ABSTRACT
Background: Dental anomalies (DAs) represent a significant chapter in pediatric dentistry with a lot of practical relevance. Both primary and permanent dentitions may be affected. Objective: The main objective of our study was to evaluate, using digital panoramic radiographs, the prevalence, distribution, and patterns of DAs in a sample of Lebanese children aged between 8 and 15 years old. Methods: 112 digital panoramic radiographs of patients aged between 8 and 15 years (60 males and 52 females) from the year 2017 till 2022 attending the department of Pediatric Dentistry and Dental Public Health at the Faculty of Dental Medicine at the Lebanese University were assessed for DAs of number (hypodontia, oligodontia, hyperdontia), of size (microdontia, macrodontia), of shape (fusion, gemination, dilaceration, taurodontism), of position (transposition, ectopia, impaction), and of structure (dentin dysplasia, amelogenesis imperfecta, dentinogenesis imperfecta). The data were analyzed statistically using Chi-square and Fisher's exact tests. Results: Out of 112 patient radiographs, 84 showed at least one DA, which suggests a very high prevalence (75%). Among them, 36.9% exhibited multiple types of anomalies. These 84 patients showed a total of 274 DAs, distributed equally among males and females. Conclusion: Dentists should be alerted to the presence of DAs. Their high prevalence requires careful clinical and radiological examinations for early detection. Regular monitoring is mandatory and could guide preventive approaches to minimize associated dental complications.
ABSTRACT
AIM AND OBJECTIVE: The present article aims to describe and discuss the preventive clinical management of a pre-eruptive intracoronal resorption (PEIR) defect on a maxillary right second premolar of an 11-year, 5-month-old girl. BACKGROUND: Pre-eruptive intracoronal resorption is described as an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth and extending into various depths of the dentin. It is a rare anomaly occurring in primary and permanent dentitions. In the past, these defects were misdiagnosed as caries, and were therefore called "pre-eruptive caries" or "hidden caries". Currently, the most acceptable etiological hypothesis for PEIR is intracoronal resorption by the invasion of resorptive cells into the dentine through breakdowns in the enamel during crown formation. These lesions are often detected accidentally during routine dental radiographic examination. CASE DESCRIPTION: A fissure sealant was applied to the affected tooth shortly after its eruption. Clinical and radiographical assessments were scheduled every 6 months for a period of 5 years and 5 months. CONCLUSION: The preventive approach proved to be effective in preserving the tooth vital and asymptomatic with normal root development for the entire follow-up period. CLINICAL SIGNIFICANCE: This article raises awareness about misdiagnosed PEIR in primary and permanent dentitions. A close inspection of radiographs, taken during routine visits and orthodontic check-ups, is important for early detection and proper management of such defects. HOW TO CITE THIS ARTICLE: Ambriss B, Moukarzel C, Ezzeddine M, et al. Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case. Int J Clin Pediatr Dent 2021;14(1):161-166.
ABSTRACT
BACKGROUND: Ectopic eruption of the permanent first molar is a common eruption disorder occurring during mixed dentition. The prevalence of this condition ranges from 3% to 4% in children. It is described as an abnormal mesioangular eruption path of the first permanent molar with a possibility of initiating the premature resorption of the distal root of the adjacent primary second molar. Non-treatment can result in the early loss of the second primary molar, space loss, and impaction of second premolars. Various treatment modalities have been mentioned in the literature for the management of ectopic eruption. AIM: This article presents the case of an eight-year-old boy with irreversible bilateral ectopic eruption of the permanent maxillary first molars. CASE DESCRIPTION: A modifed Croll's appliance was the treatment of choice to correct the path of eruption of the latter molars. An activation of the appliance was performed at intervals of two weeks. CONCLUSION: The result was obtained six weeks later and a regular follow-up was scheduled. HOW TO CITE THIS ARTICLE: Ambriss B, Moukarzel C, et al. Management of Bilateral Ectopically Erupting Maxillary Molars: A Case Report. Int J Clin Pediatr Dent 2019;12(2):153-156.
ABSTRACT
Hereditary gingival fibromatosis (HGF) is a rare disease characterized by a benign enlargement of the gingiva involving both the mandible and the maxilla. This case is about a 6-year-old child with non syndromic HGF showing a severe gingival enlargement covering almost all surfaces of the teeth, in both arches, hence causing major aesthetic, phonetic and masticatory problems. The aim of the present article is to compare the outcomes of two therapeutical approaches: i) classical surgical removal with scalpel; and ii) diode laser resection. Compared to the surgical approach, the clinical results show that the main advantages of the diode laser technique are a better visibility during the intervention, minimal postoperative discomfort combined to a better gingival recontouring. However, the time consumption and the high cost of the laser equipment remain the main disadvantages of the systematic use of this technique.
