ABSTRACT
ABSTRACT Objective: To evaluate the systemic factors associated with Molar-Incisor Hypomineralization (MIH) etiology. Material and Methods: A total of 731 8-year-old schoolchildren enrolled in the public school system in Curitiba, Brazil, was randomly selected. The MIH diagnosis was performed by calibrated examiners (Kappa >0.80) according to the European Academy of Pediatric Dentistry criteria (2003). The systemic factors were collected through a semi-structured questionnaire and applied to the children's mothers, addressing the medical history from pregnancy to the first three years of children's life. Associations were analyzed by Poisson regression analysis with robust variance (p<0.05). Results: The systemic factors in the prenatal and perinatal periods were not associated with MIH (p>0.05). The children who used medications during the first years of life had a significantly higher prevalence of MIH (PRc = 2.18 CI = 95% 1.06-4.48; p=0.033). Conclusion: The use of medications during the first three years of children's life is associated with a higher prevalence of MIH.
Subject(s)
Humans , Male , Female , Child , Tooth Abnormalities/etiology , Epidemiology , Tooth Demineralization , Dental Enamel Hypoplasia/etiology , Molar/abnormalities , Surveys and Questionnaires , Regression AnalysisABSTRACT
Introdução: Pacientes com anomalias dentomaxilofaciais do sistema estomatognático frequentemente experimentam disfunção da articulação temporomandibular, além do exame clínico existem índices que permitem determinar o grau de disfunção. Objetivo: Identificar o grau de disfunção da articulação temporomandibular em pacientes com anomalias dentomaxilofaciais. Métodos: Estudo transversal, descritivo, observacional foi feito com 121 pacientes atendidos na clínica ortodôntica da Clínica Universitária de Especialidades Estomatológicas Manuel Cedeño, no período de maio de 2016 a março de 2018. As variáveis; a serem estudadas foram idade, sexo e grau de disfunção da articulação temporomandibular. Foi aplicado o índice de Maglione et al. Resultados: Pacientes com anomalias dentomaxilofaciais apresentaram um grau leve de disfunção em 71,90 percent da população total; disfunção da articulação temporomandibular esteve presente em 72,58 percent na faixa etária de 18 a 20 anos e no sexo feminino com 61,98 percent. Conclusão: Disfunção temporomandibular leve prevaleceu em pacientes com anomalias dentomaxilofaciais(AU)
Introducción: Los pacientes con anomalías dentomaxilofaciales del sistema estomatognático a menudo experimentan disfunción de la articulación temporomandibular. Además del examen clínico existen índices que permiten determinar el grado de disfunción. Objetivo: Identificar el grado de disfunción de la articulación temporomandibular en pacientes con anomalías dentomaxilofaciales. Métodos: Se realizó un estudio observacional descriptivo de corte transversal con 121 pacientes atendidos en la consulta de Ortodoncia de la Clínica Universitaria de Especialidades Estomatológicas Manuel Cedeño, de mayo de 2016 a marzo de 2018. Las variables a estudiar fueron la edad, sexo y grado de disfunción de la articulación temporomandibular. Se aplicó el índice de Maglione et al. Resultados: Los pacientes con anomalías dentomaxilofaciales tuvieron un grado de disfunción leve en 71,90 por ciento de la población total. La disfunción de la articulación temporomandibular se presentó en 72,58 por ciento del grupo etario de 18 a 20 años y en el sexo femenino, con 61,98 por ciento. Conclusiones: La disfunción de la articulación temporomandibular leve prevaleció en los pacientes con anomalías dentomaxilofaciales(AU)
Introduction: Patients with dentomaxillofacial anomalies of the stomatognathic system often experience temporomandibular joint dysfunction. Besides clinical examination, indices such as Maglione and collaborators' allow to determine the degree of dysfunction. Objective: Identify the degree of temporomandibular joint dysfunction in patients with dentomaxillofacial anomalies. Methods: A cross-sectional observational descriptive study was conducted of 121 patients attending the Orthodontics Service at Manuel Cedeño Dental Specialties University Clinic from May 2016 to March 2018. The variables analyzed were age, sex and degree of temporomandibular joint dysfunction. Use was made of the Maglione and collaborators' index. Results: Patients with dentomaxillofacial anomalies had a mild degree of dysfunction in 71.90 percent of the total population. Temporomandibular joint dysfunction was present in 72.58 percent of the 18-20 years age group and in the female sex, with 61.98 percent. Conclusions: Mild temporomandibular joint dysfunction prevailed in patients with dentomaxillofacial anomalies(AU)
Subject(s)
Humans , Female , Adult , Young Adult , Tooth Abnormalities/etiology , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Jaw Abnormalities/epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies , Observational StudyABSTRACT
RESUMEN: Las anomalías dentomaxilares (ADM) constituyen un problema de salud pública en Chile, lo que genera la necesidad de un diagnóstico sistemático y la asignación de prioridades de tratamiento. Las ADM que afectan la estética pueden constituir una barrera para la inserción social de los adolescentes. El Dental Aesthetic Index (IED), es un instrumento que permite jerarquizar la necesidad de tratamiento de las ADM. El propósito de esta investigación fue caracterizar las ADM, necesidad de tratamiento a través de IED y auto-percepción estética en escolares de 12 a 15 años. Estudio de Prevalencia en adolescentes de 12 a 15 años, de la ciudad de Viña del Mar. El criterio de exclusión fue tratamiento ortodóncico previo. Se seleccionaron 204 sujetos mediante asignación uniforme con un nivel de confianza de 95 %. Variables recogidas: Edad, tipo de establecimiento educacional, sexo, percepción estética y IED por componentes. La prevalencia según IED fue de 63 % [56 % - 70 %]. La necesidad de tratamiento fue 44,2 % electivo, 31,01 % altamente deseable y 24,81 % obligatorio y prioritario. El IED Comunitario dio 29.5. Se encontró una relación significativa entre IED y percepción estética con un p-valor: 0,006 (Rho: 0,343). La prevalencia de anomalías dentomaxilares medido a través del indicador IED alcanza el 63 % y el IED comunitario de 29,54 % afirmando que el grupo "requiere tratamiento electivo por ADM definida"; en los establecimientos particulares está subestimado pues algunos casos ya han sido tratados con anterioridad a esta investigación.
ABSTRACT: Dentomaxillary anomalies are a public health problem in Chile, resulting in the need for screening and prioritization of treatment. Dentomaxillary anomalies affecting the aesthetics can be a barrier to social integration of adolescents. The Dental Aesthetic Index (DAI) is an instrument to prioritize the need for treatment of malocclusions. The purpose of this research was to characterize the malocclusions, orthodontic treatment needs and esthetic self-perception in schoolchildren from 12 to 15 years through DAI. Prevalence Study in 12 to 15 year-old adolescents from Viña del Mar. The exclusion criteria was previous orthodontic treatment. The sample was 204 subjects selected by uniform allocation with a confidence level of 95 %. Variables included age, type of educational establishment, sex, aesthetic perception and DAI by component. Prevalence of dentomaxillary anomalies by DAI was 63 % [56 % - 70 %], Treatment needs were 44.2 % treatment elective, 31.01 % highly desirable and 24.81 % mandatory. The Community's DAI was 29.5. The relationship between DAI and aesthetic perception was significant (p-value: 0.006; Rho: 0.343). The prevalence of dento-maxillary anomalies measured by DAI reaches 63 % and the communal DAI was 29.54 stating that the group "requires elective treatment for definite malocclusion"; in private schools, it is underestimated because some cases had already been treated prior to this investigation.
Subject(s)
Humans , Male , Female , Adolescent , Tooth Abnormalities/etiology , Jaw Abnormalities/etiology , Malocclusion/etiology , Orthodontics , Tooth Abnormalities/physiopathology , Tooth Abnormalities/epidemiology , Chile/epidemiology , Prevalence , Esthetics, Dental , Jaw Abnormalities/physiopathology , Jaw Abnormalities/epidemiology , Malocclusion/physiopathology , Malocclusion/epidemiologyABSTRACT
El cariotipo 49 XXXXY, es una forma rara de polisomía, considerada una variante del Síndrome de Klinefelter, descripto en el año 1960, siendo muy escasa la información publicada en la literatura científica en el área de la odontología. Algunas de las características fenotípicas predominantes en este síndrome son: rasgos faciales dismórficos, microcefalia, clinodactilia, retardo mental, hipogonadismo y naomaláis esqueletales, siendo la sinostosis radiolunar la más característica. En el 100 por ciento de los casos se ha descripto retraso motor y del lenguaje y en el 50 a 100 por ciento se pueden observa paladar fisurado, malformaciones genitourinarias, hernia inguinal y defectos óseos. Uno de los aspectos bucales relevantes de los pacientes con este síndrome es la presencia de taurodoncia. El propósito de este trabajo es describir las características bucales, las anomalías dentales y su abordaje clínico en forma ambulatoria, en un paciente de 6 años de edad con síndrome de 49 XXXXY
Subject(s)
Humans , Male , Child , Tooth Abnormalities/etiology , Oral Manifestations , Phenotype , Klinefelter Syndrome/genetics , Klinefelter Syndrome/pathology , Argentina , Dental Care for Children , Dental Care for Chronically Ill , Dental Restoration, Permanent/methods , Space Maintenance, Orthodontic , Tooth ExtractionABSTRACT
Introduction:Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations.Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft.Conclusion:Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.
Introdução:as fissuras de lábio e palato são malformações de alta prevalência na população. Nas fissuras que envolvem o rebordo alveolar, o incisivo lateral superior mostra variações de número, forma, tamanho e posição, o que o torna objeto de estudo, na tentativa de elucidar sua origem embrionária para compreender a etiologia dessas alterações.Contextualização:existia a hipótese de que a fissura orofacial seria capaz de segmentar o botão embrionário do incisivo lateral. No entanto, estudos recentes evidenciaram que o incisivo lateral superior possui dupla origem embrionária, sendo formado parcialmente pelo processo nasal medial e pelo processo maxilar. Em outras palavras, a metade mesial do incisivo lateral provém do processo nasal medial, enquanto a metade distal do incisivo lateral origina-se do processo maxilar. No paciente com fissura, não há fusão desses processos, o que resulta nos diferentes padrões numéricos e posicionais do incisivo lateral em relação à fissura. Além dessas considerações, propõe-se também uma nomenclatura para o incisivo lateral em pacientes com fissura labiopalatina, com embasamento na Embriologia, considerando-se sua posição em relação à fissura alveolar.Conclusão:o conhecimento embriológico da dupla origem do incisivo lateral superior e o emprego de uma nomenclatura adequada para as suas variações numéricas e posicionais facilita a comunicação entre profissionais, o planejamento dos casos e possibilita a realização de estudos clínicos comparativos.
Subject(s)
Humans , Tooth Abnormalities/classification , Tooth Abnormalities/embryology , Alveolar Process/embryology , Incisor/embryology , Tooth Abnormalities/etiology , Cleft Lip/complications , Cleft Palate/complications , Alveolar Process/abnormalities , Incisor/abnormalities , Terminology as TopicABSTRACT
El síndrome de Hiper EgE (SHIE) es una rara inmunodeficiencia caracterizada por abscesos cutáneos, neumonías recurrentes, conformación de neumatoceles y elevados niveles de IgE en suero. Se ha reconocido la asociación de rasgos faciales, esqueléticos y dentales, pero su frecuencia es poco conocida. Objetivo: describir la epidemiología, presentación clínica, hallazgos de laboratorio y tratamiento de este síndrome desde el punto de vista médico y odontológico, con énfasis en las manifestaciones estomatológicas y dentales. Métodos. Métodos: realizamos una revisión científica sistemática de todos los reporte y series de casos de SHIE en las bases de datos Lilacs, Medline, SciELO y Biblioteca Cochrane, utilizando como descriptores DeCS/MeSH las palabras claves: hyper IgE AND immunodeficiency, hypereosinophilia, Job´s syndrome, hiperinmunoglobulinemia E. Resultados: revisamos 31 publicaciones con 328 pacientes. Los abscesos cutáneos se encontraron en 89 pior ciento de los casos, la neumonía en el 87 por ciento y la IgE sérica dio una mediana de 3.417 Ul/mL. Los rasgos faciales característicos estuvieron en el 69 por ciento, las alteraciones dentarias en 58 por ciento y la candidiasis oral fue reportada en 53 por ciento de los pacientes. Conclusión: el síndrome de IgE es un desorden multisistémico que afecta a la dentición, el esqueleto, el tejido conectivo y el sistema inmune. Por esto, el odontopediatra debe ser capaz de reconocer el fenotipo orofacial para mejorar la calidad del diagnóstico y brindar el abordaje terapéutico apropiado...
Subject(s)
Humans , Male , Female , Hypergammaglobulinemia/complications , Immunoglobulin E , Oral Manifestations , Tooth Abnormalities/etiology , Hypergammaglobulinemia/epidemiology , Hypergammaglobulinemia/therapy , Data Interpretation, Statistical , Job Syndrome/pathology , Hypergammaglobulinemia/bloodABSTRACT
Incontinentia pigmenti is a rare genodermatosis in which the skin involvement occurs in all patients. Additionally, other ectodermal tissues may be affected, such as the central nervous system, eyes, hair, nails and teeth. The disease has a X-linked dominant inheritance pattern and is usually lethal to male fetuses. The dermatological findings occur in four successive phases, following the lines of Blaschko: First phase - vesicles on an erythematous base; second phase - verrucous hyperkeratotic lesions; third phase - hyperchromic spots and fourth phase - hypochromic atrophic lesions.
Subject(s)
Humans , Male , Skin/pathology , Incontinentia Pigmenti/pathology , Tooth Abnormalities/etiology , Tooth Abnormalities/pathology , Cataract/etiology , Cataract/pathology , Incontinentia Pigmenti/complications , Central Nervous System Diseases/pathology , Alopecia/etiology , Alopecia/pathology , MutationABSTRACT
Abstract Polythelia is defined as the presence of supernumerary nipples without the presence of additional mammary gland, within the milk line extending from the axilla to the pubic region. Though the presence of dental anomalies can create a simple esthetic problem with specific clinical considerations, the association with familial polythelia has rarely been reported. A report of association of dental anomalies and polythelia in an Argentine family is presented and the considerations about the dental practice suggesting a careful anamnesis and referral to a medical consultation with regard to possible pathologic conditions or potentially malignant transformation of accessory breasts are discussed.
Resumen La politelia ha sido definida como la presencia de pezones supernumerarios sin tejido accesorio glandular; generalmente, éstos siguen las líneas mamarias que discurren imaginariamente desde las axilas hasta la región inguinal. Si bien la presencia de anomalías dentarias puede originar un simple problema estético con específicas consideraciones clínicas, la asociación con politeliafamiliar ha sido escasamente informada. Se presenta un caso de politelia asociada con anomalías dentarias en una familia argentina, y se discuten sugerencias para una cuidadosa anamnesis odontológica y derivación a la consulta médica para prevenir eventuales condiciones patológicas o una potencial transformación maligna de los tejidos mamarios.
Subject(s)
Female , Humans , Young Adult , Breast Diseases/pathology , Nipples/abnormalities , Tooth Abnormalities/etiology , Family Health , Nipples/pathology , Tooth Abnormalities/pathologyABSTRACT
Las displasias ectodérmicas son un grupo extenso de enfermedades en las que se encuentra alterado el desarrollo de dos o más tejidos derivados del ectodermo. Es una patología no progresiva, difusa, genodermatosis congénita, caracterizada por la falta o escasez de pelo, dientes, uñas y glándulas sudoríparas. El paciente presenta maxilar inferior edéntulo. Se introduce una breve revisión de la literatura, se discute la terapéutica actual y se muestra un caso como ejemplo. El propósito del presente trabajo es describir los hallazgos clínicos en un paciente de 5 años con displasia ectodérmica hipohidrótica y su tratamiento.
Subject(s)
Humans , Male , Child , Ectodermal Dysplasia/complications , Ectodermal Dysplasia/diagnosis , Oral Manifestations , Tooth Abnormalities/etiology , Denture, Partial, Removable , Diagnosis, Differential , Mouth RehabilitationABSTRACT
Se realizó una intervención educativa para modificar conocimientos y comportamientos de 48 escolares de segundo grado con hábitos de succión digital, pertenecientes a la Escuela Primaria nr 94 Marcos Martí Rodríguez de Santiago de Cuba, durante el 2009. Luego de ejecutar actividades educativas basadas en técnicas afectivo-participativas, particularmente amenas para los educandos de esas edades, 32 de ellos (66,66 por ciento) abandonaron esa práctica deformante por haber comprendido su nocividad desde los puntos de vista estético y funcional.
An educational intervention was carried out to modify the knowledge and behaviour of 48 second grade students with digital suction habit, belonging to 94 Marcos Martí Rodríguez primary school in Santiago de Cuba, during 2009. After the educational activities based on participative-affective techniques, particularly pleasant for the students with those ages, 32 (66,66%) quitted that deforming practice because they understood the damage from the aesthetic and functional point of view.
Subject(s)
Humans , Male , Female , Child , Tooth Abnormalities/etiology , Education, Primary and Secondary , Health Education/methods , Habits , Fingersucking/adverse effectsABSTRACT
OBJECTIVE: To present and discuss a case of a rare disease in a 35 year old otherwise healthy maleIndian in origin reported to the Department of Oral Medicine and Radiology of the Dental College andResearch Institute, Bangalore, India. DISCUSSION: The cleidocranial dysplasia is a rare disease whichcan occur either spontaneously (40%) or by an autosomal dominant inheritance. The dentists are, mostof the times, the first professionals who patients look for to solve their problem, since there is a delayin the eruption and /or absence of permanent teeth. In the present case multiple missing teeth was thereason for patients visit to odontologist. CONCLUSION: An early diagnosis allows proper orientationfor the treatment, offering a better life quality for the patient.
OBJETIVO: Apresentar e discutir um caso de doença rara em paciente masculino, de 35 anos de idade, sadio, demodo geral, de origem indiana, que foi encaminhado ao Departamento de Medicina Bucal e Radiologia da Escola deOdontologia e Instituto de Pesquisa, Bangalore, Índia. DISCUSSÃO: A displasia cleidocraniana é uma doença raraque pode ocorrer espontaneamente (40%) ou por herança autossômica dominante. O cirurgião-dentista é, na maioriadas vezes, o primeiro profissional que o paciente procura para solução de seu problema, uma vez que há demora na erupção e/ou ausências de dentes permanentes. No presente caso, múltiplos dentes ausentes foram a razão para opaciente visitar o dentista. CONCLUSÃO: O diagnóstico precoce permite a orientação adequada para o tratamento,visando melhor qualidade de vida ao paciente.
Subject(s)
Humans , Female , Adult , Cleidocranial Dysplasia , Spinal Dysraphism , Radiography, Panoramic , Tooth Abnormalities/etiologyABSTRACT
Ellis-van Creveld (EvC) syndrome is an autosomal recessive disorder, mainly affecting the ectodermal components such as, enamel, nail, and hair. The gene for EvC syndrome is located on chromosome 4p16. Patients with EvC syndrome characteristically presents with congenitally missing teeth, abnormal frenal attachment, microdontia, and hexadactyly.
Subject(s)
Adolescent , Anodontia/etiology , Consanguinity , Ellis-Van Creveld Syndrome/complications , Female , Humans , Labial Frenum/abnormalities , Tooth Abnormalities/etiologyABSTRACT
Myelomeningocele (MMC) is a congenital malformation of the neural tube that occurs in the first weeks of pregnancy. This malformation refers to the caudal non-closure of the neural tube and neural tissue exposure, which lead to neurological problems, such as hydrocephalus, motor disability, genitourinary tract and skeletal abnormalities and mental retardation. Patients with MMC have an acknowledged predisposition to latex allergy and are usually at a high caries risk and activity due to poor oral hygiene, fermentable carbon hydrate-rich diet and prolonged use of sugar-containing medications. This paper addresses the common oral findings in pediatric patients with MMC, discusses the strategies and precautions to deal with these individuals and reports the dental care to a young child diagnosed with this condition.
Mielomeningocele (MMC) representa uma malformação congênita do tubo neural que acontece nas primeiras semanas de gestação. Esta malformação refere-se ao não fechamento da coluna vertebral expondo a medula espinhal, que levará a problemas neurológicos, como hidrocefalia, dificuldades motoras, anomalias esqueléticas e do trato genito-urinário, além de retardo mental. Pacientes com MMC apresentam uma reconhecida predisposição à alergia ao latex e geralmente apresentam um alto risco e atividade de cárie dental decorrente de uma higiene oral deficiente, de uma dieta rica em carboidratos e do uso prolongado de medicamentos contendo açúcares. Este trabalho discorre sobre os achados bucais em crianças com MMC, discute as estratégias e precauções no manejo destes pacientes e descreve o tratamento odontológico de uma criança diagnosticada com esta condição.
Subject(s)
Child, Preschool , Female , Humans , Pregnancy , Dental Care for Disabled/methods , Dental Caries/etiology , Folic Acid Deficiency/complications , Meningomyelocele/complications , Tooth Abnormalities/etiology , Diabetes, Gestational , Dental Caries/therapy , Gingivitis/etiology , Hydrocephalus/complications , Open Bite/etiologyABSTRACT
La fusión y la geminación son anomalías de forma que presentan las piezas dentales. La fusión es la unión de dos piezas en desarrollo y la geminación es el nacimiento de un segundo diente a partir de un único brote. Las radiografías panorámicas son de utilidad para establecer un diagnóstico diferencial. Si bien no se conoce cuál es la etiología de estas anomalías, se les confieren múltiples causas. Como conclusión, es importante la elaboración de un plan de tratamiento individualizado para cada caso.
Subject(s)
Tooth Abnormalities/classification , Tooth Abnormalities/diagnosis , Fused Teeth/diagnosis , Tooth Abnormalities/etiology , Tooth Abnormalities , Diagnosis, Differential , Fused Teeth/etiology , Fused TeethABSTRACT
The objective of this study was to show the association patterns among seven types of dental anomalies (second pre-molar agenesis, upper side incisive reduced in size, lower first molar infra-ochlesis, enamel hypoplasia, first molar ectopic eruption, supra numerous teeth and upper canine ectopic eruption) in a population sample without dental treatment ranging in age from 7 to 14. A total of 172 patients were attended and underwent the clinical examination at the Clínica Infantil da Fundação Educacional de Barretas. Eleven patients from this total were selected according to a first dental anomaly diagnosis and submitted to panoramic radiography. A significant association (p<0.05) was detected among six pairs of anomalies (second pre-molar agenesis x first pre-molar ectopic eruption; second pre-molar agenesis x lower first molar infra-ochlesis; second pre-molar agenesis x upper side incisive reduced in size; supra numerous teeth x reduced size upper side incisive; first pre-molar ectopic eruption x enamel hypoplasia; lower first molar infra-ochlesis x upper side incisive reduced in size) suggesting a common genetic origin for these conditions. The association was not significant in only one case where there was anomaly sharing by the patients. The existence of an anomaly is clinically relevant for early diagnosis of a possible association and an anomaly can indicate an increased risk of other anomalies.
El objetivo de este estudio fue mostrar los patrones asociación entre siete tipos de anomalías dentales (agenesia del segundo premolar, incisivo lateral superior en tamaño reducido, infra-oclesis del primer molar inferior, hipoplasia del esmalte, erupción ectópica del primer molar, dientes supernumerarios y erupción ectópica de caninos superiores) en una muestra de población sin tratamiento dental, de edades comprendidas entre los 7 a 14 años. Un total de 172 pacientes fueron atendidos y se les realizó el examen clínico en la Clínica Infantil da Fundación Educacional de Barretos. Once pacientes de el total fueron seleccionados de acuerdo con un primer diagnóstico de anomalías dentales y presentado en la radiografía panorámica. Se observó una asociación significativa (p <0,05) entre los seis pares de anomalías (agenesia de segundo premolar x erupción ectópica del primer molar; agenesia del segundo premolar x infra-oclesis del primer molar inferior; agenesia del segundo premolar x incisivo lateral superior en tamaño reducido; dientes supernumerarios x incisivo lateral superior en tamaño reducido; erupción ectópica del primer molar x hipoplasia de esmalte; infra-oclesis del primer molar inferior x incisivo lateral superior en tamaño reducido), sugiriendo un origen genético común para estas condiciones. La asociación no fue significativa en un sólo caso donde hubo anomalías compartidas por los pacientes. La existencia de una anomalía es clínicamente relevante para el diagnóstico precoz de una posible asociación y una anomalía puede indicar un mayor riesgo de otras anomalías.
Subject(s)
Humans , Male , Adolescent , Female , Child , Tooth Abnormalities/epidemiology , Tooth Abnormalities/etiology , Tooth Abnormalities/genetics , Brazil/epidemiologyABSTRACT
Turner's hypoplasia usually manifests as a portion of missing or diminished enamel, generally affecting one or more permanent teeth in the oral cavity. A case report of 8 year old girl who met with trauma at 2 years of age leading to primary incisors being knocked out, reported after 6 years with complaint of pain and discharge in her anterior malformed teeth is discussed in this article. The permanent incisors erupted with dilacerated crown, root malformations and missing enamel. Further, patient developed sinus, lateral root pathology, tooth mobility and malocclusion in relation to affected teeth which were managed by esthetic, functional, endodontic and surgical procedure. Root canal treatment along with palatal contouring and esthetic restoration by light cure composite was performed on the tooth with crown dilaceration and sinus, where as surgical management was considered for the tooth with root malformation.
Subject(s)
Child , Dental Enamel Hypoplasia/etiology , Dental Fistula/surgery , Denture, Partial , Female , Humans , Incisor/abnormalities , Periapical Granuloma/surgery , Root Canal Therapy , Tooth Abnormalities/etiology , Tooth Crown/abnormalities , Tooth Germ/injuries , Tooth Injuries/complications , Tooth Root/abnormalitiesABSTRACT
Osteopetrosis is a rare genetic disorder that causes generalized sclerosis of bone due to a defect in bone resorption and remodeling. Dental abnormality may be attributed to pathological changes in bone remodeling. Osteomyelitis is well documented as a complication of osteopetrosis. This disease can be severe and difficult to treat in the osteopetrotic patient. This is a case of 10-year-old girl previously diagnosed as suffering from osteopetrosis and presenting with the complaint of swelling of jaw with extra-oral draining sinus.
Subject(s)
Abnormalities, Multiple/etiology , Child , Cutaneous Fistula/etiology , Female , Humans , Mandibular Diseases/etiology , Oral Fistula/etiology , Osteomyelitis/etiology , Osteopetrosis/complications , Pedigree , Tooth Abnormalities/etiologyABSTRACT
El objetivo de este estudio fue determinar la prevalencia de patologías dentarias de desarrollo (erupción, forma, posición, tamaño, número) que caracterizan a la población de la Ciudad de Buenos Aires, utilizando la información que proporcionan radiografías panorámicas. Se obtuvo la prevalencia de patologías de desarrollo y el análisis de varianza con el objeto decomparar lesiones entre géneros. Se observaron radiografías panorámicas de 1000 pacientes atendidos en la Cátedra de Radiología de la Facultad de Odontología de la Universidad de Buenos Aires, derivados de clínicas de la misma.
Subject(s)
Humans , Male , Adolescent , Adult , Aged, 80 and over , Infant, Newborn , Infant , Child, Preschool , Child , Middle Aged , Female , Tooth Abnormalities/epidemiology , Tooth Abnormalities/etiology , Radiography, Panoramic , Age and Sex Distribution , Analysis of Variance , Anodontia/epidemiology , Argentina/epidemiology , Cross-Sectional Studies , Tooth, Impacted/epidemiology , Tooth, Supernumerary/epidemiology , Schools, Dental , Data Interpretation, Statistical , Molar, Third/pathologyABSTRACT
El síndrome de Down (SD) es la mayor condición genética que se asocia con retardo mental y con características físicas específicas. Además de las mismas, se manifiestan condiciones sistémicas e intelectuales que pueden comprometer la salud bucal y el manejo de la situación odontológica. El conocimiento de estos aspectos, al igual que de las alteraciones orofaciales y el desarrollo de las estructuras del sistema estomatognático, son necesarios para la planificación de un programa efectivo de salud bucal.
Subject(s)
Humans , Child , Dental Care for Disabled/methods , Down Syndrome/complications , Down Syndrome/therapy , Tooth Abnormalities/etiology , Tooth Abnormalities/therapy , Dental Caries/etiology , Dental Caries/therapy , Periodontal Diseases/etiology , Periodontal Diseases/therapy , Health Education, Dental , Oral Manifestations , Patient Care Planning , Patient Care TeamABSTRACT
Dens in dente o diente invaginado es un defecto de desarrollo dentario que tiene su origen en la invaginación de la superficie coronaria de un diente antes de que ocurra su calcificación. Se presenta un paciente pediátrico con antecedentes de proceso fistuloso buco facial, que fue atendido en el Hospital Provincial Docente Dr. Antonio Luaces Iraola. Al mismo se le realizó un cuidadoso examen físico que determinó una causa odontógena del proceso inflamatorio crónico y luego se le indicó un estudio radiográfico que detectó la presencia de dens in dente en ambos incisivos centrales superiores, lo que impuso la necesidad de someter a tratamiento quirúrgico ambos dientes afectados por diente u odontoma invaginado. No hubo complicaciones postoperatorias y la evolución a largo plazo fue favorable.
Dens in dente or invaginated tooth is a defect of dental development arising as a result of invagination of the coronary surface of the tooth before calcification takes place. One pediatric pacient with history of oral-facial fistula process is presented, who was assisted at the "Antonio Luaces Iraola" provincial teaching hospital. A careful physical examination was concomitantly done to determine the odontogenic cause of the chronic inflammatory process and soon a radiographic study was indicated , which detected the presence of dens in dente in both upper central incisors, imposing the necessity of surgical treatment for both teeth affected by dens invaginatus or odontome. No postoperative complications were encountered, and his long term evolution was favorable.