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Special Care in Dentistry

Akshara Singh, Hind Pal Bhatia, Shveta Sood, Naresh Sharma, Amit Mohan
Floating-Harbor syndrome (FHS) is a rare genetic condition characterized by distinct facial features, short stature and delayed skeletal development. Here we present case of a 14-year-old boy with short stature, typical facial features, impaired voice quality, clinodactyly, cryptorchidism and unilateral agenesis of kidney. In addition he had oligodontia and ankyloglossia with features suggestive of FHS. Treatment rendered was restoration of caries, application of pit and fissure sealants followed by frenectomy...
December 6, 2017: Special Care in Dentistry
Raquel Maria de Castro Soares de Barros, Rosana de Fátima Possobon, Estêvão Azevedo Melo, Livia Fernandes Probst, Luciane Miranda Guerra, Karine Laura Cortellazzi, Gláucia Maria Bovi Ambrosano
AIM: To investigate whether quality of life of mothers is related to oral health of disabled children. METHOD: This is an analytical cross-sectional study, based on interviews with 49 mothers and oral clinical examination (DMFT and OHI-S) in children with disabilities from 2 to 6 years old, assisted by the Rehabilitation Center of Piracicaba, SP. Mothers answered WHOQOL BREF quality of life instrument and Multidimensional Health Locus of Control Scale. Data analysis was performed with descriptive statistics, Chi-square test, Fisher's exact test, and multiple logistic regression...
December 6, 2017: Special Care in Dentistry
Roberto Carlos Mourão Pinho, Larissa Bastos Pimentel, Francisco Alfredo Farias Bandeira, Rayanne Soraia Aguiar Melo Dias, Renata Cimões
Diabetes mellitus (DM) is a metabolic disease defined by hyperglycemia, which is associated with periodontal disease and exerts an effect on bone metabolism. The aim of this study was to determine serum levels of sclerostin in postmenopausal women with diabetes and determine a possible association with periodontal disease. Sixty-one postmenopausal women (32 with diabetes and 29 without diabetes) were evaluated. Blood was collected for biochemical analysis and the determination of serum sclerostin. The participants were also submitted to a clinical examination for the evaluation of periodontal status...
December 1, 2017: Special Care in Dentistry
Sabarinath Prasad, Sreeja Ravindran, Vasanth Radhakrishnan, P V Hazarey, Amit Vanka, Bhavya Rajan
BACKGROUND: Primary surgical repair of the bilateral cleft lip and palate (BCLP) deformity is challenging. Infant Orthopedic (IO) procedures are often used to assist surgical reconstruction of normal anatomy. Nasoalveolar molding (NAM) is a presurgical infant orthopedic procedure that attempts to reduce the cleft nasal deformity, in addition to the lip and alveolus, leading to an esthetic primary surgical repair. OBJECTIVE: NAM provides the surgical team with a better foundation for an easier and more esthetic single stage repair at the level of nose in addition to the lip and alveolus...
December 1, 2017: Special Care in Dentistry
Manal Al Halabi, Mohammed Bin Rashid
No abstract text is available yet for this article.
December 1, 2017: Special Care in Dentistry
Abdul Ahad, Shazra Tasneem, Arundeep Kaur Lamba, Saif Khan
Self-inflicted injury to oral mucosa is a rare entity. These injuries can be premeditated, accidental, or can result from an abnormal habit. These uncommon gingival injuries can sometimes test the clinician's diagnostic abilities as well as treatment planning skills. In conventional treatment, removal of etiology and application of topical drugs is usually sufficient for healing. However, some cases require alternative or adjunctive wound healing methods. Low-level laser therapy (LLLT) has been reported to be effective in pain management and improvement in wound healing through promotion, fortification, and commissioning of cellular cycle to generate productive and substitute cells...
November 23, 2017: Special Care in Dentistry
Y Rajmohan Shetty, Anisha Keshan, Amitha M Hegde, Manju R, Ashutosh Shetty
Anterior open bite (AOB) is one of the most difficult malocclusions to treat and maintain in orthodontics. Malocclusion occurs more frequently in children with disabilities than in healthy children. Surgical correction of severe AOB often requires maxillary impaction to reduce the anterior facial height. The zygomatic buttress area could be a valuable anchorage site to achieve intrusion of maxillary posterior teeth. A 16-year-old boy with mental retardation showing signs of persistence of infantile behavior, decreased cognitive functioning, and psychomotor skill deficits (no identified syndrome) with an AOB was treated by intrusion of maxillary posterior teeth using I-shaped multipurpose titanium miniplate (SK Surgicals, India)...
November 23, 2017: Special Care in Dentistry
Giselle Rodrigues Ribeiro, Camila Heitor Campos, Renata Cunha Matheus Rodrigues Garcia
AIM: To evaluate changes in prosthesis hygiene in elders with Parkinson's disease (PD) in response to verbal instruction and positive reinforcement. METHODS AND RESULTS: Elders with removable prostheses were divided into PD (n = 17) and control (n = 20) groups. Biofilm on prostheses was measured at baseline, and verbal instructions on prosthesis hygiene were given. After 7, 14, and 30 days, biofilm presence was re-evaluated and the results were shown to participants, with repeated cleaning instruction...
November 21, 2017: Special Care in Dentistry
Andreia Drawanz Hartwig, Vanessa Müller Stüermer, Ivam Freire da Silva-Júnior, Lisandrea Rocha Schardosim, Marina Sousa Azevedo
AIM: To assess the effects of an oral health education strategy targeted at students with disabilities. METHODS: This quasi-experimental study included students aged 7 to 24 years. The intervention was conducted for 5 weeks and divided into 2 phases: (1) comprising supervised toothbrushing and educational activities to students; (2) verbal oral health instructions and oral hygiene demonstration targeted at the caregivers. A clinical examination was conducted to evaluate the dental debris and gingival bleeding before the intervention, and the Wilcoxon test was performed after phase 1 and 2 for comparisons between paired samples...
November 15, 2017: Special Care in Dentistry
Nitesh Tewari, Vijay Prakash Mathur, Vikender Singh Yadav, Prabhat Chaudhari
Leukocyte adhesion defect I is a rare disorder (1:1,000,000) caused by diminished expression of CD-18 β2 integrins on leukocytes leading to abnormal adhesion, migration, and chemotaxis. Clinical manifestations include delayed separation of umbilical cord, omphalitis, recurrent severe infections, impaired wound healing, persistent oral ulcers, and severe periodontitis in primary and permanent dentition. A 5-year-old girl, second-born child to parents with consanguinity, presented with pain and mobility of lower teeth...
November 15, 2017: Special Care in Dentistry
Y Hassona, H Kharoub, C Scully
Fraser syndrome is a rare autosomal recessive disorder characterized by renal agenesis, cryptophthalmos, syndactyly, and laryngeal stenosis. Oral manifestations are sparsely described in the literature, and patients with this syndrome might require special dental management considerations because of the associated cardiac, renal, and cognitive defects. In this report, we describe the oral/dental findings in a 22-year-old girl with Fraser syndrome, and discuss the dental management.
November 9, 2017: Special Care in Dentistry
Masahiro Heima, Lisa J Heaton, Henry H Ng, Elisabeth C Roccoforte
AIMS: The aims of this study were to: (1) evaluate the level of dental fear among transgender individuals and (2) investigate specific predictors of dental fear in individuals who identify as transgender. METHOD AND RESULTS: An anonymous survey among transgender adults was conducted using both a web-based and paper survey. The survey included the Dental Fear Survey (DFS), history of hormonal interventions, perceived gender roles, and demographic information. The bivariate analyses did not show a significant difference in DFS between sex assigned at birth (p = 0...
October 17, 2017: Special Care in Dentistry
Natália Cristina Ruy Carneiro, Tahyná Duda Deps, Esdras Campos França, Eugênia Ribeiro Valadares, Isabela Almeida Pordeus, Ana Cristina Borges-Oliveira
AIMS: The purpose of this study is assess the association between mother's Sense of Coherence (SOC) and the oral health status of children with and without mucopolysaccharidosis (MPS). METHODS: A cross-sectional study was carried out with 29 children/adolescents with MPS and 29 children/adolescents without MPS, and their mothers in Brazil. Mothers completed the Antonovsky's SOC instrument (SOC-13) and their children's oral cavity had been examined for developmental defects of enamel (DDE), occlusal problems, dental caries (DMFT/dmft) and oral hygiene...
October 8, 2017: Special Care in Dentistry
Jéssica Antoniana Lira E Silva, Ítalo de Macedo Bernardino, José Régis Cordeiro da Silva, Tomas Lucio Marques de Almeida Lima, Renata de Souza Coelho Soares, Sérgio d'Ávila
PURPOSE: To evaluate quality of life related to oral health (QoLROH) of Brazilians undergoing hemodialysis and to identify associated factors. MATERIAL AND METHODS: A cross-sectional study was conducted with 226 patients undergoing hemodialysis at two reference medical centers. Participants answered a sociodemographic questionnaire and the Brazilian version of the Oral Health Impact Profile (OHIP-14). Descriptive and multivariate statistics using Decision Tree Analysis by the Chi-square Automatic Interaction Detector (CHAID) algorithm, as well as Ordinal Logistic Regression analyses were performed...
September 24, 2017: Special Care in Dentistry
Natália Freire de Almeida, Sabrina de Castro Brasil, Dennis de Carvalho Ferreira, Luciana Armada
OBJECTIVES: To evaluate the CD68 immunoexpression in post-treatment apical periodontitis lesions of older patients and compare them with lesions of younger/middle age adults. METHODS: Biopsy specimens from 21 apical periodontitis lesions (12 granulomas and 9 cysts) were selected from older patients and 25 apical periodontitis lesions from younger/middle age adults (12 cysts and 13 granulomas) were selected and analyzed by immunohistochemistry using silanized slides with anti-CD68 antibody...
September 5, 2017: Special Care in Dentistry
Yazan Hassona, Abeer Al-Hadidi, Thaer Abu Ghlassi, Hanin El Dali, Crispian Scully
Pfeiffer syndrome is a rare fibroblast growth factor receptor-related craniosynostosis with variable clinical presentations. We describe new dental findings of hypodontia, microdontia, dilacerations, and radicular dentin dysplasia in a 19-year-old girl, and discuss the oral health management.
August 28, 2017: Special Care in Dentistry
Tiago Novaes Pinheiro, Flavio Fayad, Luiz Roberto Magalhães Júnior, Brigitte Nichthauser, Francisco Braga, Shirley Maria Passos
We report a unique case of a potassium aluminum sulfate oral dissolution leading to palatal chemical necrosis and extensive chemical ulcers on the tongue. The patient, a 47-year-old white, blind male, denied using cocaine or other illegal drugs that could cause such lesions. His self-medication started as a treatment for a traumatic ulcerative lesion on the hard palate. After palatal perforation, he started another self-medication routine, mixing corticoid cream and tandrilax tablets with a gauze obturator...
August 22, 2017: Special Care in Dentistry
Alexandra Mussolino de Queiroz, Juliana Arid, Fabrício Kitazono de Carvalho, Raquel Assed Bezerra da Silva, Erika Calvano Küchler, Regina Sawamura, Lea Assed Bezerra da Silva, Paulo Nelson-Filho
A strong association between celiac disease (CD) and dental enamel defects (DEDs) have been extensively reported, however, the nature of this relationship is still unclear. The aim of this study was to evaluate DEDs phenotype in CD individuals according to the time they were introduced to a gluten-free diet (GFD). Forty-five CD individuals were examined by a pediatric dentist. DEDs were classified according to the type of affected teeth. CD individuals were classified into two groups (with or without DEDs) and the differences between these groups were tested using chi-square or Fisher´s exact tests and t-test to compare differences between means...
July 2017: Special Care in Dentistry
Natália Cristina Ruy Carneiro, Luisa Ribeiro Monteiro, Isabela Almeida Pordeus, Ana Cristina Borges-Oliveira
AIMS: Identify factors associated with the presence of oral sucking habits among children with Down syndrome (DS) and cerebral palsy (CP). METHODS: The sample consisted of 181 children with DS or CP from two public healthcare institutions that treat children with special needs in the city of Rio de Janeiro, Brazil. The children's mothers answered a questionnaire about the individual and behavioral characteristics and the medical history of their children. The study was approved by the Research Ethics Committee of Universidade Federal de Minas Gerais...
July 2017: Special Care in Dentistry
H Barry Waldman, Steven P Perlman, Allen Wong
A recent series of reports in Health Affairs reviewed the disparities in securing needed oral health services in the U.S. Despite an extensive oversight of the many issues involved, no direct mention is made of the particular conditions of the largest minority population in the U.S. unable to access dental care-the tens of millions of individuals with special health care needs. A review is provided of the particular barriers and conditions faced by this increasing population in its efforts to secure needed services...
July 2017: Special Care in Dentistry
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