scholarly journals Dental Management of a Patient with Congenital Hypothyroidism: A Case Report

2016 ◽  
Vol 04 (02) ◽  
pp. 122-125
Author(s):  
Monisha Singhal ◽  
Nitin Singh ◽  
Anand Rohit ◽  
C. Chaudhary

AbstractCongenital hypothyroidism (CHT) is one of the most common thyroid disorders. It occurs because of dysgenesis of thyroid gland which is responsible for the normal development of neural system. Child patient suffering from congenital hypothyroidism shows various medical and behavioral symptoms which makes routine dental care very challenging to the pediatric dentist. Due to increased awareness and introduction of neonatal screening, the long term hypothyroidism has become rare. The most significant oral conditions related to these patients are delayed eruption and dental caries. The present case report outlines the dental treatment of a 9yr old girl with congenital hypothyroidism.

2016 ◽  
Vol 9 (3) ◽  
pp. 255-259 ◽  
Author(s):  
Erhan Arslan ◽  
Selçuk Arslan ◽  
Selçuk Kalkısım ◽  
Ahmet Arslan ◽  
Kayhan Kuzeyli

Orbital roof fractures associated with cranial and maxillofacial trauma are rarely encountered. Traumatic intraorbital encephaloceles due to orbital roof fractures developing in the early posttraumatic period are even rarer. A variety of materials, such as alloplastic implants or autogenous materials, have been used for the reconstruction of orbital roof, but data regarding the long-term results of these materials are very limited. We report a case of intraorbital encephalocele developing in the early posttraumatic period (2 days) in a child patient and the long-term results of titanium mesh used for the reconstruction of the orbital roof. The case is presented with a pertinent review of literature.


2020 ◽  
Vol 24 (2) ◽  
pp. 113-117
Author(s):  
Savvas Kamalakidis ◽  
Georgios Papaemmanouil ◽  
Vassiliki Anastassiadou

SummaryBackground/Aim: The purpose of this literature review and case report was to highlight the oral symptoms and the pathophysiology of Myasthenia Gravis (MG). MG is an autoimmune, antibody-mediated neuromuscular disorder. It is characterized by fluctuating fatigability and weakness affecting ocular, bulbar and (proximal) limb skeletal muscles.Case report: The case of an edentulous 72-year-old female patient with MG, and in need of removable prostheses was reported. The dental management of a complete denture wearer with MG required special attention and treatment protocols, as described in the present case report.Conclusions: Dental treatment, especially complete denture rehabilitation, of patients diagnosed with MG presents a challenge to the oral health care provider. Clinicians must be aware of the patients’ health status in order to preserve their natural dentition. Implant-supported overdentures must be the treatment of choice in cases of edentulism coupled with MG. In cases where a complete denture is the treatment option, the prosthesis should be placed in the zone of minimum conflict (neutral zone) for optimal neuromuscular coordination.


2012 ◽  
Vol 37 (2) ◽  
pp. 203-206
Author(s):  
JA Garrocho-Rangel ◽  
GA Bueno-Rubio ◽  
B Martínez-Sandoval ◽  
MS Ruiz-Rodríguez ◽  
MA Santos-Diaz ◽  
...  

Dubowitz syndrome is a rare genetic condition characterized by microcephaly, dysmorphic facial features and delayed general growth. It is transmitted through autosomal recessive inheritance. The purpose of this report is to describe the oral, craniofacial and systemic characteristics of a 7-year 11-month-old boy with Dubowitz syndrome and the dental management provided. The pediatric dentist should possess the ability to recognize this rare alteration, to provide dental treatment and to refer for the necessary medical and multidisciplinary treatment.


2017 ◽  
Vol 64 (2) ◽  
pp. 88-96 ◽  
Author(s):  
Andrew S. Young ◽  
Nicholas A. Russell ◽  
Joseph A. Giovannitti

Anesthetic management of elderly patients requires numerous physiological considerations. With aging, degenerative changes occur in the structure and functional capacity of tissues and organs. Typically, these patients experience clinical effects with lower doses of medication. Important considerations for the geriatric populations following anesthesia include increased time to recovery and avoidance of functional decline. A case is reported in which an 83-year-old Caucasian female with a complex medical history presented for routine dental treatment under intravenous sedation via dexmedetomidine infusion.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Reza Khalili ◽  
Athar Zareei

Abstract Background Closantel is the best-known anti-parasitic medicine for veterinarians, which is contraindicated in humans. After reviewing the literature on ocular toxicity following mistaken usage of Closantel in humans, this report was found as the first complete restoration of visual function after Closantel intoxication. This report could be useful in anticipating the possibility of a further improvement based on a dose-response relationship. An important point of this report is the apparent reversibility of the vision and Electrophysiological parameters after Closantel intoxication and blindness. To conclude, the present case report demonstrates the importance of immediate referral and management in Closantel intoxication to avoid the long-term adverse effects of drug on visual function. Case presentation A 47-year-old man mistakenly took about 20 cc of Closantel 5% (15.87 mg/kg). Four hours after mistaken usage of Closantel, he was transferred to the district hospital due to dizziness and nausea. His stomach was washed out immediately after hospital arrival. He was being hospitalized in that hospital for 3 days. Then, he was referred to our clinic due to progressive vision loss. Methylprednisolone acetate 250 mg was injected once on 5th day after taking Closantel. His vision was reducing gradually so low that he could only detect hand motion (HM) on the 14th day after taking Closantel. ERG test was requested. It showed an exclusive reduction in b-wave amplitude under photopic and scotopic conditions. Later, his vision surprisingly improved gradually and his visual acuity was fully restored on the 28th day after the incident. After 3 years, we checked him again. His visual acuity was 20/20 in both eyes and the patient did not have any problem and his ERG report was completely normal. Conclusions In low dose of Closantel and immediate referral, ocular toxicity could be resolved.


RSBO ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 116 ◽  
Author(s):  
Sayali Mali ◽  
P. Keerthi Kundana ◽  
Sunita Singh ◽  
Sinika Khanchandani ◽  
Milind S. Tullu ◽  
...  

Introduction and Objective: Dyskeratosis congenita (DC) also known as Zinsser-Engman- Cole Syndrome is a rare inherited disorder with a prevalence of less than one per million. Zinsser et al. described an inherited variant of ectodermal dysplasia that affected skin, nails and mucous membranes in early 1900s.The syndrome eventually came to be known as DC and is classified as one of the inherited bone marrow failure syndromes (IBMFS). DC is the association of three clinical features: dystrophic nails, oral leukoplakia (white spots on the tongue and oral mucosa) and abnormal skin pigmentation. Case report and Conclusion: This case report describes a dental management of a case of DC. Fluctuating vital and blood parameters and deteriorating overall health status were major challenges delivering dental treatment. Dental extractions of this patient were done while maintaining blood parameters by blood and platelet transfusion.


2021 ◽  
Vol 21 (1) ◽  
pp. 27
Author(s):  
C. K. Prathibha ◽  
Rakhi Binth Salim ◽  
K. Parameswaran Namboothiri ◽  
P. V. Anandaraman

<strong>Background and Aim:</strong> Parkinson's Disease (PD) is a neurodegenerative condition of motor nervous system. The symptoms of PD are similar to <em>KampaVata</em> (a disease of <em>Vata Dosha</em>) such as <em>Karapadatala kampa</em> (tremors in hands and foot), <em>Dehabhramana</em> (postural instability), <em>Nidrabhagna</em> (insomnia) and <em>Matiksheena</em> (dementia) referred by Ayurvedic classics. The most effective management of PD in Allopathic system is dopamine replacement therapy but long-term use of L-Dopa is associated with motor complications. Available medications for PD provides only symptomatic relief and there is no treatment proven to cure the disease or delay its progression. The present case report is a known case of young onset asymmetric Parkinsonism who was on 700mg L-Dopa, managed with Ayurveda therapies. The line of treatment included <em>Vatanulomana</em> (pacifying morbid VataDosa), <em>Srotoshodhana</em> (clearing of the obstructed bodychannels) and <em>Rasayana</em> (rejuvenation). <strong>Management and results:</strong> It included both internal and external Ayurveda therapies. Therapies were performed every year for around 20 days in 3 consecutive years. The assessment was done by Parkinson’s disease questionnaire 39 and Schwab and England Activities of daily Living scale. Reduction in the dose of L-Dopa, improvement in tremor, bradykinesia, rigidity, regaining the perception of taste and smell was observed at the end of 3 years of treatment. <strong>Conclusion:</strong> The dose of L-Dopa was reduced from 700mg to 100mg/day and the quality of life improved.


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