ABSTRACT
Patients with congenital or acquired coagulopathies are common in the general population. Dentists should have access to the patients’ appropriate and current laboratory values to prevent bleeding complications during and after invasive dental procedures. A laboratory test called an INR(International Normalized Ratio) measures the time it takes for blood to clot and compares it to an average. Many drugs can change the INR such as aspirin, ibuprofen and Antibiotics the most common drugs used for treating acute dental infections. Aims: To determine whether there is any change in bleeding tendencies of pediatric patients with acute dental infections also to evaluate the utility of testing INR in patients who have to receive invasive dental treatments especially those with acute dental infections. Method: 10 patients, 7 boys and 3 girls, with acute dental infections were randomly selected from the patients arriving at Department of Pedodontics. Blood sample was collected through venepuncture and was immediately sent for prothrombin time tests. Using these values INR was calculated. Results: The mean INR value for the study was 1.194. The Mean INR among boys was 1.164 and Mean INR among girls was 1.29. The Mean Prothrombin Time was 14.39 sec. The Mean Prothrombin time among the boys was found to be 13.98 secs. The Mean Prothrombin time among the girls was found to be 15.33 sec. Conclusion: There was no significant change in INR in patients with acute dental infections.
ABSTRACT
Facial trauma resulting in tooth avulsion results in problems of physical and emotional nature for the patient, parent and a challenge for the dentist. Avulsion accounts for 0.5–16% of traumatic injuries in the permanent dentition which can occur at any age and is most common in the young permanent dentition and in the maxillary anterior region. Re-implantation of the avulsed tooth is the preferred emergency treatment depending on the extra-alveolar period and the storage medium used. The biggest advantage of immediate re-implantation is the psychological boost to the child of retaining his/her own natural teeth. A case report of 13 year old female patient with a history of trauma to the anterior region of maxilla and avulsion of 3 anterior teeth is discussed. An interim fixed partial denture was delivered using patient’s avulsed natural teeth in a single appointment.
ABSTRACT
Copper NiTi wires were This latest innovation in the evolutionary scale gives us the opportunity of choosing the force level by choosing the temperature at which the wires will deliver its optimum force level. With so many advantages and their ability to return to their original form coupled with the high cost of copper NiTi many clinicians started reusing the wire. This raises concern about disinfecting/sterilizing the wire before using in another patient for prevention of cross infection. Hence, various sterilization procedures like cold sterilization using 2% acidic Glutaraldehyde, dry heat sterilization and autoclaving were used to prevent this cross infection . Aim: The main aim of this study is used to evaluate the effects of different kinds of sterilization on Modulus of elasticity and surface topography of the 0.016 copper NiTi wires before and after sterilization procedure Materials and Methods: In the present study, Three point bending test along with tensile test was performed to evaluate the modulus of elasticity. Scanning electron microscope pictures were used to evaluate surface topography changes. Results: Pretreatment and post treatment values were statistically analyzed by one way ANOVA test. No detrimental changes were detected in tensile properties of copper NiTi were after single cycle of sterilization with any of the stated sterilants. Very minimal non significant changes occurred during the second cycle of sterilization procedure. There was no changes in surface topography of the wire either with dry heat or autoclaving. However, on second treatment cycle with 2% glutaraldehyde, some amount of surface pitting was seen. Conclusion: Dry heat sterilization and autoclaving have been found to have very minimal changes on the tensile properties of these wires after one or two cycles of sterilization procedures, but not statistically significant. No detrimental effect was found on surface topography with dry heat or autoclaving. Results support the use of these sterilization procedures as part of infection control process, if the clinician select to reuse these wires for one time only. However, of late, since there is easy availability and modest cost of these wires it is recommended to use new wires which are supplied sealed sterilized packs for each patient to comply with present admissible standard of hygiene and sterilization.
ABSTRACT
Genetic disorders account for a significant amount of morbidity and mortality in children and are of primary interest to the dentist. Crouzan syndrome is one of a rare group of syndromes characterized by craniosynostosis or premature closing of the cranial sutures. The major features are Brachycephaly, ocular proptosis, under developed maxilla, midface hypoplasia, rare cleft lip, palate. Early Craniectomy is often needed to alleviate the raised intracranial pressure. This paper discusses a case report of five year old girl with the features of crouzan syndrome and a multidisciplinary approach to be followed in managing the situation.
ABSTRACT
Abscesses are usually localized and confined to the focus of infection or they can be diffuse, spreading through the tissue spaces. This article highlights a rare case, where the locus of abscess is incongruous to the origin of infection, but the abscess resolved on eliminating the source of infection. Prompt diagnosis, timely administration of antibiotics and initiation of pulp therapy led to successful resolution of this infection.