Effective multidisciplinary approach for treatment of traumatized maxillary incisors and hypodontia

2020 ◽  
Vol 13 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Mustafa Elhussein ◽  
Jonathan J O'Dwyer ◽  
Jonathan Sandler

Fractured and missing teeth within the aesthetic zone have always posed a clinical challenge for the dental team. Management and treatment requires the input from a number of dental specialists to guarantee a high quality result. A case report is presented to demonstrate an effective combined orthodontic/restorative approach that fully restored aesthetics and function. The report is of a 14-year-old girl who traumatized her maxillary central incisors, in a dentition that was already compromised as she had congenital absence of her maxillary left lateral incisor. Using fixed orthodontic appliances, the fractured teeth were extruded to bring the fracture line above the level of the alveolar bone. This movement allowed an immediate aesthetic improvement, using stainless steel prefabricated posts and composite resin buildups, which also facilitated further orthodontic tooth movement. Teeth, that would otherwise have been extracted, were salvaged and, utilizing a multidisciplinary team approach, a reasonable long-term prognosis has resulted. CPD/Clinical Relevance: This case report aims to demonstrate how a multidisciplinary team approach in Orthodontics can be utilized for management of severely handicapped dentitions that have sustained dental injury. It is not the aim of this case report to discuss the treatment of dental injuries but to demonstrate and provide an overview of the possible treatment modalities that can be effective in restoring function and aesthetics, with special consideration given to missing teeth and subgingival crown fractures within the aesthetic zone.

2017 ◽  
Vol 5 (9) ◽  
pp. 1450-1453 ◽  
Author(s):  
Prakasit Chirappapha ◽  
Panya Thaweepworadej ◽  
Nuttapong Ngamphaiboon ◽  
Matchuporn Sukprasert ◽  
Thongchai Sukarayothin ◽  
...  

2007 ◽  
Vol 01 (03) ◽  
pp. 167-173 ◽  
Author(s):  
Yildiray Sisman ◽  
Tancan Uysal ◽  
Ibrahim Erhan Gelgor

ABSTRACTObjective: The aim of this study was to document the prevalence of hypodontia in the permanent dentition among a group of Turkish sample who sought orthodontic treatment and to compare present results with the specific findings of other populations. The occurrence was evaluated in relation to gender, specific missing teeth, the location and pattern of distribution in the maxillary and mandibular arches and right and left sides.Materials And Methods: Orthodontic files of 2413 patients (1557 females-mean age: 17.78±5.41 years old and 856 males-mean age:17.02±5.47 years old) which included orthopantomograms, study models, and anamnestic data were examined for evidence of hypodontia.Results: The prevalence of hypodontia was 7.54% (8.09% for female and 6.54% for male). Hypodontia was found considerably more frequently in the maxilla than in the mandible. Similarity in the distribution of missing teeth between the right and left sides was detected. The most frequently missing teeth were the maxillary lateral incisors, followed by the mandibular and maxillary second premolars. The majority of patients had one or two teeth missing, but seldom three or more.Conclusions: Present data for hypodontia were within the wide range reported in the literature. The findings of patients with hypodontia involving the anterior teeth and others missing more than two teeth in the same quadrant were an indication of a great need for orthodontic treatment. By early detection of missing teeth, alternative treatment modalities can be planned and performed with a multidisciplinary team approach. (Eur J Dent 2007;1:167-173)


2017 ◽  
Vol 65 (1) ◽  
pp. 49-51
Author(s):  
Marwan Nasr ◽  
Samer Jabbour ◽  
Elio Kechichian

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Brenda Dawley

Background. Alpha II antiplasmin is a protein involved in the inhibition of fibrinolysis. A deficiency in this protein leads to increased hemorrhage. It is inherited in an autosomal recessive fashion.Case. 30-year-old Gravida 1, Para 0, presented for prenatal care with her first and subsequently her second pregnancy. Her medical history was significant for a known deficiency in alpha II antiplasmin. Her first and second pregnancies were complicated by nonobstetrical hemorrhage requiring transfusions and severe preeclampsia requiring preterm deliveries.Conclusion. Alpha II antiplasmin deficiency resulted in multiple episodes of nonobstetrical hemorrhages requiring transfusion and ultimately preterm deliveries due to severe preeclampsia. Both infants and mother had a good outcome. The presence of this disorder may require a multidisciplinary team approach involving obstetricians, pediatricians, and hematologists.Precis. Alpha II antiplasmin deficiency is a rare autosomal recessive disorder leading to increased fibrinolysis and hemorrhage. We present a case report of a pregnancy complicated by this disorder.


Author(s):  
Douglas Yeung Leong ◽  
Rei Yen Chee ◽  
Yit Shiang Lui

A patient with diagnosed MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes) syndrome had developed psychological and behavioural disturbances at a later stage of his illness. Psychiatric care for this patient would not be possible without a multidisciplinary team approach involving multi-prong interventions from the different team members.


Author(s):  
Mikiko Ito ◽  
Tatsuya Tokura ◽  
Tomoya Miyauchi ◽  
Aiji Sato (Boku) ◽  
Hiroyuki Kimura ◽  
...  

22 q 11.2 deletion syndrome is a genetic disease associated with a high rate of various psychiatric disorders in addition to multiple physical diseases. This case report suggested that a multidisciplinary team approach is important for perioperative management of patient with 22 q 11.2 deletion syndrome.


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