Preetika Chandna

Peripheral giant cell granuloma

Peripheral giant cell granuloma is a benign reactive lesion of gingiva. It manifests as a firm, soft, bright nodule or as a sessile or pedunculate mass. This article reports the management of peripheral giant cell granuloma in a 12-year-old boy by surgical excision.

Feeding obturator appliance for an infant with cleft lip and palate

Clefts of the palate, alveolus and lip are some of the most frequently encountered anomalies of the face. This article presents a case report of a neonate with cleft lip and palate in whom a feeding obturator was delivered. This article demonstrates the indications, construction, and benefits of a palatal obturator in an 11-day-old infant with a bilateral cleft lip and palate.

Diagnostic potential of inflammatory biomarkers in early childhood caries - A case control study

BACKGROUND Early Childhood Caries (ECC) is most common chronic infectious disease of childhood. Diagnosis of dental caries has been limited to clinical, visual and radiographic methods but its inflammatory component remained unexplored. Hence, this study aims to evaluate salivary levels of inflammatory cytokines in children with ECC to assess their potential as non-invasive biomarkers. METHODS 50 subjects were recruited (25 ECC patients and 25 healthy children). Saliva samples were taken from all subjects and collected again from patients after rehabilitative intervention. Levels of IL-6, IL-8 and TNF-α were determined using ELISA. Cytokines level were statistically correlated with each other and with DMF score along with ROC curve analysis. RESULTS Salivary levels of IL-6, IL-8 & TNF-α were significantly higher in patients which got significantly reduced after rehabilitative intervention. Levels of these cytokines were significantly associated with severity of dental caries. These cytokines were correlating with each other along with DMF score upon Spearman correlation. ROC curve reveals optimum sensitivity and specificity of these cytokines for diagnosis in ECC with absolute levels observed for IL-6. CONCLUSIONS Significant elevation of IL-6, IL-8 and TNF-α with optimum sensitivity and specificity might imply their involvement as potential non-invasive diagnostic/prognostic markers in ECC.

Remineralizing agents: the next frontier.

Remineralizing agents represent a new frontier in dentistry. They may be classified as fluoride agents, calcium and phosphate based agents, herbal agents or combinations. The modes of delivery of remineralizing agents may be as dentifrices, mouth rinses, lozenges or chewing gums. The applications of remineralizing agents may be extrapolated to virtually every branch of dentistry ranging from pediatric to geriatric dentistry.

Pediatric oral lichen planus: review and case report.

Oral Lichen Planus (OLP) is one of the most common dermatologic diseases occurring in the mouth with an overall prevalence of 0.5 - 2.2%. Childhood OLP is rare and follows an atypical course. OLP typically presents clinically as bilateral, symmetrical, flat- topped polygonal papules and plaques that may be symptomatic or asymptomatic. The aim of this article is to present a brief review of OLP with a case report of a 7 year old girl with OLP.

Obsessive compulsive disorder in dental setting

Globally, 20% of children and adolescents suffer from a disabling psychologic illness. Among these, Obsessive Compulsive Disorder (OCD) is listed by the World Health Organization (WHO) as one of the 10 most disabling conditions, with prevalence rates of OCD in children ranging between 1 to 3%. Pediatric dentists are in a unique position to diagnose psychological problems in children and adolescents due to their ongoing relationship with children and their parents that starts at a very early age. Timely diagnosis of psychological illness can result in early intervention as well as better patient management for the dentist too. The purpose of this case report is to highlight a case of OCD in an adolescent girl diagnosed in a dental setting.

Surgical Repositioning of a Dilacerated Impacted Incisor

ABSTRACT Dilaceration is one of the most common complications of trauma to deciduous dentition. The possible causes of dilaceration are trauma and developmental disturbances, while some authors suggest an association with some developmental syndromes. Dilaceration can be seen in both the permanent and deciduous dentition. The present case report describes surgical repositioning of a dilacerated impacted maxillary central incisor in a 9-year-old boy.

Peripheral and central giant cell lesions in children: Institutional experience at Subharti Dental College and Hospital

Introduction: Giant cell lesions (GCG) are a group of varied lesions that contain a multitude of multinucleated, osteoclast like giant cells within connective tissue stroma. These include giant cell granulomas which may be central (CGCG), if they lie within the jaw bone, or, peripheral (PGCG) if they lie within the soft tissue. Giant cell granulomas comprised 9.29% of all oral lesions. This case series comprises of 5 giant cell lesions in children between the ages of 4 to 12 years. Materials and Methods: A retrospective analysis was conducted of all patients who were diagnosed with giant cell lesions and treated over a period of 10 years (from August 2004 to August 2014) at Subharti Dental College and Hospital, Meerut, India. Results: A total of 5 giant cell lesions were identified in this case series, of which 2 cases were diagnosed as PGCG and 3 cases as CGCG. Surgical excision and curettage was performed for 2 peripheral lesions under local anesthesia while 1 central lesion was excised under general anesthesia. Two central lesions were treated with a non-surgical approach using intralesional corticosteroid. Conclusion: Our experience suggests that a correct diagnosis and complete surgical excision with curettage is effective in complete management of oral giant cell lesions in the pediatric age group.

Non suicidal self injury resulting in dental trauma in an adolescent

BACKGROUND/AIM Non-suicidal self injury may be a possible etiologic factor for dental trauma in adolescents. The aim of this case report is to present a case of non-suicidal self injury resulting in dental trauma in a 16 year old adolescent boy. CASE REPORT This report illustrates a case of non-suicidal self injury in a 16 year old healthy boy with resultant trauma to the maxillary central incisors and the left lateral incisor (teeth 11, 21, and 22). Three tests were applied; Wechsler Abbreviated Scale of Intelligence™ (WASI), Inventory of Statements about Self Injury (ISAS), and UPPS Impulsive Behavior Scale (UPPS); to assess the patients intellectual and behavioral functioning. Dental treatment was rendered in the form of composite restorations on teeth 11, 21, and 22. RESULTS AND DISCUSSION The patient had a general intelligence quotient (IQ) of 92 (SD = 10.9), verbal score of 86.6 (SD = 14.6), and performance IQ of 93.4 (SD = 23.66) which implied that the intelligence levels were well within the normal range. The patient demonstrated self hitting behavior and predominantly intrapersonal functions of his NSSI on testing with the ISAS scale and elevated urgency scores on the UPPS scale. The total UPPS score was 115.9 and urgency score was 35.9. NSSI was an outlet for negative emotions and to release self directed anger. This resulted in dental trauma to teeth 11, 21, and 22. CONCLUSION NSSI may be an etiologic or risk factor for dental trauma in intellectually normal adolescents as seen in the present case. Self hitting, intrapersonal factors or self directed factors and impulsivity are more likely to predispose an adolescent toward performance of such behavior.

An Overview of Oral Findings in Cerebral Palsy Patients

Cerebral Palsy (CP) is a well known group of disorders of movement, muscle tone, or other features that reflect abnormal control over motor function by the central nervous system. The oral findings in these groups of patients are important to know in order to allow efficient dental management of such patients. The article presents a review of oral findings in such patients and the specific dental features encountered.