Shovel-shaped incisors (SSIs) are teeth with thick marginal ridges adjacent a deep lingual fossa. Dens invaginatus (DI) is a malformation of teeth most likely causing from an infolding of the dental papilla during development of tooth. Protostylid is used for any additional cusps on the buccal surface of maxillary and mandibular premolars and molars. Morphological dental anomalies of the permanent teeth are seen to occur frequently; however, multiple anomalies in a single patient are relatively uncommon. A 19-year-old non-syndromic healthy Malay teenage girl who came for correction of misaligned teeth presented with an amalgamation of dental anomalies consists of SSIs and DI of the upper right lateral incisor, protostylid on bilateral upper maxillary molars, unilateral protostylid of right mandibular premolar, and Class III incisor relationship. The intraoral radiograph of tooth 12 revealed radiopaque invaginations from the palatal pits confined to the crowns of the teeth and there was no pulpal extension into the accessory cusp of both maxillary permanent second molars. The definitive treatment included sealing and build up the incisor DI tooth with composite, fissure sealant of deep fissure protostylid on bilateral maxillary second molars, close monitoring of the prostostylid on lower right premolar and fixed orthodontics appliance for the management of Class III incisor relationship. Early diagnosis, comprehensive treatment and regular follow-up are crucial to prevent any future consequences that may be associated with these dental anomalies.
{"title":"Shovel Incisors, Dens Invaginatus and Multiple Protostylid in a Teenage Girl: A Case Report and Literature Review","authors":"S. H. Hamzah","doi":"10.14744/jpd.2021.09_65","DOIUrl":"https://doi.org/10.14744/jpd.2021.09_65","url":null,"abstract":"Shovel-shaped incisors (SSIs) are teeth with thick marginal ridges adjacent a deep lingual fossa. Dens invaginatus (DI) is a malformation of teeth most likely causing from an infolding of the dental papilla during development of tooth. Protostylid is used for any additional cusps on the buccal surface of maxillary and mandibular premolars and molars. Morphological dental anomalies of the permanent teeth are seen to occur frequently; however, multiple anomalies in a single patient are relatively uncommon. A 19-year-old non-syndromic healthy Malay teenage girl who came for correction of misaligned teeth presented with an amalgamation of dental anomalies consists of SSIs and DI of the upper right lateral incisor, protostylid on bilateral upper maxillary molars, unilateral protostylid of right mandibular premolar, and Class III incisor relationship. The intraoral radiograph of tooth 12 revealed radiopaque invaginations from the palatal pits confined to the crowns of the teeth and there was no pulpal extension into the accessory cusp of both maxillary permanent second molars. The definitive treatment included sealing and build up the incisor DI tooth with composite, fissure sealant of deep fissure protostylid on bilateral maxillary second molars, close monitoring of the prostostylid on lower right premolar and fixed orthodontics appliance for the management of Class III incisor relationship. Early diagnosis, comprehensive treatment and regular follow-up are crucial to prevent any future consequences that may be associated with these dental anomalies.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90528312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Mushtaq, S. Chawla, Naila Perween, Radhika Gupta
Polyetheretherketone (PEEK) material is a biocompatible polycyclic, aromatic, thermoplastic polymer having good mechanical and thermal properties. A retrospective literature search was conducted via PubMed, Web of Science, Scopus, Cochrane, and Google Scholar for the articles published in the past ten years using the MeSH terms ‘polyetheretherkethone’, ‘PEEK’, ‘dentistry’, ‘dental’,’ pediatric dentistry’. The relevant articles were identified, screened and shortlisted. The screened articles were summarized. This review provides an insight into the properties and application of PEEK in pediatric dentistry. PEEK has a characteristic low elasticity modulus similar to that of bone that can enable its use as fixed and removable pediatric dental appliances in interceptive orthodontic and obturators. Additionally, PEEK can be used as a substitute for metals and other materials owing to its non-allergic properties and acceptable aesthetics.
聚醚醚酮(PEEK)材料是一种生物相容性多环芳香族热塑性聚合物，具有良好的机械性能和热性能。通过PubMed, Web of Science, Scopus, Cochrane和Google Scholar进行回顾性文献检索，检索过去十年中使用MeSH术语“聚醚醚酮”，“PEEK”，“牙科”，“牙科”，“儿科牙科”发表的文章。对相关文章进行了鉴定、筛选和入围。对筛选的文章进行总结。本文综述了聚醚醚酮的性能及其在儿科牙科中的应用。PEEK具有与骨相似的低弹性模量的特性，可以使其在拦截式正畸和闭孔器中用作固定和可移动的儿童牙科器械。此外，PEEK可以作为金属和其他材料的替代品，因为它的非过敏性和可接受的美观性。
{"title":"PEEK: A Futuristic Dental Material in Pediatric Dentistry","authors":"A. Mushtaq, S. Chawla, Naila Perween, Radhika Gupta","doi":"10.14744/jpd.2021.04_37","DOIUrl":"https://doi.org/10.14744/jpd.2021.04_37","url":null,"abstract":"Polyetheretherketone (PEEK) material is a biocompatible polycyclic, aromatic, thermoplastic polymer having good mechanical and thermal properties. A retrospective literature search was conducted via PubMed, Web of Science, Scopus, Cochrane, and Google Scholar for the articles published in the past ten years using the MeSH terms ‘polyetheretherkethone’, ‘PEEK’, ‘dentistry’, ‘dental’,’ pediatric dentistry’. The relevant articles were identified, screened and shortlisted. The screened articles were summarized. This review provides an insight into the properties and application of PEEK in pediatric dentistry. PEEK has a characteristic low elasticity modulus similar to that of bone that can enable its use as fixed and removable pediatric dental appliances in interceptive orthodontic and obturators. Additionally, PEEK can be used as a substitute for metals and other materials owing to its non-allergic properties and acceptable aesthetics.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79090728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Odontoma is classified as an odontogenic tumor that develops slowly, asymptomatic, and usually found incidentally during the radiographic examination associated with the impeded eruption of teeth and displacement of adjacent teeth. This case report describes a unique encounter of rapid formation odontomas which formed and expand rapidly upon initial removal of fibrous tissue surrounding the impacted tooth and radiographically detected following the spontaneous eruption of the impacted tooth. Thus, odontomas which are known to be a slow-growing lesion may have a more rapid progression than previously
{"title":"The Unique Case of Rapid Developing Compound Odontomes Following Fibrous Tissue Removal Around Impacted Tooth","authors":"Z. Adila","doi":"10.14744/jpd.2021.10_72","DOIUrl":"https://doi.org/10.14744/jpd.2021.10_72","url":null,"abstract":"Odontoma is classified as an odontogenic tumor that develops slowly, asymptomatic, and usually found incidentally during the radiographic examination associated with the impeded eruption of teeth and displacement of adjacent teeth. This case report describes a unique encounter of rapid formation odontomas which formed and expand rapidly upon initial removal of fibrous tissue surrounding the impacted tooth and radiographically detected following the spontaneous eruption of the impacted tooth. Thus, odontomas which are known to be a slow-growing lesion may have a more rapid progression than previously","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84987504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The purpose of this study was to assess the parents' awareness and practices towards oral health care of children receiving chemotherapy. Materials and Methods: Data was collected through a questionnaire-based survey at King Abdullah Specialized Children Hospital (KASCH), Department of Pediatric Hematology and Oncology. The questionnaire consisted of 15 questions regarding the oral hygiene practices and whether any other oral hygiene measures are used and distributed to the parents of a pediatric patient receiving chemotherapy. Absolute and percentage frequencies were used for statistical analysis of the data. Results: A total of seventy-seven parents of pediatric Hematology-Oncology patients on chemotherapy completed the questionnaire. About 39% of the parents brush their child's teeth once per day. The majority of the patients had not taken to the dentist before (75.3%). Regarding the dental complications during chemotherapy, more than half of the patients complained of tooth pain. Most of the parents (70%) received preventive dental advice during chemotherapy. For the mouth wash, 81.8% of the parents use mouthwash for their child. The majority of the parents (93.5%) are interested in the dental care of their children. Conclusion: The availability of basic oral care protocol, which includes preventive, supportive measures, and management of oral complications will increase the quality of care provided to those medically comprised patients. Also, the need for educational programs for both the patients and the guardian to increase the knowledge and awareness of the importance of oral care and daily oral hygiene practices during or after the completion of the treatment.
{"title":"Parents' Awareness and Oral Health Care Measures of Pediatric Patients Receiving Chemotherapy","authors":"Shahad S Alkhuwaiter","doi":"10.14744/jpd.2021.04_38","DOIUrl":"https://doi.org/10.14744/jpd.2021.04_38","url":null,"abstract":"Objective: The purpose of this study was to assess the parents' awareness and practices towards oral health care of children receiving chemotherapy. Materials and Methods: Data was collected through a questionnaire-based survey at King Abdullah Specialized Children Hospital (KASCH), Department of Pediatric Hematology and Oncology. The questionnaire consisted of 15 questions regarding the oral hygiene practices and whether any other oral hygiene measures are used and distributed to the parents of a pediatric patient receiving chemotherapy. Absolute and percentage frequencies were used for statistical analysis of the data. Results: A total of seventy-seven parents of pediatric Hematology-Oncology patients on chemotherapy completed the questionnaire. About 39% of the parents brush their child's teeth once per day. The majority of the patients had not taken to the dentist before (75.3%). Regarding the dental complications during chemotherapy, more than half of the patients complained of tooth pain. Most of the parents (70%) received preventive dental advice during chemotherapy. For the mouth wash, 81.8% of the parents use mouthwash for their child. The majority of the parents (93.5%) are interested in the dental care of their children. Conclusion: The availability of basic oral care protocol, which includes preventive, supportive measures, and management of oral complications will increase the quality of care provided to those medically comprised patients. Also, the need for educational programs for both the patients and the guardian to increase the knowledge and awareness of the importance of oral care and daily oral hygiene practices during or after the completion of the treatment.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80549828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Demineralization begins as a reversible process and current trends have surpassed the conventional options of invasive treatment to a more targeted non-invasive early management of reversible lesions using various new non-fluoride agents. Casein phosphopeptide-amorphous calcium phosphate is one such non-fluoride agent introduced with the potential of early remineralization in dental caries and dental erosion and to overcome conditions of dentine hypersensitivity. Various modifications of the agent have further expanded its applications in the dental field. This review was therefore, compiled from a final of 70 fulltext articles searched on PubMed and Google Scholar that had the specified MeSH terms, published in English from the year 2000-2020, to present an update on the innumerable applications and modifications of this agent in pediatric dental practice.
{"title":"The Applications and Modifications of Casein Phosphopeptide-Amorphous Calcium Phosphate: An Update","authors":"A. Xavier","doi":"10.14744/jpd.2021.06_51","DOIUrl":"https://doi.org/10.14744/jpd.2021.06_51","url":null,"abstract":"Demineralization begins as a reversible process and current trends have surpassed the conventional options of invasive treatment to a more targeted non-invasive early management of reversible lesions using various new non-fluoride agents. Casein phosphopeptide-amorphous calcium phosphate is one such non-fluoride agent introduced with the potential of early remineralization in dental caries and dental erosion and to overcome conditions of dentine hypersensitivity. Various modifications of the agent have further expanded its applications in the dental field. This review was therefore, compiled from a final of 70 fulltext articles searched on PubMed and Google Scholar that had the specified MeSH terms, published in English from the year 2000-2020, to present an update on the innumerable applications and modifications of this agent in pediatric dental practice.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88094008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this case report was to highlight the association between Diabetic Ketoacidosis (DKA) and apical periodontitis through a case report involving a child suffering from DKA. The association between oral infections and diabetes has always been a debatable issue in the medical literature. Diabetic ketoacidosis (DKA) is a serious complication of uncontrolled diabetes. Oral infections, such as apical periodontitis is reported to be as a possible cause. Periapical lesions should initially be managed by a conservative non-surgical treatment. However, in cases of failure, endodontic surgery should be adopted. An 11yearold child with type 1 diabetes under insulin therapy was hospitalized for DKA in 2019. A dentoalveolar abscess related to the upper right central incisor (11) was suspected as a possible cause of DKA. He had a history of trauma 3 years earlier followed by a coronal fracture of the 11. He also had an episode of DKA in 2018 and the same infection focus was identified as a possible factor but the patient did not finish his treatment. The radiograph showed a periapical lesion with radiolucency related to the open apex of the 11. Endodontic treatment was performed and the root canal system was obturated. The 3-month follow-up radiograph showed a favorable healing of the periapical lesion and the child had a stabilization of his diabetes. Unfortunately, 2 months later, he was hospitalized for another episode of DKA. After exploration, the same dentoalveolar abscess related to the 11 was reported as a possible factor. The radiograph showed persistence of the periapical lesion. An endodontic surgery was therefore indicated. Twelve months later, complete healing of the periapical lesion was noted. The patient has not undergone an episode of DKA ever since.
{"title":"Odontogenic Infection Leading to Multiple Decompensations of Diabetic Ketoacidosis","authors":"Ines Kallel","doi":"10.14744/jpd.2021.07_56","DOIUrl":"https://doi.org/10.14744/jpd.2021.07_56","url":null,"abstract":"The aim of this case report was to highlight the association between Diabetic Ketoacidosis (DKA) and apical periodontitis through a case report involving a child suffering from DKA. The association between oral infections and diabetes has always been a debatable issue in the medical literature. Diabetic ketoacidosis (DKA) is a serious complication of uncontrolled diabetes. Oral infections, such as apical periodontitis is reported to be as a possible cause. Periapical lesions should initially be managed by a conservative non-surgical treatment. However, in cases of failure, endodontic surgery should be adopted. An 11yearold child with type 1 diabetes under insulin therapy was hospitalized for DKA in 2019. A dentoalveolar abscess related to the upper right central incisor (11) was suspected as a possible cause of DKA. He had a history of trauma 3 years earlier followed by a coronal fracture of the 11. He also had an episode of DKA in 2018 and the same infection focus was identified as a possible factor but the patient did not finish his treatment. The radiograph showed a periapical lesion with radiolucency related to the open apex of the 11. Endodontic treatment was performed and the root canal system was obturated. The 3-month follow-up radiograph showed a favorable healing of the periapical lesion and the child had a stabilization of his diabetes. Unfortunately, 2 months later, he was hospitalized for another episode of DKA. After exploration, the same dentoalveolar abscess related to the 11 was reported as a possible factor. The radiograph showed persistence of the periapical lesion. An endodontic surgery was therefore indicated. Twelve months later, complete healing of the periapical lesion was noted. The patient has not undergone an episode of DKA ever since.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"1548 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87847025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While managing a case of indirect traumatic injuries, it becomes imperative that there is thorough evaluation of case as the injuries sustained can be hidden and are not outrightly seen as compared to direct injuries. Complicated crown fractures and crown-root fractures pose difficulties for dentists to establish adequate treatment plans because these fractures require multidisciplinary knowledge and approach for a correct case planning and prognosis. This case report discusses a case of traumatic injuries sustained by an individual in which multiple tooth fractures involving crown and root were seen in the posterior dentition in the both the arches. Although the literature discusses a lot of techniques for management of crown and root fractures, here we decided to treat the patient using one of the primitive techniques. The rationale for this lies in the fact that the teeth involved bear high masticatory load and do majority of masticatory function and hence the uses of this technique was thought to be efficient in restoring form and function. Treatment consisted of restoration of uncomplicated crown fractures with composite restorations while Complicated crown and root fractures were treated with gingivoplasty and osteotomy coupled with endodontic treatment and porcelain fused to metal crowns. Although managing this type of injuries using this method was relatively less time consuming but since the follow-up is yet to be evaluated, propagation of this technique as compared to other well-established technique cannot be done. However immediate post-operative signs showed positive response to restore form and function.
{"title":"Managing A Rare Case of Multiple Complicated and Uncomplicated Tooth Fractures in A 13-Year-Old Patient: A Case Report","authors":"A. Deep, S. Thakur, P. Singhal, Deepak Chauhan","doi":"10.14744/jpd.2021.01_26","DOIUrl":"https://doi.org/10.14744/jpd.2021.01_26","url":null,"abstract":"While managing a case of indirect traumatic injuries, it becomes imperative that there is thorough evaluation of case as the injuries sustained can be hidden and are not outrightly seen as compared to direct injuries. Complicated crown fractures and crown-root fractures pose difficulties for dentists to establish adequate treatment plans because these fractures require multidisciplinary knowledge and approach for a correct case planning and prognosis. This case report discusses a case of traumatic injuries sustained by an individual in which multiple tooth fractures involving crown and root were seen in the posterior dentition in the both the arches. Although the literature discusses a lot of techniques for management of crown and root fractures, here we decided to treat the patient using one of the primitive techniques. The rationale for this lies in the fact that the teeth involved bear high masticatory load and do majority of masticatory function and hence the uses of this technique was thought to be efficient in restoring form and function. Treatment consisted of restoration of uncomplicated crown fractures with composite restorations while Complicated crown and root fractures were treated with gingivoplasty and osteotomy coupled with endodontic treatment and porcelain fused to metal crowns. Although managing this type of injuries using this method was relatively less time consuming but since the follow-up is yet to be evaluated, propagation of this technique as compared to other well-established technique cannot be done. However immediate post-operative signs showed positive response to restore form and function.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76381199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tooth Fusion in Primary Teeth: A Case Series and Literature Review","authors":"A. Hussein","doi":"10.14744/jpd.2021.03_34","DOIUrl":"https://doi.org/10.14744/jpd.2021.03_34","url":null,"abstract":"","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84239294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Early Childhood Caries (ECC) is defined as the presence of one or more carious lesions, which are either cavitated or non cavitated in children up to five years of age. The primordial risk factors leading to the development of Early Childhood Caries include prolonged retention of bacterial plaque, decreased oral hygiene maintenance and frequent consumption of sugary syrups and beverages. Hence, ECC has a substantial influence on the child’s lifestyle, which results in the child experiencing severe pain, premature loss of teeth, improper nourishment, difficulty in mastication, and delay in attaining normal mile-stones with regard to normal growth and development child both physically and psychologically. This paper presents a case report of a 4-year-old child patient who is diagnosed with Early Childhood Caries and explains in detail regarding the rehabilitation of the child’s mouth with caries prevention strategies along with restorative and rehabilitative procedures with special consideration on modification of child’s feeding habits and practice of good oral hygiene measures beneficial for the child.
{"title":"Full Mouth Rehabilitation of a 4-Year-Old Child with Severe Early Childhood Caries: A Case Report","authors":"Lakshmi Thribhuvanan","doi":"10.14744/jpd.2021.07_54","DOIUrl":"https://doi.org/10.14744/jpd.2021.07_54","url":null,"abstract":"Early Childhood Caries (ECC) is defined as the presence of one or more carious lesions, which are either cavitated or non cavitated in children up to five years of age. The primordial risk factors leading to the development of Early Childhood Caries include prolonged retention of bacterial plaque, decreased oral hygiene maintenance and frequent consumption of sugary syrups and beverages. Hence, ECC has a substantial influence on the child’s lifestyle, which results in the child experiencing severe pain, premature loss of teeth, improper nourishment, difficulty in mastication, and delay in attaining normal mile-stones with regard to normal growth and development child both physically and psychologically. This paper presents a case report of a 4-year-old child patient who is diagnosed with Early Childhood Caries and explains in detail regarding the rehabilitation of the child’s mouth with caries prevention strategies along with restorative and rehabilitative procedures with special consideration on modification of child’s feeding habits and practice of good oral hygiene measures beneficial for the child.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85521383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pyogenic granuloma is a soft-tissue growth relatively common in oral cavity, which is considered as reactive rather than neoplastic in nature. The pyogenic granuloma may occur at any age, but its peak incidence occurs in the second decade of life. Lasers emerged as an alternative surgical tool for such soft-tissue lesions. Till now, there was no case reported in the literature about using diode laser for pyogenic granuloma in the pediatric patient. This article presents a case report of an 11-year-old boy with pyogenic granuloma in the anterior hard palatal region in relation to marginal gingiva of central incisors. A GaAlAs diode laser with wavelength 808±10 nm was used to perform laser surgery with parameters settings such as: Pulse-power: 5 W; Pulse-Length: 26μs; Frequency 20 kHz, Average output: 5 W. The fiber tip of 400 μm in contact mode was used for conducting the laser beam in excising the lesion. The whole laser surgical procedure was performed successfully and was found advantageous in intra-operative and post-operative aspects with faster and good healing in follow-up visits. The behavior and anxiety of the patient were assessed before, during, and after the laser surgery procedure using the Venhams’s anxiety scale. Hence, Laser was found as the conservative surgical tool for pyogenic granuloma for minimally invasive dentistry and helped in instilling a positive dental attitude and behavior in pediatric patient.
{"title":"Diode Laser as Minimal Invasive Treatment Modality for Oral Pyogenic Granuloma in a Pediatric Patient: A Case Report","authors":"M. K. Khan","doi":"10.14744/jpd.2021.09_67","DOIUrl":"https://doi.org/10.14744/jpd.2021.09_67","url":null,"abstract":"The pyogenic granuloma is a soft-tissue growth relatively common in oral cavity, which is considered as reactive rather than neoplastic in nature. The pyogenic granuloma may occur at any age, but its peak incidence occurs in the second decade of life. Lasers emerged as an alternative surgical tool for such soft-tissue lesions. Till now, there was no case reported in the literature about using diode laser for pyogenic granuloma in the pediatric patient. This article presents a case report of an 11-year-old boy with pyogenic granuloma in the anterior hard palatal region in relation to marginal gingiva of central incisors. A GaAlAs diode laser with wavelength 808±10 nm was used to perform laser surgery with parameters settings such as: Pulse-power: 5 W; Pulse-Length: 26μs; Frequency 20 kHz, Average output: 5 W. The fiber tip of 400 μm in contact mode was used for conducting the laser beam in excising the lesion. The whole laser surgical procedure was performed successfully and was found advantageous in intra-operative and post-operative aspects with faster and good healing in follow-up visits. The behavior and anxiety of the patient were assessed before, during, and after the laser surgery procedure using the Venhams’s anxiety scale. Hence, Laser was found as the conservative surgical tool for pyogenic granuloma for minimally invasive dentistry and helped in instilling a positive dental attitude and behavior in pediatric patient.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86949114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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