ABSTRACT
The management of fractures in children is complex compared to that of adults because of greater elasticity of bone, presence of tooth buds, faster healing rate, potential for future growth and lesser co-operative ability. Fractures of the mandible in children are conventionally treated by circummandibular wiring. This paper reports a variation in the technique of using circummandibular wiring with acrylic splints in the conservative treatment of mandibular fractures in two pediatric patients.
Subject(s)
Conservative Treatment , Mandibular Fractures/therapy , Child , HumansABSTRACT
Fusion is one of the few developmental disorders that may account for alteration in morphology and number of teeth in the dental arch. This case report presents a unique case of fusion between supernumerary canine and maxillary first premolar, the associated problems, and their comprehensive clinical management.
Subject(s)
Bicuspid/abnormalities , Cuspid/abnormalities , Fused Teeth/therapy , Tooth, Supernumerary/therapy , Adolescent , Crowns , Cuspid/surgery , Dental Restoration, Permanent/methods , Female , Fused Teeth/surgery , Humans , Maxilla/pathology , Radiography, Bitewing , Root Canal Therapy/methods , Tooth Crown/abnormalities , Tooth Extraction/methods , Tooth Movement Techniques/methods , Tooth, Supernumerary/surgeryABSTRACT
INTRODUCTION: The Moyers mixed dentition space analysis method is among the most commonly used in clinical practice for detecting tooth size-arch length discrepancies. In view of reported secular trends, racial, and sex differences in tooth sizes, the purposes of this study were to evaluate the applicability of Moyers probability tables in a contemporary orthodontic population of India and to formulate more accurate mixed dentition prediction aids. METHODS: Odontometric data were collected from 300 male and 300 female subjects of Indian descent, who had fully erupted mandibular permanent incisors and maxillary and mandibular canines and premolars. We measured the mesiodistal crown widths with vernier scale dial calipers. The odontometric values obtained were then subjected to statistical and linear regression analysis. RESULTS: All tooth groups showed significant differences (P <0.001) between mesiodistal widths of male and female subjects. Regression equations for the maxillary arch (males, Y = 7.15 + 0.67X; females, Y = 7.44 + 0.65X) and the mandibular arch (males, Y = 5.55 + 0.71X; females, Y = 6.15 + 0.67X) were used to develop new probability tables on the Moyers pattern. Significant differences (P <0.05) were found between our predicted widths and the Moyers tables at almost all percentile levels, including the recommended 75% and 50% levels. CONCLUSIONS: We believe that these new prediction aids could be considered for a more precise mixed dentition space analysis in Indian children.
Subject(s)
Cephalometry/statistics & numerical data , Dental Arch/anatomy & histology , Dentition, Mixed , Odontometry/statistics & numerical data , Tooth/anatomy & histology , Bicuspid/anatomy & histology , Child , Cuspid/anatomy & histology , Ethnicity , Female , Forecasting , Humans , Incisor/anatomy & histology , India , Male , Mandible/anatomy & histology , Maxilla/anatomy & histology , Probability , Sex Factors , Tooth Crown/anatomy & histologyABSTRACT
The article describes an unusual case of a 7 years old male child presenting with orofacial cat bite injury that occurred in infancy. This resulted in loss of deciduous and permanent tooth buds and consequently hampered alveolar growth. The patient was given a removable partial denture to restore function and aesthetics. The article highlights the importance of complete history, diagnosis and management of such injuries in children.
