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Abstract Patients: A 13-year-old girl was referred to the paediatric dentistry and prevention department, hospital Rabta of Tunis, Tunisia with the chief complaint of unstable old prostheses. According to clinical and radiographic manifestations, the patient was diagnosed with anhidrotic ectodermal dysplasia. The treatment began with composite resin restorations on the maxillary incisors followed by placing maxillary and mandibular removable partial dentures. Discussion: Ectodermal dysplasia is a large group of rare congenital diseases affecting the ectodermal origin tissues including sweat glands, skin, nails, hair and teeth. The frequent type is anhidrotic-hypohidrotic ectodermal dysplasia known also as Christ Siemens Touraine syndrome. It is characterized by missing teeth, hypohidrosis or anhidrosis, hypotrichosis, conic shape of teeth, everted lips, flat nose and frontal prominence. Removable dentures are the most common treatment modality reported for dental management in child
VisiterIntroduction: Incontinentia Pigmenti (IP) is a multisystem genodermatosis characterized by cutaneous, neurologic, ophthalmologic, and dental abnormalities. Skin alterations are the main characterestic of IP. They can change and even disappear over time, in contrast, dental ones are permanent and considered as the most frequent extra cutaneous signs. The aim of this work is to present two rare clinical reports of Incontinentia Pigmenti and to adress its frequent orofacial manifestations in the dental litterature. Case Reports: In this paper, we report two clinical cases of incontinencia pigmenti in two female patients, five and nine years old, who were first examined by a dermatologist due to skin changes and then referred to our pediatric dentistry department in la Rabta hospital for oral examination. We managed these cases in collaboration with the pediatric department. We also conducted a research in the following electronic databases: PubMed and google scholar using the following ke
VisiterThe prosthetic restoration of a unimaxillary edentulous arch is a complex treatment and a challenging clinical situation. This type of edentulous is more frequently encountered in the maxilla than in the mandible. It is opposed to a natural dentition, that can be the origin of aesthetic, occlusal and biological problems affecting the integration of the future prosthesis. Achieving harmonious occlusal plane and obtaining occlusal balance and aesthetic satisfaction of the patient are the principal objectives of the treatment. The practitioner must perform a reasoned analysis of the clinical case, detect the existing difficulties, and establish a strategy of adapted treatment. This article aim’s is to present, through two clinical cases, the particularities of this type of edentulism, and the therapeutic approach for the management of the aesthetic and functional difficulties.
VisiterAbstract The dentigerous cyst is the second most common odontogenic. The prevalence rates ranging from 0.8% to 3.6% in the general population. It affects people especially at the second and third decade of life with a male predilection. It presents a preference for the mandibular region particularly for the second lower premolar. Surgical marsupialization or decompression are the most conservative treatment modalities as it prevents the risks of cyst removal as nerve injuries and preserves the unerupted tooth. Two clinical cases of two young patients presenting a dentigerous cyst involving impacted teeth, which were successfully treated by decompression will be reported in order to highlight the benefits and limits of cyst decompression as well as detailing its operating protocol and its instructions. KEYWORDS conservative, dentigerous cyst, enucleation, impacted teeth, marsupialization, odontogenic cyst
VisiterAtherosclerotic lesions in the common carotid artery are one of the most frequent causes of ischemic stroke. They are usually diagnosed by cardiologists and are managed following complementary examinations. In dental practice, panoramic radiograph is a basic examination frequently performed in first line. On this radiography, possible unilateral or bilateral opacities projecting to the latero-cervical regions can be visualized, raising suspicion of carotid calcifications. The aim of this study was to present, through three cases and a review of the literature, the benefit of PR in the diagnosis of carotid calcifications and the approaches to be followed in case of such suspicious images. This would contribute, in some cases, to an early diagnosis and management, thus avoiding the evolution towards cerebral vascular accidents.
VisiterAbstract Keywords: Oral Health Surveys; Dental Implant; Implant System Introduction: This study has for purpose to report a comprehensive description of dental implant system selection criteria among a sample of dentists practicing implantology in Tunisia. Materials and Methods: A questionnaire was developed and sent to 120 dentists independently of their specialty. Responses were compiled and analyzed using the SPSS 21 Software. Results: Among 120 questionnaires distributed, we had 94 responses. Practically, half of the sample was composed of general practitioners. Clinical track record was the most important factor (86%), in addition to brand image (61, 16%). The compatibility with CAD/CAM system used in laboratory and technician’s recommendations were the least important. Conclusion: according to the results of this survey, most respondents agreed on the importance of clinical track record, the variety of implant dimensions and prosthetic accessories proposed, and the type of i
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