scholarly journals Dental prosthetic rehabilitation of Papillon-Lefèvre syndrome: a case report

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Shweta M. Patil ◽  
Suryakant B. Metkari ◽  
Shilpa Shetty ◽  
Savita Thackannwar ◽  
Sachin C. Sarode ◽  
...  

Papillon-Lefèvre syndrome (PLS) is a rare disorder characterized by palmar plantar hyperkeratosis and rapidly progressive periodontitis with loss of deciduous and permanent dentition at an early age. It is reported to occur in 1 to 4 individuals per million people. This case report presents highlighting features of the rare PLS in a 17-year old male who complained of discomfort while mastication and it was accompanied with symmetrical, sharply demarcated erythematous plaques involving the skin of the palms and soles, which extended to the finger joints, elbows, and knees. Along with the rough and dry skin, hyperhidrosis of lesion with a foul odor and transverse grooving of nails were noted. The past dental history revealed normal eruption of deciduous teeth followed by pre-mature mobility and shedding in 4-6 months. Permanent teeth also showed normal eruption and early shedding in the next 4-5 years. Complete edentulous maxillary and mandibular arches led to a decrease in alveolar bone and facial heights. There was no similar disorder in the patient’s family but family history revealed the consanguineous marriage of the patient’s parents.

Author(s):  
Fataneh Ghorbanyjavadpour

Introduction: The Size and shape of the teeth are genetic characteristics. Anomaly in tooth size and shape is due to disturbances in a sequence of morph differentiation and his to differentiation in tooth bud formation periods and is more common in permanent dentition than deciduous teeth. The most common tooth size discrepancy is in the upper lateral incisor and upper and lowers 2nd premolar teeth. About 5% of malocclusions are due to tooth size discrepancy. For having the best occlusion, we must have the appropriate size and shape of teeth. As there is a relation between deciduous and permanent teeth, proper evaluation and timely intervention are essential for achieving a good occlusion in anterior and posterior segments of permanent teeth. Thus we need interceptive orthodontic in mixed dentition period with a good treatment plan for removing the malformed tooth at the proper time and appliance therapy for eruption guidance of other teeth. Case Report: A rare tooth anomaly (double teeth) in deciduous teeth: The case reported here is a 9- years old boy with a delayed eruption of the right lower permanent lateral incisor and gemination of lower right deciduous canine and crowded upper incisors that refer to the orthodontic department of dental school of Ahvaz Jundishapur University of Medical Sciences on7th October of 2020. Conclusion: After creating patient’s file, the further steps of molding from the patient and gathering all diagnostic records such as panoramic radiography, intraoral photography was carried out and ordered to remove the malformed baby tooth afterward. In the next stage, on the patient’s treatment, we installed a strap onto the patient’s first permanent molars, remolded them, then created a lingual arch to maintain the vegetative space in the lower permanent canine and prevent its collapse, and increased the patient’s overbite.


2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Parampreet Pannu ◽  
Virat Galhotra ◽  
Pooja Ahluwalia ◽  
Ramandeep Singh Gambhir

Objective: Tooth agenesis is one of the most common congenital anomalies seen in humans. Although ab¬sence of one or more teeth is common, absence of multiple teeth is rare. Oligodontia is a rare developmental anomaly, involving agenesis of six or more permanent teeth, excluding the third molars. The reported preva¬lence of oligodontia in permanent dentition is 0.14%. Oligodontia can be presented as an isolated condition or as a part of a syndrome. Discussion: The present case report highlights a unique case of non-syndromic oligodontia, with agenesis of four permanent incisors, left permanent canine and right second premolar in the mandibular arch and its management with a novel fixed functional prosthetic appliance. Conclusion: Prosthetic rehabilitation is an urgent need for these kind of patients so that they do not suffer from mastica¬tory and esthetic problems which can eventually lower the self esteem of individuals.


2021 ◽  
pp. 105566562110582
Author(s):  
Aline Cristina da Silva Trevizan ◽  
Andréa Guedes Barreto Gonçales ◽  
Bruna Stuchi Centurion Pagin ◽  
Otávio Pagin ◽  
Lucimara Teixeira das Neves

Van der Woude syndrome (VWS) is a rare syndrome of genetic etiology, commonly occasioned by mutations in the IRF6 gene and that causes disorders in craniofacial development. VWS is characterized by the presence of paramedian fistulas in the lower lip and cleft lip and / or cleft palate. Although some dental phenotypes have been reported in this syndrome, multiple and rare hypodontias were not described. Through this case report, we present a case of Van der Woude Syndrome (VWS) with rare and multiple hypodontia in which clinical data and radiographic exams were evaluated. The patient presented hypodontia of eight permanent teeth (lateral incisors, second premolars and second molars). So, when the dentist recognizes multiple and/or rare hypodontias, for an accurate diagnosis, detailed examination of the lower lip is indicated, as well as a survey of the family history and referral for genetic counseling, since the syndrome presents high penetrance. The patient is expected to be rehabilitated to have a good quality of life. Rehabilitation in these cases requires alveolar bone graft, orthodontics and prosthesis to replace missing teeth.


2013 ◽  
Vol 7 (3) ◽  
pp. 181-183
Author(s):  
A Agarwal ◽  
P Gupta ◽  
M Goel ◽  
N Jindal ◽  
J Batra

ABSTRACT Odontomes arise as a result of an aberration in the tissues responsible for the formation of teeth. Though regarded as tumors or hamartomas in the past they are now usually regarded as variations in development of malformations. A 15 yr old female patient with complaint of swelling and mobility of upper anterior teeth diagnosed as complex Odontomes of anterior maxilla managed with enucleation. Odontomes are diagnosed in the second decade of life and are commonly associated with delayed eruption and displacement of related permanent teeth which is sometimes accompanied by retention of deciduous teeth and swelling. The treatment of the Odontomes is surgical removal and there is no expectancy of recurrence. Since both the ameloblastic odontoma and the ameloblastic fibro-odontoma bear great resemblance to the common Odontomes, particularly on the radiographs it is suggested that all Odontomes be sent for histopathological examination.


2008 ◽  
Vol 1 ◽  
pp. CCRep.S713 ◽  
Author(s):  
Flávia dos Santos Moraes ◽  
Andrέa Gonçalves Antonio ◽  
Marta Lua Pimentel Winz Almeida ◽  
Rodolfo de Almeida Lima Castro ◽  
Roberto Vianna

Pseudomonas aeruginosa is an opportunistic bacterium that usually affects immunocompromised patients, causing infections whose signals and symptoms are related to the affected organ. The patient presented in this article was infected when he was 9 months old. Such condition led to certain alterations like dental improperly positioned teeth, retained deciduous teeth, hipodonty of permanent teeth, atrophy of the upper jaw and dental crowding. Therefore, the purpose of this article is to report the case of a patient affected by Pseudomonas aeruginosa infection in the early childhood and to describe the dental development disorders as consequence of this fact.


2009 ◽  
Vol 33 (4) ◽  
pp. 289-294 ◽  
Author(s):  
Vipin Arora ◽  
Pooja Arora ◽  
AK Munshi

Tooth derived cells are readily accessible and provide an easy and minimally invasive way to obtain and store stem cells for future use. Banking ones own tooth-derived stem cells is a reasonable and simple alternative to harvesting stem cells from other tissues. Obtaining stem cells from human exfoliated deciduous teeth (SHED) is simple and convenient, with little or no trauma. Every child loses primary teeth, which creates the perfect opportunity to recover and store this convenient source of stem cells – should they be needed to treat future injuries or ailments and presents a far better alternative to simply discarding the teeth or storing them as mementos from the past. Furthermore,using ones own stem cells poses few, if any, risks for developing immune reactions or rejection following transplantation and also eliminates the potential of contracting disease from donor cells. Stem cells can also be recovered from developing wisdom teeth and permanent teeth. Individuals have different opportunities at different stages of their life to bank these valuable cells. It is best to recover stem cells when a child is young and healthy and the cells are strong and proliferative. The purpose of this review is to discuss the present scenario as well as the technical details of tooth banking as related to SHED cells.


2017 ◽  
Vol 80 (4) ◽  
pp. 415-426 ◽  
Author(s):  
Nataliia Valentinovna Yanko ◽  
Andrij Vladislavovich Artemyev ◽  
Lyudmyla Fedorivna Kaskova

AbstractIn this paper we determine the caries frequency in children of the Early Iron Age (EIA) (the 9th - the 3d centuries BC) and the Medieval populations (the 8th - the beginning of the 15th century AD) from the Ukraine area, and compare the results with the data from several European populations who lived at the same time. The EIA is presented by 41 children skeletons, three of which were Cimmerian (the 9th - the 7th centuries BC) from the territory of contemporary Poltava region; 38 skulls from the territory of contemporary Poltava region and Crimea represented Scythian period (the 7th - the 3d centuries BC). Remains of 24 children from the Medieval populations were also examined, three of which were the ancient Hungarians from the Poltava region (the 8th - the 9th centuries AD), 6 Khazars from the Kharkiv region (the 8th - the 9th centuries), 1 child related the Old Rus culture from the Kyiv region (the 9th century), and 14 representatives of the nomadic populations in the Golden Horde period (the 13th - the beginning of the 15th century) from the Poltava and Zaporizhzhya regions. Taking in consideration the letter archaeobotanical studies we suggest that there were no major changes in the plants exploited during all the studied periods. The frequency of carious lesions in children from the Medieval populations (8.3% in individuals, 0.5% in deciduous teeth, and 0.4% in permanent teeth) is only slightly higher than those from the EIA period (2.4% in individuals and 0.2% in deciduous teeth). These indexes were not larger those of majority of European populations dated to the same historic period. Further isotopic, chemical and palaeobotanical studies of the additional sites, with sufficient sample sizes, allow us to learn so much more of the cariogenic factors in children of the past populations from the Ukraine area.


2019 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Vo Truong Nhu Ngoc ◽  
Tong Minh Son ◽  
Le Thi Thuy Linh ◽  
Le Quynh Anh ◽  
Nguyen Minh Duc ◽  
...  

Humans have two sets of teeth, deciduous teeth and permanent teeth. When primary teeth fall out, permanent teeth erupt to maintain the chewing function and jaw development. Shedding occurs with increasing level of mobility in primary teeth as a result of root resorption. This report describes an uncommon clinical case that occurred in primary molars with internal resorption and pinkish discoloration. Pink tooth is worrisome for children and parents. Children should have their teeth examined on a regular basis to detect any problems in the process of tooth shedding and eruption.


2018 ◽  
Vol 14 (3) ◽  
pp. 237-245
Author(s):  
Ewa Popławska ◽  
Barbara Tymczyna-Borowicz ◽  
Monika Smyl-Golianek ◽  
Katarzyna Wieczorek

Tooth eruption disorders are a significant problem in clinical practice of a dental surgeon. They are observed in three forms: retention/impaction, primary and secondary retention. A retained tooth is by definition fully formed and after its physiological eruption time it still remains in the bone. Primary retention is the result of a genetic defect in the eruption mechanism (a mutation in the PTHR1 gene) and it is diagnosed before tooth eruption, with characteristic retention of distal teeth in relation to the first tooth that is affected. Secondary retention of eruption is caused by ankylosis. <b>Case report.</b> The female patient, aged 15 years and 4 months, presented at the Outpatient Clinic of Maxillary Orthopaedics at the Dental Clinical Centre of the Medical University of Lublin. The radiological and intraoral examinations showed numerous tooth eruption disorders and hypodontia of the tooth 42. Treatment plan: A cone beam CT examination to determine the structure and location of retained teeth 13, 17 and the stage of reinclusion of the tooth 55. Scheduling a surgical procedure. Delaying orthodontic treatment – observation of eruption of teeth 13 and 17. Performing the radiological examination again, after 6 months, in order to assess the dimensions of the maxillary alveolar process near teeth 14 and 16. <b>Discussion.</b> Eruption disorders are often associated with other dental abnormalities, and therefore additional examinations are required. Due to its slow and asymptomatic course, reinclusion often remains unnoticed. Its recognition in the early stages of the patient's development allows to avoid the occurrence of dentoalveolar complications. <b>Conclusions.</b> CBCT in cases of eruption disorders of permanent teeth or reinclusion of deciduous teeth increases the likelihood of a correct diagnosis.


2019 ◽  
Vol 3 (2) ◽  

Study Background: Papillon Lefevre Syndrome (PLS) is an autosomal recessive inherited genetic disorder characterized by palmoplantar hyperkeratosis and premature loss of deciduous and permanent teeth. Mutation of cathepsin C gene has been detected in the patient with PLS. In this case report, oral and radioghaphic findings of one PLS patient were discussed. 14 year old male patient diagnosed with PLS after radiographic, dermatologic and dental examination was referred to our clinic due to severe gingival inflamation and mobility. Severe gingival inflamation, alveolar bone resorption and multiple teeth loss due to periodontal reasons were observed. Mild palmar and moderate plantar hyperkeratosis were observed but no other systemic problems were detected. Methods: Non-surgical periodontal treatment was perfomed among multiple sessions and in each session subgingival tissues had been irrigated with %2 chlorhexidine irrigation solution. To reduce severe gingival inflammation antibiotherary has been prescribed. Hopeless teeth were extracted. Results: After non-surgical periodontal treatment and antibiotherary severe gingival inflammation was reduced but not eliminated completely, mobility score of some teeth reached to zero score, patient was motivated about oral hygiene and was taken into maintanence phases. After having extracted hopeless teeth patient was directed for prosthodontic rehabilitation. Conclusion: PLS is a rare autosomal recessive disorder. With PLS-specific dermatologic findings and characteristic periodontal view, it is possible to be able to identify the disease in its very early stages. Early diagnosis of the disease and institution of an appropriate periodontal and antimicrobial treatment might improve the prognosis.


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