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1.
Cureus ; 16(7): e65575, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39192914

ABSTRACT

Oral habits in children are of prime concern to a pediatric dentist as the child is in an active growth phase, and it may alter the development of the orofacial area. One of the major etiological factors in the development of malocclusion and other adverse effects on orofacial structures is oral habits during and after preschool age. The habit of sucking one's lower lip is rarely examined; it appears that practitioners tend to associate it with less adverse clinical consequences. It is important to identify harmful oral habits and eliminate them as early as possible. This case report focuses on the diagnosis of the lip-sucking habit, understanding its etiology, and creating a treatment plan that will prevent unfavorable consequences. A lip bumper is an easy-to-fabricate, easy-to-place, and easily tolerated intra-oral appliance. The successful use of lip bumper in this case adds to the evidence that when used as an early intervention the habit can be intercepted appropriately.

2.
Cureus ; 16(7): e65271, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39184786

ABSTRACT

An eruption bulge is a swelling or an enlargement below the gumline due to the eruption of a tooth. Radiographic images would also illustrate the fact that there may be the presence of a successor tooth (unerupted or unimpacted) under the bulge of the gingiva. Teething refers to the sequence of growth and appearance of the primary as well as permanent teeth within the oral region that varies according to age. A tooth eruption bulge is a lump that occurs due to the eruption of the teeth in the gum tissue. The appearance of the bulge varies according to the amount of fluid or blood present in this engorged organ. It is important to focus on the fact that the dentist will always be able to notice any changes and solve the issue when it comes to the check-ups, which should take place on a regular basis. Parents need to be aware of the possible adverse effects of trauma on primary incisors on the eruption as well as the health of its permanent successors. They need to watch and tell about any oral changes or conditions their child may have, like pain, color change, and swelling as this may tell of something negative to their dentition. Such a condition can only be managed using a multi-disciplinary team that includes a pedodontist, an orthodontist, and in severe cases an oral surgeon who will have to deal with the long-term sequelae of dental trauma. This is why it is necessary to educate them on these matters because then they can be proactive.

3.
Cureus ; 16(6): e62140, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38993427

ABSTRACT

Failure in the eruption of the maxillary incisor necessitates a precise diagnosis and treatment regimen. Impaction can have a number of causes such as physical obstacles in the eruption path, discrepancy in the length of the dental arch, and tooth anomaly. Delayed eruption of anterior teeth can result in a number of issues such as malocclusion and psychological discomfort. In many cases, if the intervention is not done at an early stage, complex orthodontic intervention is required after surgical exposure to enable appropriate eruption. This case report is of a nine-year-old child with unerupted maxillary central incisors. The child was treated surgically for incisor exposure under general anesthesia (GA). Both functional and aesthetic considerations made this surgical procedure necessary. GA was administered due to the negative behavior of the child in a dental setting. Hence, it ensured patient comfort and cooperation. Follow-up examinations showed satisfactory progress in the eruption of the teeth with no complications.

4.
Cureus ; 16(4): e58992, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38800189

ABSTRACT

Today not just adults but also children are affected by their looks and appearance. Their facial and dental appearance primarily influence how they present themselves in the outside world. Poor esthetic appearance at any age, especially when it comes to children, affects their psychological status. In earlier times, correction of dentition used to be done with crude methods, after which came the concept of braces, which were fixed on the labial surfaces. Even with these, the patients are equally concerned with their looks throughout the treatment, and thus neither adults nor children are eager to use the standard metallic-looking orthodontic gear. To tackle this problem, researchers have developed several solutions, and clear aligners are the modern and aesthetic answer. For effective tooth movement into the desired position, thin, transparent, plastic aligners known as invisible aligners are used, which are created using the computer-aided design/computer-aided manufacturing (CAD-CAM) technology. These aligners are analogous to the splints that cover the clinical crowns as well as the marginal gingiva. The treatment requires proper patient motivation as there can be poor compliance by patients. However, it can offer greater dental hygiene, comfort, and an excellent aesthetic experience during treatment. This review highlights the history of fabrication of clear aligners, examining the efficacy, advantages, and disadvantages of transparent aligners for pediatric patients and also dentists. It weighs aspects like aesthetic appeal, comfort, oral hygiene, treatment predictability, and practice efficiency when comparing transparent aligners, like Invisalign, to conventional orthodontic treatments. It also ascertains the applicability and worth of clear aligners in contemporary orthodontic practice, while examining patient happiness, compliance, and overall treatment results.

5.
Cureus ; 16(2): e53685, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38455789

ABSTRACT

Oral health is a vital part of overall health, particularly for children with special healthcare requirements. The terms "dumb" and "mute" are frequently linked with the term "deaf" due to the connection between hearing loss and speech impairment. A hearing and speech-impaired child may be unable to express completely because of the communication barriers. It is important to treat special children with utmost care and safety. This case report describes the dental management of an 8-year-old special child reported with multiple carious lesions under general anesthesia as she was not well acquainted with sign language. In a hospital setting under general anesthesia (GA), all necessary treatments are carried out in a single appointment. Since it is monitored by a multi-disciplinary team it can safely provide effective care to a child with hearing impairment and mutism.

6.
Cureus ; 16(2): e54315, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38500937

ABSTRACT

This case report presents the successful application of diode laser technology in the management of a pulp polyp in a primary molar, showcasing its efficacy in both excision of the proliferative tissue and subsequent canal disinfection. An eight-year-old patient with a symptomatic primary molar exhibiting a pulp polyp was selected for this intervention. The diode laser, with its specific wavelength and precise tissue interaction, allowed for a minimally invasive and efficient removal of the pulp polyp. Additionally, the laser was utilized for thorough disinfection of the root canals, targeting bacterial pathogens while preserving surrounding healthy tissue. The case was monitored over a three-month follow-up period, demonstrating favorable clinical and radiographic outcomes. This report emphasizes the potential of diode laser technology as a feasible adjunct in the treatment of pulp polyps in primary molars, showcasing its benefits in terms of reduced invasiveness, enhanced precision, and effective canal disinfection in pediatric endodontics.

8.
Cureus ; 15(12): e50837, 2023 Dec.
Article in English | MEDLINE | ID: mdl-38249183

ABSTRACT

Morphological dental anomalies such as supernumerary roots are rare in primary teeth. Their location, frequency, and associated peculiar root canal morphology should be known to a pediatric dentist. It is crucial to carefully examine intraoral radiographs to ensure that such variations do not go undetected. Such variances must be identified to ensure complete cleaning and filling of all root canals. Negligence in treating all canals can result in recurrent infection or treatment failure. Understanding the anatomical variation of the tooth like radix entomolaris (RE), is important for successful dental treatment. This report presents a rare case of bilateral RE of primary mandibular first molars in middle childhood treated with lesion sterilization and tissue repair.

9.
F1000Res ; 12: 546, 2023.
Article in English | MEDLINE | ID: mdl-39183734

ABSTRACT

Administration of local anesthesia via injection is the main reason for inducing anxiety in children and if not intervened it aggravates the anxiety in subsequent appointments. There are many approaches, including pharmacological and non-pharmacological methods that can be used to reduce children's perception of pain and anxiety. A frequently used non-pharmacological behaviour management method to reduce anxiety and procedure pain is distraction. The rationale of distraction is to shift the attention to avert the brain from receiving unwanted stimulus which induce anxiousness. Many approaches including music, television, portable video games, virtual reality (VR) helmet, and virtual reality audio-visual eyewear, have been implemented so far. Kaleidoscope and virtual reality goggles may help as distraction techniques in reducing the levels of anxiety caused during administration of local anesthesia. By the aid of which the operator may be able to make the dental experience child friendly and ultimately provide quality dental care to anxious children. Non pharmacological measures of reducing pain are cost effective and best means that can be used while performing dental procedures. This is a research protocol for a study aimed to evaluate and compare the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children.


Subject(s)
Anesthesia, Local , Dental Anxiety , Virtual Reality , Humans , Child , Dental Anxiety/prevention & control , Anesthesia, Local/methods , Child, Preschool , Eye Protective Devices , Male , Female
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