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Abstract The Median Solitary Maxillary Central Incisor Syndrome (SMMCI) is a rare developmental disease comporting several defects found on the body midline. The aim of this report was to describe multiple cranio-facial characteristics of a 10-years-old girl diagnosed with SMMCI, and discuss the dental treatment options in such young patients.
VisiterAbstract Context: Prescribing is not an insignificant act and the knowledge that recommendations exist does not mean that they are integrated by practitioners. Exceptionally in pediatric dentistry, prescribing is never systemic and requires special attention. Indeed, vigilance must be redoubled because children’s bodies are not as mature as those of adults. Aims: Evaluate the degree of knowledge of the recommendations and the quality of prescribing for children in a population of Tunisian free practice dentists. Setting and design: A descriptive study involving 154 free practice Tunisian dentists was conducted. Methods: It was performed using a questionnaire composed of 57 questions. Statistical analyses: SPSS 24.0 and Microsoft Excel 2010 software. Significance was considered for p<0.05. Results: This study showed that 90.9% of the participants were used to update their knowledge. The most prescribed antibiotic for curative antibiotic therapy with no known risk of beta-lactam al
VisiterAbstract The mandibular complete denture is a challenge for the dentist. Unfavorable anatomical and physiological conditions such low bearing surface and a significant bone resorption, often compromise the prosthetic retention. For this, prosthodontic practice should always concentrate on procedures that prevent the excessive loss of jaw bone and those that contribute in maintaining the alveolar ridge height. Overdentures are one such option wherein roots prevent alveolar bone resorption, provide better load transmission, maintain sensory feedback and achieve better stability of denture with emphasis on psychological aspect of not being completely edentulous. Additionally, the exploitation of residual roots is a reliable alternative that leads to a better prosthetic integration by increasing the retention by the use of attachments. This article illustrates the contribution of the axial attachment (CekaPreci Line) in the prosthetic balance optimization of a mandibular supra-rad
VisiterTooth impaction is a frequent phenomenon in patients with craniofacial syndrome, and the oral rehabilitation of such cases is considered a therapeutic challenge for the clinician. Placing implants in contact with impacted teeth may provide an alternative treatment for patients who refuse invasive surgery, and for whom orthodontic traction and surgery are not possible. However, the absence of evidence-based guideline protocols may sometimes lead to inappropriate execution by the clinician. This study aims to describe a case of early failure of an implant placed in contact with dental tissue and to identify the factors associated with implant failure to uncover and prevent their causative mechanisms.
VisiterAbstract Introduction: This case illustrates the healing of large trauma-induced periapical mandibular and maxillary pocket cysts in a 16-year-old female patient after a nonsurgical endodontic treatment. Dental pulp infection might be the result of tooth decay, trauma, and operative dental procedures. Pulp infection generally leads to the total pulpal necrosis. It stimulates the development of an immune response in the periapical region leading to the growth of periapical lesions with periapical bone resorption. Taking into account the crucial role of the microorganisms occupying the root canal in initiating and sustaining periradicular lesions, nonsurgical root canal treatment and proper infection control should be rule in the management of apical periodontitis. The outcome assessment of periapical lesions is based on clinical and radiographic criteria. Conclusion: In the present case, the CBCT periapical index was used to control bone healing and concluded that the lesion is consid
VisiterAbstract Background: KohlschüttereTönz syndrome (KTS), also called amelo-cerebrohypohidrotic syndrome, is a very rare genetic condition, described for the first time by Kohlschutter, which typically manifests as a triad of symptoms: amelogenesis imperfecta, infantile onset epilepsy, and intellectual disability. 47 cases were reported in English language literature since 1974–2021. Case report: A 7-year-old girl was referred for dental evaluation. Oral examination revealed yellowish color of all the teeth due to enamel hypoplasia. The radiographic exam revealed a thin layer of enamel with decreased radiopacity of the enamel compared to that of dentin. The diagnosis of amelogenesis Imperfecta was established. In addition to that, the child’s parents reported that she had spasticity, epileptic seizures and psychomotor developmental delay. The association of all these features leads us to conclude to KTS. Conclusion: It seems that numerous cases of KTS are still undiagnosed in
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