Clinical complications associated with supernumerary teeth: report of two cases

2004 ◽  
Vol 28 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Ana Beatriz Alonso Chevitarese ◽  
Claudia Maria Tavares ◽  
Laura Primo

The presence of supernumerary teeth can interfere in normal occlusal development. The pediatric dentist should diagnose them as soon as possible, as most of the time they are asymptomatic. The objective of this paper is to show the presence of that dental anomaly in two pediatric patients, as well as the associated clinical complications with treatment.

2021 ◽  
Vol 34 (6) ◽  
pp. 435
Author(s):  
Daniel Meireles ◽  
Francisco Abecasis ◽  
Leonor Boto ◽  
Cristina Camilo ◽  
Miguel Abecasis ◽  
...  

Introduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte.Material and Methods: Retrospective observational cohort study of all patients supported with ECMO in a Pediatric Intensive Care Unit, from the 1st of May 2010 up to 31st December 2019.Results: Sixty-five patients were included: 37 neonatal (≤ 28 days of age) and 28 pediatric patients (> 28 days). In neonatal cases, congenital diaphragmatic hernia was the main reason for ECMO (40% of neonatal patients and 23% of total). Among pediatric patients, respiratory distress was the leading indication for ECMO (47% of total). The median length of ECMO support was 12 days. Clinical complications were more frequent than mechanical complications (65% vs 35%). Among clinical complications, access site bleeding was the most prevalent with 38% of cases. The overall patient survival was 68% at the time of discharge (65% for neonatal and 71% for pediatric cases), while the overall survival rate in Extracorporeal Life Support Organization registry was 61%. The number of ECMO runs has been increasing since 2011, even though in a non-linear way (three cases in 2010 to 11 cases in 2019).Discussion: In the first 10 years we received patients from all over the country. Despite continuous technological developments, circuitrelated complications have a significant impact. The overall survival rate in the Pediatric Intensive Care Unit was not inferior to the one reported by the Extracorporeal Life Support Organization.Conclusion: The overall survival of our Pediatric Intensive Care Unit is not inferior to one reported by other international centers. Our experience showed the efficacy of the ECMO technique in a Portuguese centre.


2019 ◽  
Vol 29 (1) ◽  
pp. 125-128
Author(s):  
Valdelias Xavier Pereira ◽  
Alan Patricio Da Silva ◽  
Juliana Spat Carlesso ◽  
Marcelo Ferraz Campos

Introduction: The objective of this clinical case report is to describe the presence of bilateral fourth molars. The occurrence of supernumerary teeth (ST) is a relatively unusual dental anomaly., It is even more unusual to find patients with distomolar teeth also denominated fourth molar teeth. Presentation of the case: This article describes a clinical case of a 24-year-old patient presenting with a maxillary fourth molar, who was diagnosed by dental x-ray, and surgical resolution of the case. Conclusion: Tooth extraction surgery was the clinical procedure chosen to treat the impacted tooth.


2021 ◽  
pp. 1-5
Author(s):  
Abu-Hussein Muhamad ◽  
◽  
Alsaghee Maria ◽  
Ali Watted ◽  
◽  
...  

Impaction of maxillary central incisors is frequent in dental practice. However its management is challenging because of its importance in aesthetics. Supernumerary teeth are the most common dental anomaly that can cause impaction of adjacent teeth, crowding, diastema, rotation and displacement of teeth. We report a case of 13 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.


Author(s):  
Ana Paula Soares Fernandes ◽  
Márcio Antônio Battistella

The use of osseointegrated implants has been increasingly widespread in the adult population, however in children there is a certain lack in the literature on the application of this technique. The bone growth and development factor must be well analyzed, and the pediatric dentist must be able to suggest the use of this treatment option for oral rehabilitation, when necessary. This article discusses bone growth and development of the craniofacial region, presents relevant aspects of the literature and discusses the use of this technique in pediatric patients.


2015 ◽  
Vol 39 (5) ◽  
pp. 481-487 ◽  
Author(s):  
M Lenahan ◽  
M Wells ◽  
M Scarbecz

Oral sedation for pre-cooperative and anxious pediatric patients is an important tool for the pediatric dentist. Few studies have examined the sedation regimen of meperidine and hydroxyzine. Objectives: The primary goal of this study was to evaluate the overall safety and effectiveness of the meperidine/hydroxyzine drug combination. Secondary goals included detecting potential factors that alter sedation effectiveness. Study Design: Two hundred and forty eight electronic health records of pediatric patients (131 females, 117 males) who received meperidine/hydroxyzine sedations in a university setting were evaluated. Pediatric dental residents rated each case according to the Frankl behavioral scale and for effectiveness. Numerous factors were analyzed to evaluate their significance on overall effectiveness. Factors examined included age at time of treatment, gender, ASA status, Frankl score at various points during treatment, sextant of treatment, operator experience, dosage, use of nitrous oxide, and any complications encountered during treatment, both major and minor. Results: Over 81% of sedations were considered effective or very effective. Statistically significant findings included age of patient, pre-sedation behavior, and willingness to take the medication. Less than 5% of sedations were aborted due to behavior. Only one major complication was found, which was not related to the sedation. Conclusions: Meperidine combined with hydroxyzine is a safe and effective sedation regimen for uncooperative or pre-cooperative children during dental treatment.


2006 ◽  
Vol 30 (3) ◽  
pp. 199-202 ◽  
Author(s):  
J. Boj ◽  
C. Poirier ◽  
E. Espasa ◽  
M. Hernandez ◽  
B. Jacobson

Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. The majority disappear on their own. If they hurt, bleed or are infected they may require surgical treatment to expose the tooth and drain the content. Here we present a clinical case of a six-year-old child with an eruption cyst on the permanent maxillary central left incisor, which was handled using treatment with an Er,Cr-YSGG laser. It did not require suture, there was no haemorrhage, swelling, infection or postoperative pain. The treatment of eruption cysts with this technique facilitates obtaining the cooperation of pediatric patients and makes behavior management by the pediatric dentist easier.


2004 ◽  
Vol 28 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Gauri Sardessai ◽  
Aquaviva Fernandesh

A palatal expansion appliance is frequently used for the expansion of the palatal arch. The expansion can be rapid or slow. The degree of turn given to the screw of the appliance determines the rapidity and amount of expansion achieved. This report describes a case of necrosis of the palatal gingiva as a result of an attempt to expand the palatal arch rapidly and is of great importance to the pediatric dentist as palatal expansion is done more often in pediatric patients.


2021 ◽  
Vol 12 (9) ◽  
pp. 66-68
Author(s):  
Anjana Karmacharya ◽  
Dashrath Kafle

Background: Mesiodens are supernumerary teeth present in the midline of the maxilla. Aims and Objective: The present study was conducted to know the prevalence of mesiodens among children aged 5 to 14 years in Pokhara, Nepal. Materials and Methods: Data was collected from 1194 orthodontic patients coming to the department of Dentistry, in Manipal Teaching Hospital from 2009 till 2019. The files were reviewed to know the prevalence, demography and the complications associated with the presence of mesiodens. Results: Our results showed that the prevalence of mesiodens was 2.84% in our population. The prevalence was significantly more among males. Children aged 10-14 years presented more than the children aged 5-10 years. Though, there were complications associated with the presence of mesiodens, none of them were symptomatic. Conclusions: Mesiodens is the most common form of supernumerary teeth in the pediatric patients which occurs as a result of genetic and environmental factors. Their early diagnosis can reduce the treatment required and therefore prevent development of associated problems in the future.


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