ABSTRACT
UNLABELLED: The aim of this article is to outline the implications that a diagnosis of severe hypodontia can have on a family. This should help dentists to provide effective counselling for such patients. We will discuss the dental, psycho-social, medical, functional, educational and financial implications that this diagnosis can bring. CLINICAL RELEVANCE: Hypodontia is a common clinical condition encountered by general dental practitioners, so effective counselling of patients affected by this condition will help a family prepare for the implications of this diagnosis and help to improve patient satisfaction.
Subject(s)
Anodontia/diagnosis , Counseling , Professional-Family Relations , Anodontia/economics , Anodontia/psychology , Anodontia/therapy , Child , Dental Care , Dental Implants , Dental Prosthesis , Dentition, Mixed , Ectodermal Dysplasia/diagnosis , Humans , Orthodontics, Corrective , Patient Care Team , Self Care , Social Behavior , State Dentistry/economics , Tooth, Deciduous/abnormalities , United KingdomABSTRACT
Dental trauma is common and often more than one injury is found. Injuries to the primary dentition are usually luxations and mandibular fractures rarely occur. With trauma sustained to the chin, the posterior primary teeth are at increased risk of trauma and mandibular fractures can occur. The case discussed is of a 4-year-old female who presented 2 weeks following dental trauma with multiple primary molar fractures and a possible subcondylar fracture. The need for a detailed examination is emphasized and the management of the case under general anaesthesia is described.
Subject(s)
Mandibular Fractures/complications , Molar/injuries , Tooth Fractures/complications , Tooth Fractures/surgery , Tooth, Deciduous/injuries , Child, Preschool , Female , Humans , Tooth Crown/injuries , Tooth Extraction , Tooth Root/injuriesABSTRACT
The otodental syndrome also named otodental dysplasia, is characterised by a striking dental phenotype known as globodontia, associated with sensorineural high frequency hearing loss and eye coloboma. Globodontia occurs in both primary and permanent dentition, affecting canine and molar teeth (i.e. enlarged bulbous malformed posterior teeth with almost no discernable cusps or grooves). The condition appears to be inherited in an autosomal dominant mode, although sporadic cases have been reported. It is a rare disease, a few families have been described in the literature. In the British family, the locus for oculo-oto-dental syndrome was mapped to 20q13.1 within a 12-cM critical chromosomal region. Dental management is complex, interdisciplinary and will include regular follow up, scheduled teeth extraction and orthodontic treatment. Hearing checks and, if necessary, hearing aids are mandatory, as well as eye examination and ad hoc treatment if necessary.
