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Abstract: Supernumerary teeth represent a numerical dental anomaly. When present in excess, it is called hyperdontia, which affects both primary and permanent dentition, though permanent dentition is more commonly affected. This clinical case presents hyperdontia involving three supernumerary teeth in the maxillary arch of a non-syndrome 10-year-old child. The diagnosis was made following a consultation prompted by the eruption of a supernumerary tooth with a molar-like shape in the site of the maxillary central incisor and the impaction of this permanent tooth. Subsequently, a radiological examination revealed two additional supernumerary teeth in the premolar region. The treatment plan involved surgical extraction followed by an interceptive phase to guide the eruption of the central incisor. Keywords:Supernumerary tooth, supernumerary teeth, herperdontia, molar-like shape, impaction of central incisor, Hawley appliance.
VisiterAbstract: Background: Psychotropic drugs used to manage mental disorders affect oral health. The mechanism of action of these drugs differs from one therapeutic class to another. Objectives: to determine the side effects of psychotropic drugs on the oral health of pediatric patients with psychiatric disorders, to determine their care needs and to describe mechanismS of action of psychotropic drugs. Methods: Sixty-one children with mental disorders, aged between four and twelve years (48 boys and 13 girls) and who were followed up in Child psychiatry department in Hedi Chaker University Hospital in Sfax, were selected. The control group consisted of 61 healthy children who were matched by age and gender. Each patient received a complete oral examination. The prevalence of caries, decayed, missing, and filled teeth (dmft/DMFT) index, oral hygiene and care needs were noted. Results: The mean (dmft/DMFT) index of children with mental disorders was 2.13 while that of the contro
VisiterABSTRACT Objective: Molar-incisor hypomineralization (MIH) is a developmental enamel defect that often leads to aesthetic concerns, particularly when affecting incisors. Various treatment modalities, including microabrasion, bleaching, resin infiltration, and remineralizing agents, have been proposed, but their comparative effectiveness remains unclear. This systematic review aims to evaluate and compare the available aesthetic treatment options for hypomineralized incisors in children and adolescents. Materials and Methods: A systematic search was conducted in MEDLINE via PubMed, Cochrane, Scopus, and ScienceDirect for studies published between 2013 and 2023. The review included randomized controlled trials (RCTs), non-randomized clinical studies, and in vitro studies published in English, focusing on aesthetic treatments for MIH-incisor opacities in pediatric patients (≤18 years old). Studies were screened and evaluated independently by two reviewers following PRISMA guidelin
VisiterABSTRACT Background: Enamel affected by molar incisor hypomineralisation (MIH) exhibits reduced mechanical properties due to its disorganised prismatic structure, lower mineral density and higher protein content. These alterations increase porosity and susceptibility to posteruptive enamel breakdown. Minimally invasive treatments, such as resin infiltration, have been proposed to reinforce enamel integrity. Recent advances suggest that transillumination can guide infiltration more accurately, allowing better visualisation of lesion extent and potentially improving treatment outcomes. Aim: This case series evaluated the clinical suitability of transillumination-aided resin infiltration, specifically the utility of using transillumination to support resin infiltration treatment, for MIH-affected molars. Design: Five MIH-affected first permanent molars from five paediatric patients, diagnosed according to EAPD criteria for MIH, were included. One molar presented with two distinct
VisiterAbstract We report the case of a 3-year-old girl from a consanguineous marriage, initially diagnosed with vitamin D deficiency–associated periodontitis following early tooth mobility. Despite supplementation, her condition worsened with the onset of palmoplantar hyperkeratosis. Further investigations revealed the diagnosis of Papillon-Lefèvre Syndrome (PLS), a rare genetic disorder causing severe periodontitis and palmoplantar keratosis. The patient was managed with vitamin D supplementation, dental extractions, and a removable partial denture. A multidisciplinary approach led to the confirmation of PLS and appropriate management, highlighting the importance of considering genetic disorders in a severe form of periodontitis. This case underscores the potential role of vitamin D deficiency in exacerbating periodontal disease in genetically predisposed individuals, warranting further research into its impact on PLS progression.
VisiterAbstract X-linked hypophosphatemic rickets (XLHR) is a hereditary metabolic disease caused by the loss of phosphate through the renal tubules into the urine and an associated decrease in serum calcium and potassium phosphate, resulting in bone and dental abnormalities. We report this case, aiming to describe, through an 8-year follow-up case report, the clinical approach adopted in managing dental features in both primary and permanent dentition in a child diagnosed with XLHR. The oral manifestations were mainly premature exfoliation of primary teeth with no history of dental caries or trauma, spontaneous abscesses, enamel hypoplasia, and facial cellulite. The panoramic X-ray revealed pathognomonic features of XLHR, such as high pulp horns extending up to the dentin-enamel junction, unclear limits of the lamina dura, hypoplastic alveolar ridge, and taurodontism. To manage these dental alterations, space maintainer, coverage of the hypoplastic teeth and endodontic treatment w
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