{"title":"Tooth-Supported Prosthodontic Rehabilitation of a Child with Mutilated Dentition: An Interdisciplinary Approach","authors":"Hitesh Mittal","doi":"10.14744/jpd.2021.05_45","DOIUrl":"https://doi.org/10.14744/jpd.2021.05_45","url":null,"abstract":"","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":"73255606","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":"Cone Beam Computed Tomographic Evaluation of Effect of Different Taper and Technique of Biomechanical Preparation on Root Dentin Thickness: An in Vitro Study","authors":"D. Sharma","doi":"10.14744/jpd.2021.09_63","DOIUrl":"https://doi.org/10.14744/jpd.2021.09_63","url":null,"abstract":"","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80848957","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 current novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS CoV 2), better known as COVID 19, has gripped the entire international community and caused widespread public health concern. It is zoonotic, with Chinese horseshoe bats being the origin with pangolins as a probable intermediate host. The first reported patient was probably in a wet market in Wuhan, Hubei province, China. Following this single animal to human transmission, the COVID 19 has been spread by human to human contact. It is a novel virus which is distinct from SARS-CoV and MERS-CoV, primarily transmitted through droplet spread or contact routes. Due to the inherent characteristics of dental settings and aerosol involvement, dentists, auxiliaries, and patients undergoing dental procedures are at high risk of cross-infection. Most dental procedures require close contact with the patient's oral cavity, saliva, blood, and respiratory tract secretions. Dental professionals may encounter patients with suspected or confirmed SARS-CoV-2 infection and will have to act diligently not only to provide care but at the same time prevent nosocomial spread of infection. The aim of the present article is to provide a brief overview of the structure, epidemiology, and clinical manifestations of the novel coronavirus. In addition, specific recommendations for the dental practice are suggested for patient screening, infection control strategies, emergency dental care, and patient management protocol to control the spread of the disease and ensure the safety of the dental health care professionals, their team as well as the patients during the current ongoing pandemic.
{"title":"Dentistry Amid COVID-19 Pandemic: Embracing the ‘New normal’","authors":"Kanika Jain, Ishika Garg, Arun Kumar, Aakriti Aakriti, Santoshni Samal, Deepak Passi","doi":"10.14744/JPD.2020.12_21","DOIUrl":"https://doi.org/10.14744/JPD.2020.12_21","url":null,"abstract":"The current novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS CoV 2), better known as COVID 19, has gripped the entire international community and caused widespread public health concern. It is zoonotic, with Chinese horseshoe bats being the origin with pangolins as a probable intermediate host. The first reported patient was probably in a wet market in Wuhan, Hubei province, China. Following this single animal to human transmission, the COVID 19 has been spread by human to human contact. It is a novel virus which is distinct from SARS-CoV and MERS-CoV, primarily transmitted through droplet spread or contact routes. Due to the inherent characteristics of dental settings and aerosol involvement, dentists, auxiliaries, and patients undergoing dental procedures are at high risk of cross-infection. Most dental procedures require close contact with the patient's oral cavity, saliva, blood, and respiratory tract secretions. Dental professionals may encounter patients with suspected or confirmed SARS-CoV-2 infection and will have to act diligently not only to provide care but at the same time prevent nosocomial spread of infection. The aim of the present article is to provide a brief overview of the structure, epidemiology, and clinical manifestations of the novel coronavirus. In addition, specific recommendations for the dental practice are suggested for patient screening, infection control strategies, emergency dental care, and patient management protocol to control the spread of the disease and ensure the safety of the dental health care professionals, their team as well as the patients during the current ongoing pandemic.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"57 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91436850","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 objective of this study is to determine the causes, characteristics, treatment of dental pain that was the chief complaint and its evaluation in children aged 4 to 15 years old cared for at the dental consultation and treatment center of Casablanca. Materials and Methods: This is a descriptive cross-sectional study of 150 children aged between 4and 15years old consulting and/or being cared for in the departments of emergency and pediatric dentistry of the Dental Consultation and Treatment Center of Casablanca. Results: Dental pain was the chief complaint for 92.7% of the study population. 47.5% of the pain was of pulpal origin and 37.4% was related to an infectious complication. 83.8% of patients aged 4 to 6 years required management, while only 48% of patients aged 6 to 15 years had intense to very intense pain. In 61% of cases, this pain was managed by a dental procedure, compared with 35% who were managed by combining the dental procedure with a drug prescription and 4% by a drug prescription. Antibiotics alone or in combination were the most frequently prescribed medication in 35.8% of cases. Dental pain was managed by dental extractions in 46.8% of cases, pulp treatment in 30.2% of cases, and cavity curettage in 7.9% of cases. Conclusion: Dental pain is one of the most dreaded pains, seen, its intensity, frequency, complications and impact on the child's daily activities. This requires its diagnosis, evaluation, and relief to improve the quality of life of young patients.
{"title":"Evaluation and Management of Dental Pain in Children Motivating Emergency Consultation at the Dental Consultation and Treatment Center of Casablanca","authors":"Mouna Elasmar","doi":"10.14744/jpd.2021.06_36","DOIUrl":"https://doi.org/10.14744/jpd.2021.06_36","url":null,"abstract":"Objective: The objective of this study is to determine the causes, characteristics, treatment of dental pain that was the chief complaint and its evaluation in children aged 4 to 15 years old cared for at the dental consultation and treatment center of Casablanca. Materials and Methods: This is a descriptive cross-sectional study of 150 children aged between 4and 15years old consulting and/or being cared for in the departments of emergency and pediatric dentistry of the Dental Consultation and Treatment Center of Casablanca. Results: Dental pain was the chief complaint for 92.7% of the study population. 47.5% of the pain was of pulpal origin and 37.4% was related to an infectious complication. 83.8% of patients aged 4 to 6 years required management, while only 48% of patients aged 6 to 15 years had intense to very intense pain. In 61% of cases, this pain was managed by a dental procedure, compared with 35% who were managed by combining the dental procedure with a drug prescription and 4% by a drug prescription. Antibiotics alone or in combination were the most frequently prescribed medication in 35.8% of cases. Dental pain was managed by dental extractions in 46.8% of cases, pulp treatment in 30.2% of cases, and cavity curettage in 7.9% of cases. Conclusion: Dental pain is one of the most dreaded pains, seen, its intensity, frequency, complications and impact on the child's daily activities. This requires its diagnosis, evaluation, and relief to improve the quality of life of young patients.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87540774","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 treatment of immature necrotic permanent teeth with wide open apices often poses a significant challenge for the clinician. The lack of an apical stop complicates the obturation and achievement of good apical seal in such teeth. The treatment of choice for necrotic teeth with immature root is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide. But the disadvantages of long treatment time, tooth fracture risk and incomplete calcification of apical bridge have led to the development of newer biocompatible materials which can complete apexification in a single visit. Although different materials are available, Mineral Trioxide Aggregate (MTA) remains the material of choice for forming an immediate apical barrier because of its superior clinical properties and high success rate. This case series highlights the use of MTA for formation of hard tissue barrier in nonvital permanent teeth with open apices with demonstrated clinical and radiographic success.
{"title":"Single-Visit Apexification of Immature Necrotic Permanent Teeth with the use of Mineral Trioxide Aggregate: A Case Series","authors":"Ishika Garg, Anu Kadian, R. Namdev, Arun Kumar","doi":"10.14744/jpd.2020.9_1","DOIUrl":"https://doi.org/10.14744/jpd.2020.9_1","url":null,"abstract":"The treatment of immature necrotic permanent teeth with wide open apices often poses a significant challenge for the clinician. The lack of an apical stop complicates the obturation and achievement of good apical seal in such teeth. The treatment of choice for necrotic teeth with immature root is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide. But the disadvantages of long treatment time, tooth fracture risk and incomplete calcification of apical bridge have led to the development of newer biocompatible materials which can complete apexification in a single visit. Although different materials are available, Mineral Trioxide Aggregate (MTA) remains the material of choice for forming an immediate apical barrier because of its superior clinical properties and high success rate. This case series highlights the use of MTA for formation of hard tissue barrier in nonvital permanent teeth with open apices with demonstrated clinical and radiographic success.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73382580","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}
Patrícia da Silva Lopes Pereira Da Silva, M. Portela, Antônio Ferreira Pereira, M. Tostes
Objective: The aim of this study was to evaluate the effect of sealants on the prevention of enamel demineralization and on biofilm metabolic activity. Materials and Methods: Cavity preparations were performed on 45 blocks of bovine teeth (4x4x4 mm) randomly assigned to three groups (n=15): RI-Riva Light Cure®/SDI; EM-Embrace™ WetBond™ Pulpdent Corp.®; and CO-Natural Flow/DFL resin (negative control). The sealed blocks were subjected to thermocycling (500 cycles/30 s). Half of the blocks were covered with acidresistant varnish to create a control area (RI, EM, and CO) and an experimental area (RI-EX, EM-EX, and CO-EX). They were subsequently exposed to Streptococcus mutans biofilm for assessment of demineralization by the Knoop microhardness test (50 g/15 s), at 25, 50, 100, 150, and 200 μm from the interface. In another test, the cylinders of the sealants (4 mmx3 mm) were subjected to the biofilm metabolic activity test. Results: The RI-EX group showed higher microhardness than CO-EX (p<0.05) and less demineralization when compared to RI at all distances. Microbial activity was lower in EM compared to CO, but not statistically significant in relation to RI. Conclusion: Both sealants can inhibit enamel demineralization in the presence of S. mutans biofilm.
{"title":"Effect of Pit and Fissure Sealants on the Prevention of Enamel Demineralization After Exposure to Streptococcus mutans Biofilm: An Vitro Study","authors":"Patrícia da Silva Lopes Pereira Da Silva, M. Portela, Antônio Ferreira Pereira, M. Tostes","doi":"10.14744/jpd.2020.14_20","DOIUrl":"https://doi.org/10.14744/jpd.2020.14_20","url":null,"abstract":"Objective: The aim of this study was to evaluate the effect of sealants on the prevention of enamel demineralization and on biofilm metabolic activity. Materials and Methods: Cavity preparations were performed on 45 blocks of bovine teeth (4x4x4 mm) randomly assigned to three groups (n=15): RI-Riva Light Cure®/SDI; EM-Embrace™ WetBond™ Pulpdent Corp.®; and CO-Natural Flow/DFL resin (negative control). The sealed blocks were subjected to thermocycling (500 cycles/30 s). Half of the blocks were covered with acidresistant varnish to create a control area (RI, EM, and CO) and an experimental area (RI-EX, EM-EX, and CO-EX). They were subsequently exposed to Streptococcus mutans biofilm for assessment of demineralization by the Knoop microhardness test (50 g/15 s), at 25, 50, 100, 150, and 200 μm from the interface. In another test, the cylinders of the sealants (4 mmx3 mm) were subjected to the biofilm metabolic activity test. Results: The RI-EX group showed higher microhardness than CO-EX (p<0.05) and less demineralization when compared to RI at all distances. Microbial activity was lower in EM compared to CO, but not statistically significant in relation to RI. Conclusion: Both sealants can inhibit enamel demineralization in the presence of S. mutans biofilm.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86513152","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: Objective of the study was to determine prevalence of decayed tooth surfaces and factors influencing its development in primary dentition. Materials and Methods: The study design adopted was analytical observational study. Caries examination was conducted using plain mouth mirror, probe with WHO caries detection criteria. Decayed tooth surfaces were examined under optimal light source by a single qualified examiner to minimize visual error. The obtained data were subjected to statistical analysis using SPSS 16 software. Test for significance was done with the help of Chi square test. Results: Highest percentage of decayed tooth surfaces was observed at 5 years of age followed by 6, 4 and 3 years of age. There was slight predilection in development of decayed tooth surfaces in males than females. Higher parental education levels also significantly reduce prevalence of decayed tooth surfaces in preschool children. A significantly higher percentage of upper and upper middle-class children collectively had decayed teeth than of the collective middle class, lower middle class and lower class. The ratio of breast & bottle feeding to breast feeding habit only was 32.3:67.7. A significant association was observed between decayed tooth surfaces and feeding habits. As duration of the breast feeding and bottle feeding increased, the percentage of decayed tooth surfaces also increased. Conclusion: Among the studied factors; maternal education level, parental social class, feeding habits, duration of breast & bottle feeding had the most significant effect on the development of decayed tooth surfaces in preschool children.
{"title":"Prevalence of Decayed Tooth Surfaces in Preschool Children and Factors Influencing its Development: An Observational Study","authors":"V. Srivastava","doi":"10.14744/jpd.2020.7_20","DOIUrl":"https://doi.org/10.14744/jpd.2020.7_20","url":null,"abstract":"Objective: Objective of the study was to determine prevalence of decayed tooth surfaces and factors influencing its development in primary dentition. Materials and Methods: The study design adopted was analytical observational study. Caries examination was conducted using plain mouth mirror, probe with WHO caries detection criteria. Decayed tooth surfaces were examined under optimal light source by a single qualified examiner to minimize visual error. The obtained data were subjected to statistical analysis using SPSS 16 software. Test for significance was done with the help of Chi square test. Results: Highest percentage of decayed tooth surfaces was observed at 5 years of age followed by 6, 4 and 3 years of age. There was slight predilection in development of decayed tooth surfaces in males than females. Higher parental education levels also significantly reduce prevalence of decayed tooth surfaces in preschool children. A significantly higher percentage of upper and upper middle-class children collectively had decayed teeth than of the collective middle class, lower middle class and lower class. The ratio of breast & bottle feeding to breast feeding habit only was 32.3:67.7. A significant association was observed between decayed tooth surfaces and feeding habits. As duration of the breast feeding and bottle feeding increased, the percentage of decayed tooth surfaces also increased. Conclusion: Among the studied factors; maternal education level, parental social class, feeding habits, duration of breast & bottle feeding had the most significant effect on the development of decayed tooth surfaces in preschool children.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81818651","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}
Background: Restoring multiple anterior teeth in children using conventional infiltration is challenging due to the need of multiple injections, a considerable amount of anesthetic solution, and lip numbness. The palatal approach anterior superior alveolar block injection (P-ASA) using the Wand single tooth anesthesia (STA) provides an alternative and innovative technique that overcomes several challenges and should be furtherly tested. Aim: The aim of this study was to compare the pain perception and the effectiveness of P-ASA injection using STA (Milestone Scientific, Inc.) and a 30 G × 0.5 inch needle, to the regular multiple maxillary infiltration local anesthetic technique (MIT) in restoring primary anterior maxillary teeth. Design: This study was designed as a randomized controlled clinical trial in which 64 healthy children who need restoration and/or pulp treatment on primary maxillary anterior teeth were assigned to either receiving P-ASA block injection or regular (MIT). Children's behavior was assessed during anesthesia administration objectively using face, legs, activity, cry, and consolability behavioral pain assessment scale (FLACC). Children's self-reported pain was evaluated subjectively at two different time points (directly after injection of anesthesia and after full dental treatment) using the Wong–Baker FACES pain rating scale (WBFPRS). Data were statistically analyzed using SPSS version 13.0 and statistical significance was determined as P ≤ 0.05. Results: Children receiving the P-ASA reported less pain both during and after anesthesia administration (P = 0.0001). Similar results of pain were reported after treatment completion using both techniques (P = 0.464). Conclusion: P-ASA can be considered as an excellent alternative to administer deep, fast, effective, and less painful anesthesia of the upper primary anterior teeth and related gingival tissues compared to MIT.
{"title":"Pain perception and effectiveness of palatal approach anterior superior alveolar block anesthesia using single tooth anesthesia in children: A randomized controlled trial","authors":"S. Badr, R. Bacho","doi":"10.4103/JPD.JPD_51_17","DOIUrl":"https://doi.org/10.4103/JPD.JPD_51_17","url":null,"abstract":"Background: Restoring multiple anterior teeth in children using conventional infiltration is challenging due to the need of multiple injections, a considerable amount of anesthetic solution, and lip numbness. The palatal approach anterior superior alveolar block injection (P-ASA) using the Wand single tooth anesthesia (STA) provides an alternative and innovative technique that overcomes several challenges and should be furtherly tested. Aim: The aim of this study was to compare the pain perception and the effectiveness of P-ASA injection using STA (Milestone Scientific, Inc.) and a 30 G × 0.5 inch needle, to the regular multiple maxillary infiltration local anesthetic technique (MIT) in restoring primary anterior maxillary teeth. Design: This study was designed as a randomized controlled clinical trial in which 64 healthy children who need restoration and/or pulp treatment on primary maxillary anterior teeth were assigned to either receiving P-ASA block injection or regular (MIT). Children's behavior was assessed during anesthesia administration objectively using face, legs, activity, cry, and consolability behavioral pain assessment scale (FLACC). Children's self-reported pain was evaluated subjectively at two different time points (directly after injection of anesthesia and after full dental treatment) using the Wong–Baker FACES pain rating scale (WBFPRS). Data were statistically analyzed using SPSS version 13.0 and statistical significance was determined as P ≤ 0.05. Results: Children receiving the P-ASA reported less pain both during and after anesthesia administration (P = 0.0001). Similar results of pain were reported after treatment completion using both techniques (P = 0.464). Conclusion: P-ASA can be considered as an excellent alternative to administer deep, fast, effective, and less painful anesthesia of the upper primary anterior teeth and related gingival tissues compared to MIT.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"67 1","pages":"36 - 42"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86430342","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}
Incontinentia pigmenti (IP; OMIM#308300) is a rare multisystem disorder with an incidence of 0.7:100,000 live births. IP is rare and predominantly seen in females. Mutations in IKBKG gene (Xq28, GenBank: NM_003639.3, OMIM#300248) were reported as underlying cause of IP. IKBKG encode NFkB protein, which controls the expression of other genes involved in cell proliferation, immunity, and inflammation. Oro-dental abnormalities have been documented in 50%–75% IP cases. We present a case report of a 16-year-old female with probable clinical IP, Arnold–Chiari malformation, hydrocephalus, delayed psychological development, and seizures. The IP hallmark feature: hyperpigmentation of the skin along the Blaschko's lines was present only on the left side of the body. Left-sided hemifacial and tongue hypertrophy were present, which have not been reported previously. Consistent with published reports, tooth size and shape discrepancies were present. However, unlike previous reports, discrepancies were prominent on affected versus unaffected side. This paper provides IP literature review, clinical considerations, and insight on management.
{"title":"Incontinentia pigmenti: A case report and literature review","authors":"C. Puranik, D. Redford-Badwal","doi":"10.4103/JPD.JPD_48_17","DOIUrl":"https://doi.org/10.4103/JPD.JPD_48_17","url":null,"abstract":"Incontinentia pigmenti (IP; OMIM#308300) is a rare multisystem disorder with an incidence of 0.7:100,000 live births. IP is rare and predominantly seen in females. Mutations in IKBKG gene (Xq28, GenBank: NM_003639.3, OMIM#300248) were reported as underlying cause of IP. IKBKG encode NFkB protein, which controls the expression of other genes involved in cell proliferation, immunity, and inflammation. Oro-dental abnormalities have been documented in 50%–75% IP cases. We present a case report of a 16-year-old female with probable clinical IP, Arnold–Chiari malformation, hydrocephalus, delayed psychological development, and seizures. The IP hallmark feature: hyperpigmentation of the skin along the Blaschko's lines was present only on the left side of the body. Left-sided hemifacial and tongue hypertrophy were present, which have not been reported previously. Consistent with published reports, tooth size and shape discrepancies were present. However, unlike previous reports, discrepancies were prominent on affected versus unaffected side. This paper provides IP literature review, clinical considerations, and insight on management.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"1 1","pages":"29 - 35"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83473304","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}
Introduction: Despite the large number of published studies on indications for biopsy during investigation of adult oral and maxillofacial pathologies, there is a dearth of literature focusing on biopsies for pediatric orofacial pathologies (particularly in sub-Saharan Africa). Objectives: Hence, this study analysed data on maxillofacial pediatric lesions from the surgical pathology archives of the Oral Maxillofacial surgery/Oral pathology unit of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. Method: Data was collected over a ten year period (2007-2016). Result: From a total of 790 biopsies recorded within the study period, only 105 (13.3%) were found to be pediatric cases. Lesions such as ameloblastoma (24%), benign bone pathologies (25%), hyperplastic reactive lesions (22%) and primary oro-facial malignancies (6%), were found within the 105 pediatric cases. Lesions tended to occur more in the mixed dentition to permanent dentition, than primary dentition age groups. A female preponderance in frequency of lesions was also observed in our study. The commonest non-odontogenic tumor was found to be fi brous dysplasia, while pyogenic granuloma was the most prevalent hyperplastic reactive lesions. Lymphangioma and Heck's disease were the commonest soft tissue tumours, and mucous extravasation phenomenon was equally the most frequent salivary gland lesion. Malignancies were found to be rare in pediatric age groups. Overall, we compared our findings to previously published literature on pediatric biopsies. Conclusion: We are hopeful that the knowledge provided in this study, may assist general dental practitioners, oral pathologists, and pediatric dentists in sub-Saharan Africa in making precise diagnostic and management decisions.
{"title":"Evaluation of pediatric oral and maxillofacial biopsies from a Tertiary Hospital in Sub-Saharan Africa","authors":"O. Soyele, A. Aborisade, A. Olatunji, H. Adeola","doi":"10.4103/JPD.JPD_1_18","DOIUrl":"https://doi.org/10.4103/JPD.JPD_1_18","url":null,"abstract":"Introduction: Despite the large number of published studies on indications for biopsy during investigation of adult oral and maxillofacial pathologies, there is a dearth of literature focusing on biopsies for pediatric orofacial pathologies (particularly in sub-Saharan Africa). Objectives: Hence, this study analysed data on maxillofacial pediatric lesions from the surgical pathology archives of the Oral Maxillofacial surgery/Oral pathology unit of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. Method: Data was collected over a ten year period (2007-2016). Result: From a total of 790 biopsies recorded within the study period, only 105 (13.3%) were found to be pediatric cases. Lesions such as ameloblastoma (24%), benign bone pathologies (25%), hyperplastic reactive lesions (22%) and primary oro-facial malignancies (6%), were found within the 105 pediatric cases. Lesions tended to occur more in the mixed dentition to permanent dentition, than primary dentition age groups. A female preponderance in frequency of lesions was also observed in our study. The commonest non-odontogenic tumor was found to be fi brous dysplasia, while pyogenic granuloma was the most prevalent hyperplastic reactive lesions. Lymphangioma and Heck's disease were the commonest soft tissue tumours, and mucous extravasation phenomenon was equally the most frequent salivary gland lesion. Malignancies were found to be rare in pediatric age groups. Overall, we compared our findings to previously published literature on pediatric biopsies. Conclusion: We are hopeful that the knowledge provided in this study, may assist general dental practitioners, oral pathologists, and pediatric dentists in sub-Saharan Africa in making precise diagnostic and management decisions.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"2015 1","pages":"43 - 49"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86215319","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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