Dentigerous Cyst in Children: A Case Report and Outline of Clinical Management for Pediatric and General Dentists

Dentigerous cysts are the most common developmental odontogenic cysts of the jaw, arising from impacted, embedded or unerupted permanent teeth. They apparently develop byaccumulation of fluid between the reduced enamel epithelium and the tooth crown of an unerupted tooth. There is usually no pain or discomfort associated with the cyst unless there is an acute inflammatory exacerbation. Careful evaluation, coupled with meticulous clinical and radiological investigations could help clinicians to arrive at the correct diagnosis as well as address the implicated etiologies, before instituting the most appropriate therapy. Here, we report a case of a dentigerous cyst in the mixed dentition of a 10-year-old female patient and outline its comprehensive management for the benefit of pediatric and general dentists involved in the care of such patients

Non-surgical management of iatrogenic lateral root perforation: a case report

Perforation is a procedural accident that occurs during root canal treatment, creating an artificial communication between the root canal and the supporting periodontal apparatus. Iatrogenic root perforation is a major complication of endodontic and restorative treatments, leading to impairment of tooth prognosis. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of an iatrogenic lateral root perforation in a tooth with radiographic evidence of periodontal healing over one year follow-up

Knowledge of mothers about use of fissure sealant therapy and professional fluoride therapy among children in Saudi Arabia

Purpose: To evaluate mothers’ knowledge of the use of fissure sealant (FS) and topical fluoride (TF) therapy among children aged between 7 to 12 years in Saudi Arabia. Methods: In this cross-sectional study, participants (n = 350) were selected based on simple random sampling method from the mothers’ of children aged from 7 to 12 years old, attending outpatient pediatric dental clinics in College of Dentistry King Khalid University, Abha, Saudi Arabia. Results: The age group of mothers included are as follows: 31.7 % in 20 - 30 years age group, 53.1 % in 31 - 40 years age range, and 15.1 % in 41 - 50 years. On FS therapy benefits in the prevention of caries in children, 22 % responded that it was beneficial. When participants were asked regarding FS wearing out easily after application on the tooth, 8 % agreed while 13.4 % disagreed. A majority of mothers (40.9 %) agreed that TF therapy prevents caries, while 47.7 % stated that they brush twice daily with fluoride toothpaste. The mothers that disagreed that fluoride gel is recommended only for children, not for adults were 32.9 %. When the mothers were asked about the benefit of fluoride if its cost is taken into consideration, 46.6 % disagreed that fluoride gel was worth its cost, while 22.3 % took the opposite view. Conclusion: Positive knowledge of FS and TF therapy have been observed among mothers. However, mothers demonstrated greater positive knowledge of TF therapy than FS therapy

Oral health status and treatment needs of children with sickle cell disease in Abha and Khamis Mushait cities of southern Saudi Arabia

Background: This study aimed to assess the oral health status and dental treatment needs of children with Sickle Cell disease (SCD) in Abha and Khamis Mushait cities of southern Saudi Arabia.Methods: A total of 82 children were included in the study, 41 children with SCD and 41 control group. A total of 82 children having age group of 2 to 13 years from Abha and Khamis Mushait cities of southern Saudi Arabia were examined. The clinical examinations were performed by experienced clinicians in those children who fulfilled the required inclusion criteria. Intraoral examination was done using Decayed-Missing-Filled Teeth Index (DMFT Index) and other dental conditions were examined. Statistical analysis was done with Chi square test and level of significance was set at p<0.05.Results: Prevalence of dental caries was shown between the 2 groups of children i.e., SCD and control. When SCD was compared with control group, the Mean ±Standard deviation for decayed missing filled tooth was found to be DMFT= 6.95±4.79, 8.02±4.33 respectively. Statistically no significant difference was found (P=0.290). 17.1% of children with SCD group has gingivitis compared to control group which is 7.3%. Statistically no significant difference was found (P=0.177). Dental trauma, deleterious oral habits and tooth brushing amount SCD children were shown no statistically significant compared to control group.Conclusions: In the present study no significant difference was evident in dental diseases and treatment needs among SCD and Control group

Knowledge and Attitude of Saudi Arabian School Teachers with Regards to Emergency Management of Dental Trauma

Injury to both the primary and the permanent dentitions and their supporting structures is one of the most common dental problems seen in children.&nbsp; School is one of the locations with greatest prevalence of occurrence of traumatic dental injuries.&nbsp; School teachers play important role in prevention of dental trauma and improving its prognosis. The present study was undertaken to assess knowledge and attitudes regarding emergency management of dental trauma, first aid for avulsed tooth and influence of dental education among school teachers in Abha city. METHODS: The participants were 100 school teachers from Abha city and were interviewed using a questionnaire regarding management of dental trauma.&nbsp; The completed proformas was collected and the result was statistically analyzed to know the knowledge and attitudes regarding emergency management of dental trauma. CONCLUSIONS: Majority of school staff had little knowledge related to handling of traumatic dental injuries and emergency management of avulsed permanent teeth in school children. Majority of school teachers were eager to have knowledge regarding dental trauma through continues dental education programs and workshops.&nbsp; First aid training increases knowledge about dental trauma and should be included in the course curriculum of teachers training program

Modern Tools in Forensic Dentistry

Forensic Odontology is a relatively new science that utilizes the dentist&rsquo;s knowledge to serve the judicial system. It has established itself as an important and often indispensable science in medicolegal matters and in particular in identification of the dead.&nbsp; Worldwide, dentists qualified in forensic science are giving expert opinion in cases related to human identification, bitemark analysis, craniofacial trauma and malpractice. Dental professionals have a major role to play in keeping accurate dental records and providing all necessary information so that legal authorities may recognize malpractice, negligence, fraud or abuse, and identify unknown humans.&nbsp; This article presents a literature review referring to the understanding the various methods employed in forensic odontology. &nbsp

Bilateral double teeth in primary dentition: A case report

Odontogenic anomalies can occur as a result of conjoining or twinning defects. These include fusion, gemination and concrescence. Synodontia or fusion is the union of two independently developing primary or secondary teeth. &nbsp;&nbsp;The fused crown is broader than non fused adjacent teeth and thus resembles gemination. However, tooth counting reveals decreased numbers. An unusual case of bilateral fusion in primary mandibular incisor region in a four year old boy is reported. Conclude that double teeth in primary dentition have to be carefully analysed as it may be associated with anomalies in the permanent dentition. Correct diagnosis of the condition implicates in a better prognosis for the patient

Non-surgical management of iatrogenic lateral root perforation: a case report

Perforation is a procedural accident that occurs during root canal treatment, creating an artificial communication between the root canal and the supporting periodontal apparatus. Iatrogenic root perforation is a major complication of endodontic and restorative treatments, leading to impairment of tooth prognosis. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of an iatrogenic lateral root perforation in a tooth with radiographic evidence of periodontal healing over one year follow-up

Clinical Evaluation of Solitary Median Maxillary Central Incisor Syndrome

Solitary median maxillary central incisor (SMMCI) is a rare dental anomaly. It is estimated to occur in 1 : 50,000 live births. The SMMCI tooth differs from the normal central incisor in that the crown form is symmetric and it develops and erupts precisely in the midline of the maxillary dental arch in both primary and permanent dentitions. The presence of SMMCI with hemifacial microsomia (HFM) is a very rare clinical condition. We report a case of SMMCI in a female of African ethnic origin, who presented with SMMCI in permanent dentition with mild nasal stenosis. An early diagnosis of SMMCI is important, since it may be a sign for other severe congenital or developmental abnormalities. Therefore, systematic follow-up and close monitoring of the growth and development of SMMCI patients are crucial

Molariform Mesiodens in Primary Dentition

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment