ABSTRACT
Treacher Collins syndrome (TCS) is an autosomal dominant disorder of craniofacial development characterized by variable involvement of the craniofacial structures derived from the first and second branchial arches. Occurrence of this syndrome is relatively rare with wide variations in the clinical expression. Aspects of speech, appearance, and social well-being along with psychological issues are hampered in these patients. Treating such disabled children poses a great challenge not only in the medical field but also in the dental meadow. We report a case of a 5-year-old boy who presented with this syndrome and the dental treatment was carried out with a noteworthy outcome for a period of 8 years. A brief review of etiology, dental anomalies along with prognosis is documented.
Subject(s)
Mandibulofacial Dysostosis , Mouth Rehabilitation , Child, Preschool , Dental Care for Chronically Ill , Dental Care for Disabled , Follow-Up Studies , Humans , MaleABSTRACT
Crouzon syndrome or craniofacial dysostosis is a rare syndrome characterized by craniosynostosis, midfacial hypoplasia and exophthalmia. The abnormalities found in this syndrome change too much from case to case depending on the suture fusion order. We report a case of a 12 year old child and a mother showing variations in the dentofacial tissues clinically and radiographically. Subsequently, the application of digital software [Dolphin Imaging 11] enabled us to solve out the case as Crouzon syndrome by analyzing the skeletal and soft tissue alterations. An update of the effects of this syndrome on various systems and dentofacial features with emphasis on tooth abnormalities is documented.
Subject(s)
Craniofacial Dysostosis/complications , Maxilla/abnormalities , Retrognathia/etiology , Tooth Abnormalities/etiology , Adult , Cephalometry , Child , Craniofacial Dysostosis/diagnosis , Diagnosis, Differential , Female , Humans , Male , Mothers , Tooth, Unerupted/etiologyABSTRACT
PURPOSE: The aim of the study was to find the relationship between salivary IgA (s-IgA) levels and dental caries in children. MATERIALS AND METHODS: A total of 40 children in the age group of 8 to 12 years were selected and divided into two groups. Group I with DMFT score 0 and Group II with DMFT score ≥3. The whole unstimulated s-IgA levels were estimated using ELISA method. RESULTS: Whole s-IgA levels were significantly higher in group II with DMFT score ≥3 as compared with group I with DMFT score 0. CONCLUSIONS: There was an increase in s-IgA levels in caries-active mouth to give protection mechanism against dental caries and the Streptococcus mutans which are active in caries-active mouth. The s-IgA antibodies can play an important role in control of dental caries.
