Supplemental Primary Tooth: A Review & Report Of A Rare Occurrence

Supernumerary teeth, is defined as teeth that exceed the normal dental formula, regardless of their location and morphology and can be found in almost any region of the dental arch both in the primary and permanent dentition. A Supplemental Tooth is a type of supernumerary tooth that is so well formed that it mimics a fully formed tooth. It usually appears distal to a lateral incisor. Its detection requires the careful counting and identification of each tooth in the dental arch. Although many theories have been proposed, the cause is poorly understood. World-wide, few studies have measured the prevalence in the primary dentition, and statistics quoted in the dental literature are inconsistent.  While this discrepancy may be the result of a difference in detection, with primary teeth being more likely to be missing because of exfoliation or early extraction, it has also been postulated that disturbances in interactions between epithelium and mesenchyme, which affect tooth development, are less likely to occur in primary teeth because of the more stable environment prior to birth.This Paper Attempts to review the Occurrence of Supplemental Tooth in the Primary Dentition & report a rare Case of a Supplemental Maxillary Canine

The Management of Patient with Oligodontia Associated With Attention Deficit Hyperactive Disorder – A Rare Case Report

Oligodontia is characterized by missing six or more teeth in primary and permanent dentition exclusive of the third molars. Hereditary is the main etiologic factor and the principal clinical features are reduction in number of teeth, changes in the morphology of teeth, their eruption time and improper development of alveolar ridges. Prevalence of Oligodontia is 0.35% in Indian population. Treatment of Oligodontia is through a multidisciplinary approach. Attention Deficit Hyperactive Disorder (ADHD) is the most commonly diag-nosed behavioural disorder of childhood. It is a problem with inattentiveness, over-activity, impulsivity, or a combination. It affects about 3-5% of school aged children. ADHD may run in families, but the etiology is unknown. Depression, lack of sleep, learning disability and behavioural problems may appear with ADHD.The aim of this study was to describe a clinical case of 7 year old child with multiple congenital missing teeth associated with ADHD syndrome. &nbsp

Evaluation of the relationship of the oral hygiene status of the children with special health care needs and their level of functioning in Ahmedabad city: A pilot study

Aim: The purpose of this study was to explore the relationships between the level of functioning of children with special health care needs and oral health status. Materials and Methods: A total of 46 children in the age group of 5-15 years were examined at three diff erent educational institutions which have diff erent physical and mental challenges. Among these 14 children were having hearing impairment, 14 children were mentally challenged, and 18 were having visual impairment. Oral examination was done using mouth mirror and probe by a single operator. The children were examined for decayed-missing-fi lled teeth (DMFT) and gingival health index. Statistically signifi cant negative correlation was seen for the communication skills and deft scores (P = 0.01), daily living skills, and DMFT scores (P = 0.006), socialization skills, and both deft and DMFT scores (P = 0.04), and motor skills with the gingival health scores (P = 0.004). Conclusion: Caries prevalence was greater in the children with problems in the communication skills, daily living skills, and socialization skills. In this study, gingival health assessed in children was poorest in the children with limited motor skills

Comparison Of Serum Lipid Levels In Periodontal Health And Disease In Systemically Healthy Subjects – A Clinical And Biochemical Study

Aim: To compare the serum lipid levels in systemically healthy subjects with and without periodontal disease and to correlate the results between hyperlipidemia and periodontitis.  Material and Methods: A total of 80 subjects of both sexes (42 males and 38 females), in the age group of 35-55 yrs were divided into two groups of 40 each as study and controls. All the patients were evaluated for serum cholesterol, serum triglycerides, LDL and HDL cholesterol. Variables related to high cholesterol levels, including age, sex and body mass index were also evaluated. The dental parameters recorded consisted of probing pocket depth (PPD), community periodontal index (CPI) and periodontal disease index (PDI).   Results: Total cholesterol, LDL cholesterol and triglycerides were marginally increased in study group but were not found to be statistically significant (p=0.106, p=0.100 & p=0.199 respectively). Triglycerides showed a positive correlation with CPI and PDI after adjusting for age and disease. However, the correlation of triglycerides with PDI was minimal compared to the correlation of triglyceride with CPI.  Conclusion: The findings of this study showed that there was no significant relationship between periodontal disease, regardless of its intensity, and blood lipid levels in the study population

Polycarbonate crowns for primary teeth revisited: Restorative options, technique and case reports

Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. Even though researchers have claimed that certain restorations are better than the others, particularly owing to the issues mentioned above, the search for the ideal esthetic restoration for the primary teeth continues. This paper revisits and attempts to reintroduce the full coverage restoration, namely, polycarbonate crown, for use in primary anterior teeth

Mandibular Mesiodens with Agenesis of Central Incisors (Hypohyperdontia): A Case Report &Review

Supernumerary teeth are defined as those in excess when compared to the normal series. Supernumerary teeth can occur as single, multiples, unilaterally, or bilaterally and in maxilla or mandible or both. The incidence of mandibular mesiodens with agenesis of central incisors is extremely rare. This paper attempts report & review the occurrence of such a rare combination. A 9 year old girl reported to Department of Pediatric & Preventive Dentistry, DAPMRVDC, Bangalore, India, for a routine dental check up. Clinical Examination revealed the presence of a conical tooth in relation to retained Primary central incisor (71, 81) & erupting permanent lateral incisors. Radiographic examination confirmed the presence of a Mesiodens & the agenesis of both permanent mandibular central incisors. Extraction of the mesiodens was carried out followed by orthodontic management

A Novel Prosthetic Rehabilitation Of A Pre Adolescent After Removal Of A Large Dentigerous Cyst: Report Of A Case

Dentigerous cyst is a developmental odontogenic cyst, which apparently develops by accumulation 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 acute inflammatory exacerbation. Various treatment options have been proposed for the management of dentigerous cyst. Two most common treatment modalities used are: a. Total enucleation of the cyst and b. Marsupilization for decompression of large volume cysts, or a combination of both. Here, we report a case of dentigerous cyst in a Pre Adolescent (10 year old male) patient and its novel post surgical prosthetic rehabilitation

The relationship between dental age, bone age and chronological age in underweight children

Background and Objective: The knowledge of bone age and dental age is of great importance for pediatrician and pediatric dentist. It is essential for a pediatric dentist to formulate treatment plan and it is a source of complementary information for pediatrician. There are few studies, which showed the relationship between dental age, bone age and chronological age in underweight children. Therefore, objective of this study was to determine and compare dental age, bone age and chronological age in underweight children. Materials and Methods: 100 underweight children between the age group of 18-14 years were selected. Chronological age was assessed by recording date of birth. Dental age assessment was done using orthopantamogram following the method described by Demirjian. Bone age assessment was carried out using hand wrist radiograph following Bjork, Grave and Brown′s method. Results: Dental age and Bone age was delayed compared to chronological age in both sexes. The correlation between chronological age, dental age and bone age were all positive in males. Interpretation and Conclusion: The data supports the concept that dental age and bone age delay is a significant feature in underweight children. It is important to consider dental age and bone age as variables for diagnosing underweight children. To support our findings further a well-designed, controlled as well as longitudinal studies with a larger sample size is required

Assessment of the effect of probiotic curd consumption on salivary pH and streptococcus mutans counts

Background: Antimicrobial methods of controlling dental caries that include probiotic agents can play a valuable role in establishing caries control in children at moderate to high risk for developing dental caries. Several studies have demonstrated the beneficial effects of use of various Probiotic products including curd. The objective of this study was to compare the effect of short‑term consumption of probiotic curd containing Lactobacillus acidophilus and normal curd on salivary Streptococcus Mutans counts, as well as salivary pH. Materials and Methods: Forty, caries‑free, 10‑12 years old children were selected and randomly allocated to two groups. Test Group consisted of 20 children who consumed 200ml of probiotic curd daily for 30 days. Control Group consisted of 20 children who were given 200ml of regular curd for 30 days. Salivary pH and salivary Streptococcus Mutans counts were recorded at baseline and after 30 days and statistically compared using the Student’s t‑test. Results: Consumption of probiotic curd resulted in a statistically significant reduction in S. Mutans colony counts (P0.05) in both the groups. Conclusion: Short‑term consumption of probiotic curds can reduce oral S. Mutans counts. However, this caused a slight reduction in salivary pH.Keywords: Dental caries, probiotic, curd, salivary pH, streptococcus mutansNigerian Medical Journal | Vol. 53 | Issue 3 | July-September | 201