restricted diet causing malnourishment. Management options include Removable partial denture, Speech therapy, orthodontic jaw expansion, Mini implants. Conclusion: This report presents a rare case of Oligodontia in female child of 4 years old and various management options.

Dental Graduates Awareness of Child Abuse and Neglect (CAN).

Aims: To assess the knowledge and attitude of dental graduates regarding identification of child abuse and neglect (CAN). Study Design: This study included Dental graduates from Krishna and West Godavari districts of Andhra Pradesh, India. A questionnaire with 15 questions about Dentists’ attitudes, Dentists’ knowledge on “Child Abuse and Neglect” was made. Two hundred randomly selected dentists who have minimum five years of clinical experience were selected from Indian Dental Association data base and questionnaire was sent to them by post with return postage paid. Place and Duration of Study: Department of Pedodontics & Preventive Dentistry, St. Joseph Dental College, Duggirala, Eluru. Between June 2014-November 2014. Methodology: In an effort to understand the dental graduates’ mindset in an ever changing scenario so that children can be identified and rendered proper care at the right time in the right way. Questionnaires were sent via post to two hundred dental graduates with minimum of five years working experience, working in both public and private sectors. Questionnaire contained three sections with a total of 15 questions. The response formats were tabulated and analyzed statistically. Results: Hundred and seventy dental graduates responded to the questionnaire. Conclusion: The dentists who responded demonstrated an overall poor understanding about the problem of Child Abuse and Neglect, despite a very high level of interest showed by them for further information about their responsibilities.

Mesiodens In India Children : A Report of Two Case And Review.

Paediatric dentistry in the current scenario is not only about teeth and gums that are visible in child's mouth, but also those structures that are hidden, difficult to identify, and often remain undiagnosed. Dentists can come across various anomalies pertaining to the crown structure during clinical practice. Supernumerary tooth is one such anomaly that is additional to the normal series and can be found in almost any region of the dental arch. They may be single, multiple, unilateral or bilateral erupted or un-erupted and in one or both jaws. Mesiodens is the most common type of supernumerary tooth found in the premaxilla between two central incisors. Here is a review of literature relating to mesiodens presented along with two case reports to illustrate some possible presentations, diagnostic features, and treatment options.

Aesthetic Rehabilitation of A Child With Missing Anterior Teeth And Thumb Sucking Habit Using Fixed Functional Space Maintainer In Combination With Habit Breaking Appliance.

Loss of anterior teeth is a psychological trauma both for parent as well as children. Children presenting with lost anterior teeth along with thumb sucking habit require not only attention for aesthetics, function and space maintenance but also an appliance for habit breaking. Depending on many clinical and economic factors, a course of treatment is decided by the dentist in consultation with parent and child. A new technique is presented in which a child with anterior teeth missing and concomitant ‘‘thumb sucking’’ habit was given a fixed functional space maintainer' with incorporated palatal crib.

Crouzan Syndrome - A Case Report.

Genetic disorders account for a significant amount of morbidity and mortality in children and are of primary interest to the dentist. Crouzan syndrome is one of a rare group of syndromes characterized by craniosynostosis or premature closing of the cranial sutures. The major features are Brachycephaly, ocular proptosis, under developed maxilla, midface hypoplasia, rare cleft lip, palate. Early Craniectomy is often needed to alleviate the raised intracranial pressure. This paper discusses a case report of five year old girl with the features of crouzan syndrome and a multidisciplinary approach to be followed in managing the situation.

Teacher collins syndrome : case report and review of literature.

Treacher-Collins syndrome (TCS) is a rare congenital, craniofacial disorder that is inherited as an autosomal dominant pattern. The present case report describes TCS in a Caucasian girl aged 8 years with full tetrad of cardinal features in addition to mental retardation, deafness and dumbness since birth. The management of the child while delivering the treatment requires patience, skill and knowledge about the condition, which are essential for a Pedodontist and treatment that has to be tailored to the specific needs of each individual and preferably done by a multidisciplinary management team.

Esthetic crowns for primary teeth: a review.

A variety of esthetic restorative materials are available for restoring primary incisors. Each has distinct advantages and disadvantages and the clinical conditions of placement may be a strong determining factor so as to which material is utilized. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded to the tooth which generally are made up of a resin material, and those crowns that are luted onto the tooth. This paper reviews the published data on restorations of primary anterior teeth and various forms of full coronal restorations for the same.

Incongruous periapical abscess: a case report.

Abscesses are usually localized and confined to the focus of infection or they can be diffuse, spreading through the tissue spaces. This article highlights a rare case, where the locus of abscess is incongruous to the origin of infection, but the abscess resolved on eliminating the source of infection. Prompt diagnosis, timely administration of antibiotics and initiation of pulp therapy led to successful resolution of this infection.

Comparative evaluation of marginal microleakage in amalgam restorations of permanent and primary teeth a stereomicroscopic study.

Microleakage and lack of adhesion to the tooth structure are shortcomings that have limited dental amalgam’s use in certain clinical conditions. Studies have shown that the use of adhesive resins as liners under amalgam will create greater retention than mechanical undercuts. The objective of this study is to evaluate the sealing ability of a dentin bonding agent when used as a liner around dental amalgam restorations of both the permanent and the primary teeth.