Clinical investigation of oral findings in inherited disorders of platelet function.

OBJECTIVE: Bleeding disorders are a very important health problem due to the associated high risk of hemorrhage during dental procedures. The present study aimed to investigate oral manifestations of inherited disorders of platelet function (IDPF). METHODS: The study included 20 IDPF patients (mean age: 31.90±10.71 years) and 40 healthy controls (mean age: 31.63±9.07 years). Tooth brushing habits, level of education, and clinical index scores (Simplified Oral Hygiene Index [OHI-S], Decayed Missing Filled Teeth Index [DMFT] index, probing depth [PD] index, Gingival Bleeding Index [GBI], and Community Periodontal Index [CPI]) were recorded. RESULTS: There weren't any significant differences between the 2 groups with respect to tooth brushing habit, level of education level, OHI-S, DMFT index, or CPI (p>0.05), whereas significant differences in PD index and GBI were observed between the groups (p<0.05). CONCLUSION: The present study's findings show that IDPF has a negative effect on periodontal tissues.

Cranio-orbital-temporal neurofibromatosis with cerebral hemiatrophy presenting as an intraoral mass: a case report.

Neurofibromatosis, NF, is a group of genetic disorders that primarily affect the cell growth of neural tissues. Cranio-orbital-temporal neurofibromatosis is an uncommon subtype of neurofibromatosis characterized by neurofibromas, cranial defects, and specific bone lesions. This case report presents the signs of cranial defects in a 24-year-old Caucasian woman with type 1 NF. Mandibular malformations due to NF and dental defects caused by intraoral masses and radiographic images are presented.

Treatment of a patient with oligodontia: a case report.

AIM: The aim of this report is to describe the management of a 16-year-old patient with oligodontia including six permanent teeth. BACKGROUND: Oligodontia is agenesis of six teeth or more, excluding third molars. The etiology of congenital absence of teeth is believed to be involved in heredity or developmental anomalies. It can be isolated or as part of a syndrome. There are a number of options available to restore space generated by missing teeth. Dental treatment can vary depending on the severity of the disease and generally requires a multidisciplinary approach. Treatment options include orthodontic therapy, implants, adhesive techniques, and removable prostheses. REPORT: A 16-year-old male patient with oligodontia affecting six permanent teeth received conservative care that met his and his parent's expectations. The existing primary teeth were restored to resemble permanent teeth in order to achieve a favorable esthetic result using direct composite resin. The restorative treatment was provided for the psychosocial comfort of the young patient. The loss of teeth in young patients can cause esthetic, functional, and psychological problems particularly if the teeth of the anterior region are involved. SUMMARY: Adhesive techniques and new restorative materials represent current options in the management of the dental rehabilitation of young patients with oligodontia.

Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above.

The purpose of the study was to determine oral health status and the prevalence of oral mucosal lesions among hospitalized elderly patients with physical disabilities. The study group consisted of 111 (43 male and 68 female) elderly patients with physical disabilities. Clinical examination and interview methods were employed. Clinical examination revealed that 45.9% of the elderly patients had one or more oral mucosal lesions. Xerostomia (58.6%), coated-hairy tongue (54.1%) and halitosis (46.8%) were the most frequently encountered oral findings and mucosal lesions. As the most interesting finding discovered in elderly patients, macroglossia (30.6%) seems to depend on physical disability. Coated or hairy tongue was commonly related to poor oral hygiene, with both crude odds ratio (OR) of 3.25 (95% CI: 1.26-8.36) (P=0.021) and the logistic regression OR of 3.36 (95% CI: 1.21-9.33) (P=0.020). Halitosis and bruxism were commonly related to dentate patients [logistic regression OR of 0.29 (95% CI: 1.12-0.74) (P=0.009) and 0.21 (95% CI: 0.06-0.74) (P=0.016); respectively]. Increase in dental problems may have negative impacts on chewing, nutrition, aesthetics and phonation in elderly patients. It is particularly noteworthy that physical disability in elderly patients limits their ability to effectively follow oral hygiene procedures.

Trifid mandibular condyle: A case report.

A few cases of bifid, but no case of trifid mandibular condyle, have been reported in the literature. This article presents the first reported case of trifid mandibular condyle in a living subject with a history of previous trauma to the temporomandibular joint (TMJ). Additionally, the patient's other condyle was bifid. The patient had no complaint related to the functions of TMJ except for minimal weakness following chewing. The etiology and the prognosis of bifid and trifid condyle are discussed briefly. We considered computed tomography essential to rule out early stages of TMJ pathology in similar cases that resemble trifid mandibular condyle on conventional radiographs.

Comparison of ultrasonography with magnetic resonance imaging in the diagnosis of temporomandibular joint internal derangements: a preliminary investigation.

OBJECTIVE: This study aimed to compare ultrasonography (US) with magnetic resonance imaging (MRI) with respect to the diagnosis of temporomandibular joint (TMJ) internal derangements. STUDY DESIGN: The study group consisted of 23 patients with a chief complaint of TMJ discomfort who were tentatively diagnosed by means of head-neck examination as having TMJ internal derangements and a control group of 9 volunteers who had no sign of TMJ internal derangements. All the patients were then examined by means of MRI and US. RESULTS: The results showed perfect agreement between MRI and US in the diagnosis of TMJ internal derangements (kappa = 1.000; P =.0001). CONCLUSION: MRI and US can be used to define the disk and its position, as well as the presence of TMJ internal derangements.

Severe hypodontia and asymptomatic bilaterally ectopic impacted teeth in the coronoid processes: a case report.

An asymptomatic case in which severe hypodontia and mandibular ectopic impacted teeth in the coronoid processes are visualized through panoramic radiographs, is presented.

Mandibular lateral incisor-canine transposition associated with dental anomalies.

Tooth transposition is a rare positional anomaly that may create many orthodontic problems. Its etiology is an enigma. The occurrence of mandibular canine/lateral incisor transposition is a relatively rare anomaly. Two rooted canine/rotated incisor transposition has not been reported previously in the clinical dental literature. We describe a case with transposition of a mandibular two rooted canine and a lateral incisor with 180 degrees rotation. Possible causes such as trauma and tooth agenesis were absent in this case. Due to the root anomaly, we consider that our case may have a genetic etiology. Although the mandibular lateral incisor and canine were not in their normal anatomic positions, there were no functional or esthetic problems.

Is torus palatinus a feature of a well-developed maxilla?

Torus palatinus (TP) is an exostosis of the hard palate. The biologic significance of TP is unknown. Our hypothesis was that the presence of a TP reflects the development of the maxilla. It has been proven that tooth agenesis is associated with small maxillary size. We investigated whether there is a relationship between maxillary third molar agenesis and the presence or absence of TP. The study was carried out on 253 Turkish patients. It showed a lower prevalence of third molar agenesis in female subjects with TP (P < 0.001). This study provides indirect evidence that development of the maxilla may be greater in female subjects with TP.