RESUMO
Hydrocephalus is considered a congenital disease affecting the central nervous system, and is characterized by accumulation of cerebrospinal fluid in the lateral ventricles of the brain causing progressive ventricular dilatation. This review paper reports on the oral characteristics of persons with hydrocephalus and discusses their dental care needs. It has been reported that patients with hydrocephalus can present chronological changes in the eruption of their teeth, changes in the occlusion, greater accumulation of plaque, and have a higher caries prevalence. Regular dental visits are needed to control caries as well as to educate the caretakers about oral hygiene for children with hydrocephalus. In addition, the dental practitioner should be careful not to put pressure on the ventricular-peritoneal drainage tube during dental treatment. Special devices are available to support the patient's head if they have macrocephally.
Assuntos
Assistência Odontológica para Doentes Crônicos , Necessidades e Demandas de Serviços de Saúde , Hidrocefalia/fisiopatologia , Antibioticoprofilaxia , Assistência Odontológica para Doentes Crônicos/métodos , Assimetria Facial/etiologia , Humanos , Hidrocefalia/complicações , Doenças Dentárias/etiologiaRESUMO
This paper reports a case in which a previous traumatic injury at the age of 2 and pulp necrosis to a primary incisor resulted in a rare injury to the permanent successor tooth. The radiographic examination at the age of 9 showed the arrest of root formation of the permanent maxillary right central incisor, which did not erupt. Tooth 11 was extracted and a functional removable space maintainer was prepared. At the age of 17, the patient received an anterior fixed prosthesis for re-establishment of the esthetics, phonetics and deglutition.
Assuntos
Necrose da Polpa Dentária/complicações , Incisivo/lesões , Traumatismos Dentários/complicações , Raiz Dentária/fisiopatologia , Dente Decíduo/lesões , Criança , Dentição Permanente , Prótese Parcial Fixa , Feminino , Humanos , Maxila , Mantenedor de Espaço em Ortodontia , Extração DentáriaRESUMO
Goldenhar's syndrome is a rare disorder characterized by several anomalies that include dermal epibulbar cysts, auricular appendices and malformations and vertebral anomalies. In this article, the authors report a case of Goldenhar's syndrome in a 10-year-old child who presented with the classical signs of this condition and a solitary median maxillary central incisor (SMMCI).
Assuntos
Anodontia/etiologia , Assistência Odontológica para Doentes Crônicos/métodos , Síndrome de Goldenhar/complicações , Incisivo/anormalidades , Anodontia/diagnóstico por imagem , Criança , Cárie Dentária/diagnóstico por imagem , Humanos , Incisivo/diagnóstico por imagem , Masculino , RadiografiaRESUMO
Sotos Syndrome is a genetic condition characterized by accelerated bone development, abnormal craniofacial morphology and psychomotor developmental retardation. The behavioral problems usually associated with the syndrome include poor social skills, anxiety and/or irritability. Oral findings include prognathism and a high-arched palate with premature eruption of the teeth. Delayed psychomotor development increases the risk for caries. A personalized preventive treatment plan with close supervision of the patient's oral health care is required. This paper documents a child diagnosed with Sotos Syndrome and describes the primary clinical features, the disease-specific craniofacial, oral and dental findings, and dental care management of this patient.