A simple and effective technique to guide the ectopic eruption of a first permanent molar: a case report

Objective: To report the case of a 5-year-old patient diagnosed with ectopic eruption of the lower left first permanent molar that was mesially inclined, initially based on the clinical examination and followed by periapical radiographic examination. Case report: The treatment consisted of the placement and maintenance of an elastic separator for one week between the space of the lower second primary molar and the lower first permanent molar. Subsequently, the elastic separator was removed, allowing the tooth to erupt freely. After 1 week without the elastic separator, the patient returned and the tooth was observed in adequate eruption. Final considerations: The treatment of ectopic eruption was effective, since it repositioned the first permanent molar and allowed its vertical eruption in a short time using a simple technique. Moreover, the early diagnosis of this eruption disorder of permanent molar in mixed dentition is important to avoid more complex treatments and enable normal occlusion development.

STATUS KEBERSIHAN GIGI DAN MULUT PADA ANAK AUTIS DI KOTA MANADO

The most common tooth and mouth health problems in autisic children are dental caries, periodontal diseases, oral cavity disorders, tooth eruption disorder, and trauma. This study aimed to obtain the tooth and mouth hygienic status of autistic children in Manado. This was a descriptive observational study with a cross sectional design. Population was all autistic students registered in AGCA Manado dan Sekolah Khusus Anak Autis Permata Hati. There were 94 students aged 6-21 years. Samples were 51 students obtained by using total sampling and fulfilled the inclusion criteria. The results showed that the tooth and mouth hygienic status of autistic children was mostly categorized as moderate and poor, each of 39.21%. Based on gender, poor category of OHI-S status was the most frequent in males (42.5%) meanwhile in females good and moderate categories, each of 36.36%. Based on age, the moderate category of OHI-S status was in age group 6-10 years (42.31%), meanwhile poor category was found in age group 11-15 years (47.62%) and 16-21 years (75%). The average OHI-S index of autistic children in Manado was 2,77, categorized as moderate. Conclusion: In general, OHI-S status of autistic children in Manado was in moderate category, with an average OHI-S index of 2,77.Keywords: OHI-S, autistic childrenAbstrak: Masalah-masalah kesehatan gigi dan mulut yang paling sering dijumpai pada anak autis yaitu karies gigi, penyakit periodontal, kerusakan lingkungan rongga mulut, kelainan erupsi gigi, dan trauma. Penelitian ini bertujuan untuk mengetahui status kebersihan gigi dan mulut anak autis di kota Manado. Jenis penelitian yaitu deskriptif observasional dengan pendekatan potong lintang.. Populasi penelitian yaitu seluruh anak autis yang terdaftar sebagai siswa sekolah AGCA Manado dan Sekolah Khusus Anak Autis Permata Hati berjumlah 94 anak berusia 6-21 tahun. Sampel sejumlah 51 anak dilakukan dengan teknik total sampling dan memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa status kebersihan gigi dan mulut pada anak autis di kota Manado tertinggi yaitu berada pada kategori sedang dan buruk masing-masing 39,21%. Berdasarkan jenis kelamin, status OHI-S terbanyak pada laki-laki yaitu kategori buruk 42,5%, sedangkan pada perempuan yaitu kategori baik dan sedang masing-masing 36,36%. Berdasarkan kelompok umur, status OHI-S terbanyak pada kelompok umur 6-10 tahun yaitu sedang (42,31%), pada kelompok umur 11-15 (47,62%) dan 16-21 tahun yaitu buruk (75%). Rata-rata indeks OHI-S pada anak autis di kota Manado yaitu 2,77 dengan kategori sedang. Simpulan: Umumnya status OHI-S anak autis di Kota Manado berada pada kategori sedang dengan indeks OHI-S rata-rata yaitu 2,77.Kata kunci: OHI-S, anak autis