scholarly journals Dental Management in a Patient with Glanzmann’s Thrombasthenia : A Case Report

2020 ◽  
Vol 47 (3) ◽  
pp. 352-358
Author(s):  
Miran Han ◽  
Jongsoo Kim
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Clinical Symptoms ◽  
Treatment Plan ◽  
Deciduous Teeth ◽  
Excessive Bleeding ◽  
Glanzmann’S Thrombasthenia ◽  
Gingival Bleeding ◽  
Glanzmann's Thrombasthenia

Glanzmann’s thrombasthenia (GT) is a rare, autosomal recessive inherited congenital disorder, characterized by impaired blood coagulation due to platelet dysfunction. It was first reported by the pediatrician Glanzmann in 1918.GT affects both males and females, and it is more common in regions of the Middle East, India, and France, where intermarriage is common. It has an incidence of about 1 in 1,000,000 people. In South Korea, according to the Division of Rare Diseases, Korea Centers for Disease Control and Prevention, around 200 cases have been reported in 2018.Clinical symptoms include petechia, ecchymosis, epistaxis, and gingival bleeding. The spontaneous loss of deciduous teeth can result in excessive bleeding with that blood transfusion should be considered. Preventing hemorrhages and hemostasis are most important factors in dental treatment. Local bleeding can be controlled by compression, but platelet transfusion can be required by prolonged bleeding.Pediatric dentists can minimize the gingival bleeding by control of the oral hygiene to prevent gingivitis and dental caries. The importance of oral hygiene and periodic recall check-up should be emphasized. During dental treatment, the examination and the treatment plan of patient should be modified to prevention of hemorrhages carefully.A 6-year-old girl with GT was referred for the treatment of dental caries, and resin restoration was performed under nitrous oxide inhalation sedation. After treatment, compression was required for the bleeding control.

scholarly journals Dental caries in children on deciduous dentition: art and socioeconomic aspect

2017 ◽  
Vol 15 (4) ◽  
pp. 320
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Sabrynna Gonçalves Candeira Portela
Keyword(s):  
Dental Caries ◽  
Healthy Eating ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Eating Habits ◽  
Deciduous Teeth ◽  
Deciduous Dentition ◽  
Dental Services ◽  
Healthy Eating Habits ◽  
Stability Results

Aim: Determine the prevalence and incidence of dental caries in children´s deciduous teeth, who were treated with ART technique. Methods: In T1, 62 children were examined for being between 3 and 6 years of age. A questionnaire was applied to the parents or guardians of the children involved in the research, to analyze their knowledge about eating habits and oral hygiene. An intra-oral examination of children from 3 to 6 years old was carried out and dental treatment was performed by the ART technique. Six months after,(T2), the clinical examination was redone to investigate the restorations´stability. Results: In T1, 94 carie cavities were found in 19 children and 86 were recommended for restoration with ART. In T2, 58 restorations were damaged or lost and 15 children had 20 new carie cavities. Conclusion: The prevalence of dental caries in the deciduous dentition was 38.8% and the incidence was 31.9%. In T2, the majority restorations class I and II were damaged or lost. ART technique is an option, despite the high failure in ART, especially for child population with deciduous teeth that has limited access to dental services. However, restorations should be supervised and healthy eating habits implemented.

scholarly journals Dental caries in children on deciduous dentition: art and socioeconomic aspect

2017 ◽  
Vol 16 ◽  
pp. 1-10
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Sabrynna Gonçalves Candeira Portela
Keyword(s):  
Dental Caries ◽  
Healthy Eating ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Eating Habits ◽  
Deciduous Teeth ◽  
Deciduous Dentition ◽  
Dental Services ◽  
Healthy Eating Habits ◽  
The Stability

Aim: Determine the prevalence and incidence of dental caries in children´s deciduous teeth, who were treated with ART technique. Methods: In T1, 62 children were examined for being between 3 and 6 years of age. A questionnaire was applied to the parents or guardians of the children involved in the research, to analyze their knowledge about eating habits and oral hygiene. An intra-oral examination of children from 3 to 6 years old was carried out and dental treatment was performed by the ART technique. Six months after,(T2), the clinical examination was redone to investigate the stability of restorations. Results: In T1, 94 caries cavities were found in 19 children and 86 were recommended for restoration with ART. In T2, 58 restorations were damaged or lost and 15 children had 20 new caries cavities. Conclusion: The prevalence of dental caries in the deciduous dentition was 38.8% and the incidence was 31.9%. In T2, the majority restorations class I and II were damaged or lost. ART technique is an option, despite the high failure in ART, especially for child population with deciduous teeth that has limited access to dental services. However, restorations should be supervised and healthy eating habits implemented.

scholarly journals Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment

2015 ◽  
Vol 26 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Bruno César de Vasconcelos Gurgel ◽  
Carlos Roberto Batista de Morais ◽  
Pedro Carlos da Rocha-Neto ◽  
Euler Maciel Dantas ◽  
Leão Pereira Pinto ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Pocket Depth ◽  
Gingival Overgrowth ◽  
Probing Pocket Depth ◽  
Supportive Periodontal Therapy ◽  
Continuous Use ◽  
Oral Hygiene Instruction

Phenytoin-induced gingival overgrowth (PIGO) is a common complication of the continuous use of medications. This paper presents a case of PIGO hindering oral function and compromising oral hygiene and aesthetics, which was treated with a combination of nonsurgical and surgical periodontal therapies. A 39-year-old male patient was referred for dental treatment with several complaints, especially upper and lower gingival overgrowth that hindered speech and swallowing. Generalized deep probing pockets and bone loss were detected. Diagnosis of gingival overgrowth associated with phenytoin and chronic periodontitis was established. The treatment plan consisted of conservative therapy with education on oral health, motivation and meticulous oral hygiene instruction in combination with scaling and root planing. During the revaluation period, a marked reduction in the clinical parameters was noted, particularly probing pocket depth reduction. Surgical therapy for removal of gingival overgrowth was also performed to achieve pocket reduction. Supportive periodontal therapy was proposed and the patient is currently under follow-up for 4 years. Management of PIGO may be obtained by the use of periodontal procedures combined with good oral hygiene and periodontal supportive care.

scholarly journals Color/race inequalities in oral health among Brazilian adolescents

2009 ◽  
Vol 12 (3) ◽  
pp. 313-324 ◽  
Author(s):  
João Luiz Bastos ◽  
José Leopoldo Ferreira Antunes ◽  
Antonio Carlos Frias ◽  
Maria da Luz Rosário de Souza ◽  
Karen Glazer Peres ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Health Outcomes ◽  
Dental Treatment ◽  
Oral Disease ◽  
World Health ◽  
Treatment Needs ◽  
Gingival Bleeding ◽  
Untreated Dental Caries ◽  
Oral Health Outcomes

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

scholarly journals Perception Of Oral Hygiene Practices And Dental Treatment Permissible During Fasting Amongst Dental Patients: A Cross-Sectional Study In Pakistan

2020 ◽  
Author(s):  
Khaloud Tariq ◽  
Arooj Ul Hassan ◽  
Muhammad Hassan ◽  
Shahab Ud Din ◽  
Zunaira Arooj ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Root Canal ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Root Canal Treatment ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Dental Patients ◽  
Hygiene Practices ◽  
Hygiene Measures

Abstract Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.

scholarly journals Oral Hygiene Practices, Knowledge, and Self-Reported Dental and Gingival Problems with Rural-Urban Disparities among Primary School children in Lilongwe, Malawi

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
F. Mlenga ◽  
E. G. Mumghamba
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Primary Schools ◽  
Tooth Brushing ◽  
Primary School Children ◽  
Health Promotion Program ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Gingival Bleeding

Aim. To determine oral hygiene practices, knowledge, and experience of dental caries and gingival problems among urban and rural primary schoolchildren in Lilongwe District, Malawi. Methodology. This was an analytical and quantitative descriptive cross-sectional study. Four urban and four rural primary schools were conveniently sampled. Pupils aged 11–14 years (n = 409) were recruited using self-administered structured questionnaire. Data were analyzed using SPSS program v20.0. Results. Out of 409 pupils, most of them had knowledge that dental caries is caused by consumption of sugary foodstuffs (91.4%), toothache is a symptom of dental caries (77.6%), gingivitis is caused by ineffective tooth brushing (92.7%), and gingival bleeding is a sign of gingivitis (85.3%). Most pupils experienced toothache (30.8%); many of them had parents with secondary education and above (35.0%) compared to those with primary education (23.5%). 24.4% experienced gingival bleeding with higher percentages from urban (30.1%) than rural (18.5%) schools. Plastic toothbrush users (95%) overshadowed chewing stick users (24.9%). The use of chewing stick was significantly higher in rural (49%) than in urban (1.9%) schools. Likewise, tooth brushing before bed was significantly higher in rural (33%) than in urban (17.2%) pupils. The use of toothpaste during tooth brushing was significantly higher among urban (91.9%) than among rural (64%) pupils. The prevalence of tongue cleaning was 70.2%, and the differences were significantly higher among pupils who had parents with secondary and higher education in urban schools and among pupils aged 11–12 years in comparison with their counterparts. Conclusions. Most pupils reported cleaning their teeth regularly, mostly using plastic toothbrush rather than chewing stick, using toothpaste, and having adequate knowledge about dental caries and gingival disease, and a quarter of them had suffered from these diseases with evidence of rural-urban disparities. Integration of oral health in school health promotion program and further research on its impact on oral health status are recommended.

scholarly journals Life-conditions and anthropometric variables as risk factors for caries in children in Ladakh: A cross- sectional survey.

2020 ◽  
Author(s):  
MariaGrazia Cagetti ◽  
Fabio Cocco ◽  
Ezio Calzavara ◽  
Davide Augello ◽  
Phunchok Zagpoo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Relative Risk ◽  
Waist Circumference ◽  
Dental Caries ◽  
Oxygen Saturation ◽  
Oral Hygiene ◽  
Cross Sectional ◽  
Gingival Bleeding ◽  
Low Bmi ◽  
Caries Lesions

Abstract Backgrounds The aim of this survey was to evaluate the severity of dental caries among Ladakh children and its association with anthropometric and background variables. Methods This cross‐sectional epidemiological survey was conducted on Ladakh schoolchildren divided into four age groups (<6, ≥6<11, ≥11≤14 and >14 years of age). A total of 1474 schoolchildren (607 males 41.18% and 867 females 58.82%) were examined. Actual dental caries prevalence (dt/DT) and gingival bleeding were recorded by four calibrated examiners. An ad hoc questionnaire evaluated general health, eating habits, oral hygiene and the self-perception of oral conditions. Height, weight, waist circumference, heart-rate and oxygen-saturation were also collected. Responses to questionnaire items were treated as categorical or ordinal variables. Relation between children’s caries data, gingival bleeding, gender, Body Mass Index (BMI) following the International Obesity Task Force, waist circumference and questionnaire items were assessed using the Kruskal–Wallis test. Conditional ordinal logistic regression was used to analyse associations among caries severity, gender, BMI, waist circumference, oxygen saturation and questionnaire. A forward stepwise logistic regression procedure was also assessed to estimate the ORs of gingival bleeding prevalence and the covariates derived from examination or questionnaire. Results Caries was almost ubiquitarian with only 10.04% of caries-free children (dt/DT=0). Caries severity, in both primary and permanent dentitions was statistically significantly related to gender, waist circumference, BMI, oral hygiene frequency and self-reported chewing problems (p<0.01 in both dentitions). An increasing relative risk for caries in permanent dentition compared to caries-free subjects was observed in children with a low BMI (RRR=1.67, 95% CI=1.54/2.83 for subjects with 1-3 caries lesions and RRR=1.52, 95% CI=1.36/1.74 for subjects with more than 3 caries lesions); also children with reduced waist circumference had a higher relative risk to have 1-3 caries lesions (RRR=2.16, 95% CI=1.84 / 2.53) and an even higher risk to have more than 3 caries lesions (RRR=4.22, 95% CI=3.33 / 5.34). Conclusion A significant impact of untreated caries lesions was observed; low BMI values and reduced waist circumference showed to be the main caries risk predictors. Preventive and intervention programmes should be implemented to improve children's oral health living in Ladakh.

scholarly journals Hubungan Oral Hygiene Habits dengan Early Childhood Caries (ECC) pada Balita Di Kota Padang

2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Zhafirah Muharani Nasution ◽  
Reni Nofika ◽  
Susi Susi
Keyword(s):  
Early Childhood ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Sampling Technique ◽  
Strong Relationship ◽  
Deciduous Teeth ◽  
Cross Sectional ◽  
Oral Hygiene Habits ◽  
Childhood Caries

Dental caries is a disease of hard tissue of the tooth due to bacterial activities that cause loss mineral structure of the tooth. Dental caries that occur in deciduous teeth on children under 71 months is called Early Childhood Caries (ECC). Dental caries is still one of the most common dental and oral health problem experienced by children in the world. Some surveys in Cambodia and Indonesia show that a high prevalence and severity of ECC which was 90% in children aged 3-5 years. Oral hygiene habits were identified as one of the risk factors of caries. Some studies suggest that there is a strong relationship between the behavior of maintaining oral hygiene and the prevalence of dental caries. The purpose of this study is to determine the relationship between oral hygiene habits and early childhood caries on toddler in Padang. This study used cross sectional design. The samples of this study was 107 childrens aged 3-5 years in Padang. The location was selected through stratified random sampling technique and samples was selected through consecutive sampling techniques. Data was collected in Gunung Pangilun village and Piai Tanah Sirah village. Data was collected using a questionaires and intraoral examination. Data was analyzed by Chi-Square with p<0,05. The result of this study that there was a significant relationship between oral hygiene habits and ECC on toddler in Padang (p=0,008). The conclusion of this study was that oral hygiene habits is associated with early childhood caries on toddler in Padang.

scholarly journals Type I Glanzmann's Thrombasthenia in a Great Pyrenees Dog

1996 ◽  
Vol 33 (5) ◽  
pp. 503-511 ◽  
Author(s):  
M. K. Boudreaux ◽  
K. Kvam ◽  
A. R. Dillon ◽  
C. Bourne ◽  
M. Scott ◽  
...  
Keyword(s):  
Flow Cytometry ◽  
Shape Change ◽  
Deciduous Teeth ◽  
Electron Microscopic Level ◽  
Type I ◽  
Human Beings ◽  
Clot Retraction ◽  
Glanzmann’S Thrombasthenia ◽  
Platelet Morphology ◽  
Glanzmann's Thrombasthenia

An 8-month-old female Great Pyrenees dog with chronic epistaxis and a history of gingival bleeding during shedding of deciduous teeth was evaluated for platelet function. Platelet morphology was normal at both the light and electron microscopic level. Platelet number and mean platelet volume were also normal. Platelet aggregation responses to adenosine diphosphate, collagen, platelet activating factor, and thrombin were markedly reduced, although shape change responses were normal. Clot retraction was markedly impaired. Monoclonal antibody (MoAb) Y2/51, a murine anti-human platelet β3 antibody that cross-reacts with canine platelet β3 , and MoAb 5G11, a murine anti-dog platelet αIIbβ3 antibody, bound minimally to affected dog platelets, as demonstrated by flow cytometry. Binding of MoAb Y2/51 was not detectable by immunoblot. MoAb CAP1, a murine anti-dog fibrinogen receptor-induced binding site antibody, failed to bind to affected dog platelets, as demonstrated by flow cytometry. A reduction in glycoproteins αIIb and β3 was demonstrated by two-dimensional protein electrophoresis. This is the first reported case of type I Glanzmann's thrombasthenia in the dog that closely resembles the clinical syndrome and the platelet morphology described in type I Glanzmann's thrombasthenia of human beings.

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