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Special Care in Dentistry

Angela Pia Cazzolla, Nunzio Francesco Testa, Gianfranco Favia, Maria Grazia Lacaita, Domenico Ciavarella, Khrystyna Zhurakivska, Giuseppe Troiano, Lorenzo Lo Muzio
Langerhans cell histiocytosis (LCH) is a childhood pathology with a peak of incidence ranging from 1 to 4 years of age, though diagnosis is often made in adult age. LCH is clinically classified into three types: eosinophilic granuloma, Hand-Schuller-Christian disease and Abt-Letterer-Siwe disease. We report a case of Hand-Schüller-Christian disease with diabetes insipidus, skull and maxillary involvement in a 16-year-old boy referred to our observation for gradual increase in mobility of the teeth and subsequent gradual loss of the second premolars and the first molars of the upper jaw...
February 8, 2018: Special Care in Dentistry
Robert G Henry, Ted P Raybould, Kelli Romond, Dimitrios E Kouzoukas, Sandra D Challman
The purpose of this study was to -examine the use of oral clonidine as a preoperative sedative prior to parenteral moderate sedation. Initially, four patients were given 0.2 mg oral clonidine but reduced to 0.1 mg clonidine due to -significant drops in blood pressure. Oral clonidine doses of 0.1 mg were then given to 19 patients preoperatively. In all these patients, blood pressure measurements decreased, but there were no significant differences in amounts of sedative agents needed in the clonidine group and the control group (N = 80)...
January 24, 2018: Special Care in Dentistry
Jefferson da Rocha Tenorio, Marília Andrade Figueiredo, Aline Espindula, Marina Gallottini, Karem López Ortega
Moebius' syndrome (MS) is characterized by a nonprogressive facial palsy associated with impairment in eye abduction, which can be uni- or bilateral. Some authors raise the possibility that patients with MS may suffer from social stigmatism due to their facial dysmorphism and that constant teasing and bullying perpetrated by people in the same social circle are adjuvants in the development of low self-esteem, behavioral problems, and even psychiatric disorders. Psychological stress, anxiety, and depression are factors contributing to both development and impairment of autoimmune diseases, such as systemic lupus erythematosus (SLE)...
January 22, 2018: Special Care in Dentistry
Marcio A da Fonseca, Matthew Strumpf
No abstract text is available yet for this article.
January 18, 2018: Special Care in Dentistry
Márcia Pereira Guaita, Maristela Pereira, Vera Lúcia Nocchi Cardim, Flávia Gonçalves, Sérgio Allegrini Júnior
AIMS: The aim of this study was to evaluate elastic distraction surgical procedures performed on patients with syndromic craniosynostosis using cephalometric analyses. METHODS: Eleven patients who underwent surgical midfacial advancement were divided into three groups: G1 - monobloc frontofacial; G2 - Le Fort III; and G3 - high-level Le Fort I. The cephalometric analyses were manually created through cephalometric radiographs of each patient: T1 - preoperative; T2 - 6 months postoperatively; and T3 - 12 months postoperatively...
January 18, 2018: Special Care in Dentistry
Agnes Lau
AIM: The purpose of this retrospective chart review study was to determine if the length of residents' comprehensive dental care rotations in a general practice residency affected late cancellations, broken appointments, completion of treatment, timeliness of recall visits, emergency visits, and the need for redo of restorations and prostheses. METHODS: Patients who presented for comprehensive care from 2010 to 2013, during which residents had 3- to 4-month dental clinic rotations, comprised Group 1, and patients who presented for comprehensive care from 2013 to 2016, during which residents had 11-month dental clinic rotations, comprised Group 2...
January 16, 2018: Special Care in Dentistry
L Susan Taichman, Catherine H Van Poznak, Marita R Inglehart
AIM: The objectives are to compare responses of breast cancer (BCa) treatment groups (chemotherapy, tamoxifen, and aromatase inhibitors (AIs) to each other and a control regarding (a) subjective oral health, (b) oral health-related behaviors, (c) oral health-related concerns, and (d) communication with health care providers. METHODS: Survey data were collected from 140 postmenopausal BCa patients and 41 healthy postmenopausal control respondents. RESULTS: BCa patients reported on average more frequent mouth sores/mucositis (5-point scale with 1 = never: 1...
January 16, 2018: Special Care in Dentistry
S Vishnu Prasad, Madan Kumar, Mahesh Ramakrishnan, Dhanalakshmi Ravikumar
No abstract text is available yet for this article.
January 15, 2018: Special Care in Dentistry
Rafaela de Oliveira Torres, Andréa Vaz Braga Pintor, Fábio Ribeiro Guedes, Liana Bastos Freitas-Fernandes, Anneliese Lopes Barth, Dafne Dain Gandelman Horovitz, Ivete Pomarico Ribeiro de Souza
We described herein the oral and craniofacial features of a 7-year-old boy, diagnosed in utero with mucopolysaccharidosis II (MPS II), who was treated with hematopoietic stem cell transplantation (HSCT) at 70 days of age. The main oral clinical findings were the following: macroglossia, posterior cross-bite, crowding, pointed cuspid teeth, delayed tooth eruption, retained primary teeth, and enamel hypoplasia. The image examination showed: retention eruption, posterior primary teeth with short roots, absence of some permanent teeth, and stretching of the stylohyoid processes bilaterally...
January 4, 2018: Special Care in Dentistry
Ivette Estrada, Carol Kunzel, Eric W Schrimshaw, Ariel P Greenblatt, Sara S Metcalf, Mary E Northridge
AIM: Persistent socioeconomic disparities in the oral disease burden contribute to pain and suffering among vulnerable and underserved populations who face systemic barriers to access oral health care, including older adults living in disadvantaged urban neighborhoods. The aim of this study is to gain the views of racial/ethnic minority older adults regarding what they believe would support them and their peers in visiting the dentist regularly. METHODS AND RESULTS: Focus groups were conducted and digitally audio-recorded from 2013 to 2015 with 194 racial/ethnic minority women and men aged 50 years and older living in northern Manhattan who participated in one of 24 focus group sessions about improving oral health for older adults...
January 4, 2018: Special Care in Dentistry
Ryan Rucker, Patrick B Barlow, Jennifer Hartshorn, Laura Kaufman, Becky Smith, Anastassia Kossioni, Leonardo Marchini
PURPOSE/AIM: This work presents the preliminary validation of a novel scale assessing ageism attitudes among dental students. METHOD AND MATERIALS: A 27-question scale was created based on existing ageism scales. The new ageism scale was applied to 144 dental students. Content validity was achieved by experts' consensus. Questions whose deletion increased the overall α, loading < 0.40, loading on more than one factors, or those unexpectedly grouped in another factor were thoroughly examined...
January 4, 2018: Special Care in Dentistry
Raghavendra M Shetty, Aditi Pashine, Nijo A Jose, Somasundar Mantha
AIM: To assess and compare the role of IQ on anxiety and behavior of children with and without hearing and speech impairment. MATERIAL AND METHODS: A total of 120 children of age group 7-14 years were included in the study, of which control group comprised of 60 normal healthy children and 60 hearing and speech impaired children formed the study group. The study was done in two consecutive sessions. First appointment for Culture Fair Intelligence Test and second appointment for RMS pictorial anxiety score (RMS-PS) and Frankl behavior rating which were assessed during oral prophylaxis...
January 4, 2018: Special Care in Dentistry
Sheikha Al-Raeesi, Mawlood Kowash, Amar Hassan, Manal Al-Halabi
AIMS: The purpose of this study was to identify special oral and dentofacial manifestations of β-thalassemia major (ΒTM) in Emarati children in Dubai (UAE). MATERIALS AND METHODS: A total of 38 (ΒTM) and 76 healthy Emirati children were recruited. An oral examination was conducted to determine dmft/DMFT indices, Simplified Oral Hygiene Index, occlusal anomalies, dentofacial, and soft-tissue abnormalities. RESULTS: ΒTM children had significantly higher DMFT compared to the healthy controls (p-value, 0...
December 26, 2017: Special Care in Dentistry
Lia Silva de Castilho, Mauro Henrique Nogueira Guimarães Abreu, Luiz Gustavo de Almeida Pires E Souza, Leiliane Teresinha de Almeida Romualdo, Maria Elisa Souza E Silva, Vera Lúcia Silva Resende
AIM: To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities. DESIGN: This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, education level of mother, International Code of Diseases (ICD), mouth breathing, use of anticonvulsant drugs, hyperkinesis, pacifier use, thumb sucking, seizure, and involuntary movements...
December 26, 2017: Special Care in Dentistry
Noirrit Emmanuelle, Chabreron Olivier, Nasr Karim, Esclassan Rémi
After a dental trauma, difficulties of communication and the consequences of the complex clinical situation often make regular chairside oral care long and complicated for special needs patients. The aim of this case report is to show how CAD/CAM technology may help in the prosthetic treatment of a clinical situation by keeping the number and duration of clinical sessions to a minimum while enabling a good aesthetic and functional result to be achieved in the long term.
December 18, 2017: Special Care in Dentistry
Natália Bertolo Domingues, Matheus Racy Mariusso, Marcia Hiromi Tanaka, Raquel Mantuaneli Scarel-Caminaga, Marcia Pinto Alves Mayer, Fernanda Lourenção Brighenti, Ângela Cristina Cilense Zuanon, Flávia Kazue Ibuki, Fernando Neves Nogueira, Elisa Maria Aparecida Giro
AIM: To investigate salivary parameters between children with Down Syndrome (DS) and without DS. MATERIALS AND METHODS: Stimulated whole saliva was collected from 18 children with DS and 23 without DS. Salivary flow rate, pH, and salivary buffering capacity were determined. Cariogenic microorganisms were quantified by culture, and periodontopathogens by quantitative real-time polymerase chain reaction. The antioxidant profile was quantified spectrophotometrically, while malondialdehyde (MDA) was quantified by high-performance liquid chromatography...
December 12, 2017: 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
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