scholarly journals Sanjad-Sakati Syndrome Dental Management: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Hisham Y. El Batawi

Sanjad-Sakati syndrome (SSS) is a rare genetic disorder with autosomal recessive pattern of inheritance characterized by hypoparathyroidism, sever growth failure, mental retardation, susceptibility to chest infection, and dentofacial anomalies. A child with SSS was referred to the dental departmentseeking dental help for sever dental caries which was attributed to his dietary habits and quality of dental tissues. Full restorative rehabilitation was done under general anesthesia. Two years later, the child presented with recurrent caries affecting uncrowned teeth. High carries recurrence rate was blamed for the nutritional habits endorsed by the parents. Only steel crowned teeth survived such hostile oral environment which suggested shifting of treatment strategy towards full coverage restorations instead of classical cavity preparations and fillings during a second attempt for dental treatment under general anesthesia and for the dental treatment of two cousins of the same child. The author recommends effective health education for parents including the nature of their child’s genetic disorder, nutritional needs, and dental health education to improve the life style of such children.

2018 ◽  
Vol 9 ◽  
pp. 135
Author(s):  
Meutia D Citrawuni ◽  
Margaretha Suharsini ◽  
Eva Fauziah ◽  
Kusuma P Adriani

Objective: Anxiety is regarded as a major problem in children undergoing dental treatment. One of the physiological responses to anxiety is an increased pulse rate. Young children respond aggressively to anxiety and are in need of psychological intervention. Pop-up books can be used as an instrument to improve their interest and to help them understand the substance of dental health education.The objective of this study was to utilize pulse rate measurements to investigate the intervention of a pop-up book in reducing anxiety. A total of 78 children aged 4–6 years were divided into two groups: An intervention group with the pop-up book Aku dan Gigiku and a control group without intervention. The pulse rates of both groups were measured. This study comprised an experimental clinical research design. The independent t-test was used to measure comparisons of decreased pulse rate between the two groups.Result: The result showed that there was a statistically significant difference in decreased pulse rate with and without the intervention of the pop-up book Aku dan Gigiku. Pop-up books are often used as an educational medium for children because they present interesting illustrations and are easy to understand.Conclusion: As a medium of dental health education, pop-up books can contribute significantly to reducing anxiety in children.


2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.


Author(s):  
Ghassem Ansari ◽  
Mahsa Mansouri ◽  
Leila Eftekhar

Pulmonary atresia with ventricular septal defect (PA/VSD) is one of the congenital heart diseases that results in cyanosis, susceptibility to bacterial endocarditis, and increased risk of complications during general anesthesia. Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common inherited genetic disorder affecting the red blood cells. We aimed to elaborate the potential dental management for patients with this serious condition. This report presents the single-visit dental treatment of a three-year-old female with PA/VSD, G6PD deficiency and rampant caries. The complexity of dental treatments, high incidence of dental caries, lack of cooperation, and the systemic condition limit treatment options to providing service under general anesthesia and hospitalization. Careful monitoring of oxygen saturation during general anesthesia and antibiotic prophylaxis are essential due to the invasive nature of dental treatments. It appears that single-visit dental management under general anesthesia minimizes the risk of treatment of patients at high risk of bacterial endocarditis.


Author(s):  
Natália Silva Andrade ◽  
Cíntia Santos ◽  
Talita Castro ◽  
Marina Gallottini

Williams-Beuren syndrome (WBS) is a rare genetic disorder characterized by peculiar facies, eyes, dental, cardiovascular, renal, and skeletal abnormalities, mental retardation, friendly and loquacious personality, and occasionally hypercalcemia in infancy. The orofacial aspects and especially the dental management of these patients have received little attention in the literature. The aim of this manuscript is to describe four cases of patients with WBS attended at Special Care Dentistry Center, School of Dentistry, University of São Paulo, with emphasis on the oral findings and systemic conditions of dental interest. The clinical management of patients with WBS is discussed. We conclude that congenital heart defects and behavioral changes are the aspects that most interfere on dental treatment


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Zafer Azizi

Aim.To determine the prevalence of dental caries among a representative sample of preschool children (4-5 years old) who were accompanied by their parents to the dental centre of the Arab American University in Jenin whether they come seeking dental treatment or as visitors with adult patients.Materials and Methods.1376 children of both sexes were investigated by three calibrated and trained examiners for dental caries using the dmft index according to the WHO method.Results.76% of the studied children have already experienced dental caries at the age of 4-5 years (1046 children). The mean dmft score was found to be 2.46 while the other 24% of children were caries-free. There was no significant difference in caries prevalence between boys and girls (77.2% versus 74.6%). Children of highly educated and college graduated mothers were found to have more fillings (restored teeth) in comparison to those who belong to mothers who did not finish their secondary (high school) education.Conclusion.The number of caries-free children in northern Palestine is still far from numbers found in developed countries. There is a real need to make improvements at the level of parents dental health education, application of preventive measures, and dietary habits among preschool children.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1873-1880
Author(s):  
Shunmugam Kumar Mangal C ◽  
Abilasha R ◽  
Vignesh Ravindran

Oral health & general health go hand in hand as one influences the other. The oral cavity can be called as the gateway to the body as it serves as an entry point to all forms of infection. To attain good oral health, one needs to have knowledge of dietary habits and oral hygiene practices.  ​. The extreme weather and hard labour conditions in the salt pans cause a lot of morbidities among the salt workers. These morbidities are aggravated if the salt workers do not protect themselves with personal protective measures. ​From the study, we can infer that the understanding of the mindset of daily wage workers can be key to providing them with dental treatment for their needs. ​The study aims to measure the knowledge and attitude about oral health maintenance and habits among salt pan workers in Tuticorin district.  This survey was carried out among salt pan workers in Tuticorin, Tamil Nadu to assess their awareness about common dental health problems and data was collected using a pre-designed questionnaire and samples were assigned using convenience sampling methods. Data were collected after obtaining informed consent and steps were taken to ensure confidentiality at all stages. A maximum of 10 people was asked to visit the clinic to take the survey. It was conducted over a period of 10 days. Both male & female workers were involved in the study. The data was collected and tabulated in an excel sheet. Then the raw data was later transferred to SPSS Software. Salt pan workers generally have dental problems, dermatological problems and musculoskeletal problems as the most common morbidities among them. This study showed that more than 50% of the salt pan workers in Tuticorin have good awareness towards oral health.


2021 ◽  
Vol 17 ◽  
Author(s):  
Jaclyn Vu ◽  
Priyanshi Ritwik

Background: Prader-Willi Syndrome (PWS) is a complex neurodevelopmental disorder caused by gene alterations on chromosome 15q11-q13 resulting in hyperphagia and neuroendocrine deficits. A comprehensive guide for dental treatment for PWS is lacking despite numerous case reports. The objective of this report and review was to develop a problem-focused list of the interrelationship between oral and systemic parameters of PWS and enable dentists in anticipating the unique treatment needs of children and individuals with PWS. Methods: Four pediatric patients with PWS presenting to an academic dental clinic were evaluated. A literature review spanning the last twenty years was performed to identify the pathophsyiological impact of systemic problems on dental health and treatment. Results: The four cases along with cases from literature were used to enumerate salient oro-dental and systemic features influencing treatment decisions in dentistry. They formed the basis for collective recommendations and precautions for rendering dental treatment in patients with PWS. Conclusion: Sedation for dental treatment is contraindicated due to obesity (BMI over 95th percentile), hypotonia, obstructive sleep apnea (OSA) and respiratory limitations (restricted ventilation due to weight on thoracic cage). Prolonged recovery from general anesthesia, OSA and temperature dysregulation necessitate extended monitoring after dental rehabilitation under general anesthesia. Orthopedic problems and respiratory limitations exclude protective stabilization. Xerostomia and acidic saliva necessitate recommendations for oral rehydrating products. Periodontal assessment is necessary due to poor oral hygiene and diabetes mellitus. Early establishment of a dental home and risk-based frequency of dental care should address caries prevention and restorative needs.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
A. P. Münevveroglu ◽  
B. B. Akgöl

Rubinstein-Taybi syndrome or Broad Thumb-Hallux syndrome is a genetic disorder characterized by facial dysmorphism, growth retardation, and mental deficiency. A seven-year-old girl had come to the Department of Pedodontics, Istanbul Medipol University, Faculty of Dentistry, Turkey, with a complaint of caries and bleeding of gingivae. The patient was mentally retarded. Extraoral features revealed distinctive facial appearance with a broad fore head, hypertelorism, broad nasal bridge, and beaked nose. Intraoral features observed were talons cusps in the upper lateral incisors, carious teeth, and plaque accumulation. Since the patient was mentally retarded, the dental treatment was done under GA. The treatment plan and dental management of this patient are discussed in this case report.


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