scholarly journals Talon cusps - functional solution: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 570-574
Author(s):  
Alice Corrêa Silva-Sousa ◽  
Yara Teresinha Corrêa Silva-Sousa ◽  
Nathalia Cristina Tavella-Silva ◽  
Marcelle Danelon
Keyword(s):  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Type I ◽  
Supernumerary Tooth ◽  
Adequate Treatment ◽  
Anterior Teeth ◽  
Bacterial Plaque ◽  
The University ◽  
Functional Solution

Talon cusp is a rare dental anomaly that occurs more frequently in maxillary incisors and is defined as a projection in the area of the cincture of anterior teeth that extends from the cemento-enamel junction or the region of the cincture, following towards the incisal face. An eight-year-old female patient was referred to the University of Ribeirão Preto Pediatric Dentistry Clinic (UNAERP) with suspicion of a supernumerary tooth on the palatal surface of tooth 12. During clinical and radiographic examination she found the presence of a conical-shaped enamel projection that presented a communication with the tooth 12 cincture and was thus classified as a talon cusp. Initially, prophylaxis and removal of the accumulated bacterial plaque were performed, verification of premature contact with paper for the joint and wear with a spherical diamond tip. FluroShield sealant was then applied following an adhesive protocol indicated by the manufacturer. After the necessary occlusal adjustments were made. 30 days later, the patient returned for clinical follow-up, reconversion and repolishing of the sealant. The talon cusp was diagnosed as Type I because it is morphologically well delineated and protrudes prominently from the palatal surface and extends at least halfway from the cemento-enamel junction to the incisal edge. It is recommended to seal the deep grooves to prevent caries. We can conclude that a rigorous clinical and radiographic examination leading to an early and accurate diagnosis is of extreme importance for the adoption of an adequate treatment.

scholarly journals Multi-lobed mesiodens with a palatal talon cusp: a rare case report

2010 ◽  
Vol 21 (4) ◽  
pp. 375-378 ◽  
Author(s):  
Nayaka Basavanthappa Nagaveni ◽  
Kagathur Veerbadrappa Umashankara ◽  
Sreedevi ◽  
Bokka Praveen Reddy ◽  
Nayaka Basavanthappa Radhika ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Rare Case ◽  
Clinical Case ◽  
Treatment Plan ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Anterior Teeth ◽  
Patient Reported ◽  
Rare Case Report ◽  
Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.

scholarly journals Neurofibrosarcoma: case series in south-south Nigeria

2017 ◽  
Vol 5 (1) ◽  
pp. 79
Author(s):  
Maurice Asuquo ◽  
Victor Nwagbara ◽  
Martin Nnoli ◽  
John Ashindoitiang ◽  
Theophilus Ugbem ◽  
...  
Keyword(s):  
Case Series ◽  
Late Presentation ◽  
Histologic Diagnosis ◽  
Adequate Treatment ◽  
Improve Outcome ◽  
Long Term Follow Up ◽  
The One ◽  
The University

Neurofibrosarcoma is a malignancy that occurs more frequently in patients with neurofibromatosis- 1 (NF- 1) and rarely may arise independently. This is a presentation of 3 consecutive patients with histologic diagnosis of neurofibrosarcoma who presented to the University of Calabar Teaching Hospital, Calabar from 2011-2013. Two patients presented were associated with NF-1 and were a decade younger than the one without NF-1. Late presentation and poor follow up were notable underlying factors. Long term follow up of patients with NF -1 for early diagnosis and adequate treatment will improve outcome.

Scoliosis and Chiari malformation Type I in children

2011 ◽  
Vol 7 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Mark D. Krieger ◽  
Yuri Falkinstein ◽  
Ira E. Bowen ◽  
Vernon T. Tolo ◽  
J. Gordon McComb
Keyword(s):  
Mr Imaging ◽  
Spinal Instrumentation ◽  
Magnetic Resonance Images ◽  
Type I ◽  
Chiari Malformation Type I ◽  
Adequate Treatment ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Curve Magnitude

Object The identification of Chiari malformations Type I (CM-Is) has increased in recent years, commonly during MR imaging for evaluation of a possible cause of scoliosis. The treatment of this abnormality remains controversial, and the expected success of treatment is unclear. The goal of the present study is to evaluate the effects of a craniotomy for CM-I decompression on scoliosis in children and adolescents. Methods The authors conducted a 10-year retrospective review of pediatric patients who were found to have a CM-I during evaluation for scoliosis. Seventy-nine patients were identified, ranging in age from 6 months to 18 years (median 12 years). There were 42 girls (54%) and 37 boys (46%). All were noted on MR imaging to have hydrosyringomyelia of the spinal cord. Forty-nine patients had curvatures less than 20° prior to treatment. The other 30 patients had curves ranging from 25° to 80° and underwent orthopedic follow-up and treatment. None of these patients were referred for specific neurological complaints, but 12 (16%) had neurological signs on physical examination. All were treated with a craniocervical decompression in a standard fashion. Follow-up ranged from 6 to 93 months with a median of 35 months. Magnetic resonance images obtained at 6 months postoperatively and serial standing anteroposterior spine radiographs were used to evaluate outcomes. Results On the MR images obtained 6 months postoperatively, 70 patients (89%) had a significant reduction in the syrinx with an associated ascent of the cerebellar tonsils. Persistent large syringes were treated with reoperation in 6 patients, and shunts were inserted for hydrocephalus in 2 patients. None of the 49 patients with curves less than 20° had progression of their curvature postoperatively. Of the 30 patients with curves greater than 25°, 9 had no change in the scoliosis or had a reduction in curve magnitude after Chiari decompression. This group required no further therapy and was effectively treated by Chiari decompression alone. Twenty-one patients required further scoliosis treatment after Chiari decompression; 12 required orthotic treatment, 11 received spinal instrumentation and fusion surgery, and 2 received orthoses followed by fusion and instrumentation. The severity of the curvature beyond 20° did not predict the need for spinal surgery. Conclusions This large series reports on the efficacy of treatment for scoliosis associated with a CM-I and syrinx in children. A CM-I decompression alone was adequate treatment for mild scoliosis of less than 20°. Patients with scoliosis greater than 20° required bracing and/or spinal fusion surgery 70% of the time in addition to the CM-I decompression.

scholarly journals A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Mansoor Shariff ◽  
Mohammed M. Al-Moaleem ◽  
Nasser M. Al-Ahmari
Keyword(s):  
Physical Activity ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Missing Teeth ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
The University

Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient’s pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.

scholarly journals Bruxism in children: Effectiveness of bite splints

2014 ◽  
Vol 2 (1) ◽  
pp. 22
Author(s):  
Marcelo Tomas de Oliveira ◽  
Talita Bressan ◽  
Saulo Pamato ◽  
Ana Carolina Niehues ◽  
Nara Farias Niehues ◽  
...  
Keyword(s):  
Informed Consent ◽  
Physical Examination ◽  
Pediatric Dentistry ◽  
Ethics Committee ◽  
Parental Informed Consent ◽  
Wear And Tear ◽  
Dental Appliance ◽  
Effective Use ◽  
The University

Purpose: The aim of this study was to evaluate the effectiveness of bite splints in the treatment of children with bruxism, reduction or elimination of symptoms and effective use of the dental appliance by patients. Methods: The sample consisted of 30 children with bruxism, aged 7 to 10 years, attending the Pediatric Dentistry Clinic of the University of Southern Santa Catarina. After approval by the ethics committee and parental informed consent agreement, children underwent anamnesis, physical examination, and alginate molding for fabrication of acrylic bite splints. The children were reassessed after 15 days and after 4, 8 and 12 months of splinting use through new clinical examination and questionnaires. Results: The use rate of bite splints shows that there was a positive correlation (rP=0.9961) between the decrease in use and time elapsed. The parafunctional habit of bruxism was no longer observed in 76.7% of the sample. It was observed that both symptoms evaluated, headache and muscular discomfort, showed a behavior that, if present at the beginning of treatment, declined during follow-up. No splint wear and tear was observed. Conclusion: There was a significant reduction in parafunctional activity, headache and muscular discomfort with the use of bite splints. The higher the persistence of patients, the higher the use rate of bite splints.

scholarly journals Restoration of Primary Anterior Teeth with Glass Fiber-Reinforced Post and Core: 3-Year Follow-Up Case Report

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Salah Afraa ◽  
Hashim Raghad ◽  
Khalid Ayam ◽  
Hamid Aeshah
Keyword(s):  
Glass Fiber ◽  
Primary Teeth ◽  
Pediatric Dentistry ◽  
Endodontic Treatment ◽  
Fiber Reinforced ◽  
Anterior Teeth ◽  
Glass Fiber Reinforced ◽  
Post And Core ◽  
Maxillary Incisors

Background. Esthetic appearance of primary anterior teeth is one of the major demands in the dental field. Destructed anterior primary teeth due to caries is considered a major issue due to the difficulty in regaining the esthetic crowns and attaching them until the normal exfoliation time. There have been many attempts and tools used to attach the composite crowns to the treated canals of primary anterior teeth. The study evaluates endodontic treatment for destructed primary maxillary incisors with a glass fiber-reinforced post as a retentive tool to hold the esthetic composite crowns until the normal exfoliation time of primary incisors. Case Presentation. A four-year-old child attending a dental clinic complained of pain of maxillary incisors. Dental examination showed irreversible pulpitis of four maxillary incisors indicated for root canal treatment and crown placement. Endodontic treatment was carried out, and a glass fiber-reinforced post was used to get successful retention for the composite crowns. Follow-up was carried out for 3 years. The 3 crowns were retained successfully until replaced by permanent incisors. One crown fell during the treatment course. Conclusion. Retention of primary teeth is one of the challenges in pediatric dentistry. Restoration of primary decayed incisors is important for child medical, physical, and psychological conditions. A glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors. This procedure opens the door for a strong tool to retain composite crowns for a long time. The glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors.

scholarly journals Aesthetic and functional rehabilitation of anterior teeth after trauma: a case report

2018 ◽  
Author(s):  
Kelly Guedes de Oliveira Scudine ◽  
Kelly Maria Silva Moreira ◽  
Micaela Cardoso ◽  
Stéphanie Marani Martins Araújo ◽  
Regina Maria Puppin-Rontani ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Preventive Treatment ◽  
Pediatric Dentistry ◽  
Mixed Dentition ◽  
Functional Rehabilitation ◽  
Patient’S Satisfaction ◽  
Anterior Teeth ◽  
The Aesthetic ◽  
Dental Injuries

Traumatic dental injuries are common clinical problems during childhood, and may have complex etiologies causing physical and physiological impairment. The aim of this study was to report the management of a severe traumatic dental injury in an 8-year-old female patient, victim of a motorcycle accident, who was taken to a pediatric dentistry clinic three months after the accident. After clinical and radiografic examination, we observed the avulsion of the permanent maxillary central incisors and of the permanent left lateral incisor, with considerable lingual interposition, interfering in speech and swallowing. The patient showed low risk of caries and good behavior during the appointments. However, she demonstrated to be embarrassed to smile. Besides the preventive treatment concerning caries, the treatment plan included immediate care and subsequent monitoring of the psychosocial reestablishment. For this purpose, an acrylic partial denture was made in order to replace the missing anterior teeth, maintaining the characteristics of the mixed dentition and preserving the aesthetics and the function. Follow-up appointments were performed one, three and six months after the first visit, aiming to monitor the adaptation of the prosthesis, as well as the growth and development of the child’s dentition. Thus, the aesthetic and functional rehabilitation was achieved regarding the patient’s satisfaction, enabling immediate social reinsertion.

scholarly journals Genetic Risk of Talon Cusp: Talon Cusp in Five Siblings

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Nuha Abdel-Rahman Elmubarak
Keyword(s):  
Family History ◽  
Rural Areas ◽  
Genetic Risk ◽  
Dental Treatment ◽  
Case Series ◽  
Anterior Tooth ◽  
Anterior Teeth ◽  
The University ◽  
Clinical Problems

Talon cusp is a rare dental anomaly that appears as a cusp-like projection on anterior teeth. Although numerous articles considering this anomaly have been published, this report has displayed a unique presentation of talon cusp. This case series is the first report in literature on which talon cusp has been presented in multiple siblings which highlights the genetic/familial component of the etiology. The report has also displayed unfamiliar morphological appearance (heart shape) of the talon cusp. Furthermore, talon cusp has shown an association with taurodontism in this report. Taurodontism has never been mentioned in the previous literature among the odontogenic variations that may associate talon cusp. A 25-year-old male has presented with talon cusps on the palatal surface of anterior teeth. Family history revealed four of his siblings had the same anomaly on anterior teeth. Talon cusps in the five cases cause clinical problems like occlusal interference, displacement and proclination of the anterior tooth, caries in the grooves delineating talon cusp, or pulp necrosis. Free dental treatment has been offered in the university clinic. However, they live in remote rural areas making it difficult to follow up with treatment.

scholarly journals Contemporary approach for space maintainers- A case report

2021 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Savitha Sathyaprasad ◽  
◽  
SH Krishnamoorthy ◽  
Anjana ◽  
Vijayanath ◽  
...  
Keyword(s):  
Functional Space ◽  
Functional Results ◽  
Well Being ◽  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Main Concern ◽  
Mini Implants ◽  
Anterior Teeth ◽  
Space Maintainer ◽  
Congenitally Missing

Mini implants have seen an evolutionary change in the phase of implant placement. The most common use for mini implant is the stabilization of over denture and orthodontic treatments, now they are used in pediatric dentistry for congenitally missing teeth and tooth loss due to trauma. Mini implants as a prosthetic replacement gives a psychological advantage to the child as it provides a feeling of his own teeth. A thirteen year old boy came to the department of pedodontics, KVG dental college, Sullia, with a chief complaint of spacing in the lower front tooth region since 4 years. On radiographic examination absence of 41, 31 were found. On model analysis, space deficiency was found in relation to the lower anterior and he was diagnosed with angle’s class I malocclusion with proclined maxxilary anterior teeth and congenitally missing lower central incisors. The patient’s main concern was on esthetics. Hence the patient was planned for a fixed provisional functional space maintainer using mini implant followed by crown prosthesis. The approach comes up with positive aesthetic and functional results that may reflect on self-esteem and social well-being of children and adolescents.

scholarly journals Case Report: Dentigerous cyst marsupialization for a child with Hunter’s syndrome

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1760
Author(s):  
Shaimaa Sabry ◽  
Dalia Moheb ◽  
Osama El Shahawy
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Cystic Fluid ◽  
Left Posterior ◽  
Musculoskeletal Systems ◽  
Department Faculty ◽  
Hunter's Syndrome

Hunter’s syndrome or mucopolysaccharidosis (MPS) type II is an inherited disorder caused by enzyme iduronate-2-sulfatase deficiency. It is characterized by involvement of the nervous, cardiovascular, respiratory, and musculoskeletal systems, along with numerous oral manifestations. This is a case report of an eight year-old girl diagnosed with Hunter’s syndrome, who was referred to the Pediatric Dentistry Department, Faculty of Dentistry, Cairo University with a chief complaint of hard swelling related to the lower left posterior area. Radiographic examination revealed well defined corticated radiolucency surrounding an unerupted lower left first molar. Aspiration was done and cytopathologic examination revealed cystic fluid mixed with blood. The case was diagnosed as a dentigerous cyst. Cyst marsupialization was done under general anaesthesia.  From this case report we concluded that in Hunter’s syndrome patients more conservative approaches are more valuable. Regular dental follow up is advised to maintain good oral hygiene, and to detect any complications as early as possible.

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