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PARRY-ROMBERG SYNDROME

Tanmayee Sripada1 Comment

INTRODUCTION

Parry-Romberg syndrome is also called as facial hemiatrophy. It is slowly progressive atrophy of the soft tissues of half of the face and also progressive wasting of subcutaneous fat with atrophy of skin,cartilage,bone and muscle.

ETIOLOGY

  • The primary factor being the cerebral disturbances which leads to increased and unregulated activity of the sympathethic nervous system,which inturn leads to localized atrophy.
  • the other factors include:

extraction of teeth

local trauma

infection

genetic factors

disruption of stapedial artery

CLINICAL FEATURES

SEX: females are more affected than males with ratio of 3:2

AGE: occurs generally in the first decade

SITE: Mostly occurs on the left than the right side

CLINICAL PRESENTATION-

  • COUP DE SABRE

It is a painless cleft near the midline of the face or forehead.

Marks the boundary between normal and atrophic tissue.

  • ATROPHY

Bluish hue may appear in the skin overlying atrophic fat.

The affected area extends with atrophy of skin,cartilage,alveolar bone and soft palate on that side of the face.

facial wasting: ipsilateral salivary glands and hemiatrophy of the tongue,unilateral involvement of the ear,larynx,oseophagus,diaphragm,kidney and brain.

  • Pigmentation disorders
  • Facial naevi
  • Contralateral jacksonian epilepsy
  • Contralateral trigeminal neuralgia
  • occular abnormalities

ORAL MANIFESTATIONS

  • Incomplete root formation
  • delayed eruption of teeth
  • difficulty with mastication
  • hemiatrophy of lips and tongue
  • eruption of teeth on the affected side is retarded.

TREATMENT

No specific treatment but cosmetic surgeries are recommended.

ADAMS CLASP

sakshibhudeLeave a comment

Clasps are the retentive components of the removable appliances.

Mode of action-

  • Clasps act by engaging certain areas of teeth called the undercuts.
  • Two types of undercuts are found in natural dentition
  • Buccal and lingual cervical
  • Mesial and distal proximal
  • Adams clasp engages the mesial and distal proximal undercuts.

Adams clasp also called as universal clasp, liverpool clasp and modified arrowhead clasp.

Parts of adams clasp-

  • Two arrowheads
  • Bridge
  • Two retentive arms

Advantages of adams clasp-

  • Rigid and offers excellent retention
  • Fabricated on deciduous and permanent dentition
  • Can be fabricated on fully or partially erupted tooth
  • Can be used on molars, premolars and incisors.
  • Small and occupies minimum space
  • Can be modified in many ways.
  • Universal pliers can be used for fabricating.

Modifications of adams clasp-

  • Adams with single arrowhead
  • Adams with J hook
  • Adams with incorporated helix
  • Adams with additional arrowhead
  • Adams on incisor and premolars
  • Adams with distal extension

Reference- Bhalajhi 7th edition

Overwhelmed about upcoming university exams?

Anisha ValliLeave a comment

As promised here is meself pretending like its Decemeber 2020 and there is nobody more fired up for fourth year exams than me. 🥲

It’s so very easy to get caught up in downward spiral of self doubt and past failures, even though I try to be as optimistic as I can..I am not immune to it. So, I lost few days to overthinking and worrying but not anymore.

I believe a lot of us are in the same position, we want to do our best, we want to study for many many hrs a day, we want to get done with our daily targets but there is some invisible force stopping us, making us give half hearted attempts at everything we try to do.

As for the identity of this invisible force, I believe its fear and self doubt and a feeling of being alone in our struggle, all these cloaked and disguised so that we cant figure out how to fight it.

But I have figured it out, like I mentioned before I have a superawsome brain, (it might not fetch me a cool rank in exam but it does other really wonderful things). 😂😂

So, here is my plan to fight off these invisible forces and make room for the possibility of a bright future –
.
🧠 Forget about strategies, just read, anything, all the time, if boring subjects are giving you a hard time, switch immediately, there is no time to waste.
🧠 7 hrs a day is a must!
🧠 I will focus on strengthening the 80% syllabus that will get me 70% scores
🧠 Watching 2 to 3 video lectures on a daily basis especially live classes or interactive classes, especially of your fav teachers or subjects will give you enough boost!
🧠 Encourage and support each other, that’s the best way to not succumb to despair.
YOSH!

cystic hygroma

dr swati mandhanLeave a comment

A cystic hygroma is a fluid-filled sac that results from a blockage in the lymphatic system . It is most commonly located in the neck or head area, but can be located anywhere in the body. It may be discovered in a fetus during a pregnancy ultrasound , or it may be apparent at birth as a soft bulge under the skin.

STEPS IN FABRICATION OF ADAMS CLASP

sakshibhudeLeave a comment
Mesial and distal undercuts of the molar are marked on the cast. This distance between these 2 marks would form the length of bridge of Adams.
22 gauge hard round stainless steel wire is used. 90 degree bend is made.
Wire is placed on the model and distance between mesial and distal undercuts is marked on wire.
The other 90 degree is made thus forming bridge of adams clasp
Round beak of universal plier is placed on outer side close to bridge of adams
Wire bent around to form a “U” thus forming the arrowhead
Arrow head is squeezed between the two beaks of pliers to make it as narrow and pointed as possible.
Arrow head is given a 45 degree twist so that arrow head at angle of 45 degree to bridge of adams
Outer arm of arrow head is given a 90 degree bend at a height that is half of arrow head. Done by placing round beak inside arrow head.
Other arrow head is also bent similarly so that the free end of wire rests in embrasure. Wire is bent down and adapted between teeth.
Place a mark beyond palatal side of contact area.
Palatal tag is bent down and is slightly kinked to form step over gingiva. Palatal wire is adapted to be parallel to the plaster.

3 things to be noted after the clasp is placed on tooth:-

  • When viewed from occlusal aspect bridge is parallel to buccal aspect.
  • Bridge to be at 45 degree to long axis of tooth.
  • When viewed from buccal aspect parallel to occlusal surface.

Reference- bhalajhi ortho

TYPES OF EPILEPSY

sakshibhudeLeave a comment

EPILEPSY Defn.– Any disorder characterized by recurrent seizures due to underlying chronic disease.

So broadly there are 2 types of epilepsy:-

  • PARTIAL

Partial can be further divided into:-

  • Simple
  • Complex
  • GENERALIZED

Generalized can be divided into:-

  • Grand Mal Epilepsy
  • Petit Mal Epilepsy
  • Myoclonic Epilepsy
  • Atonic Epilepsy

Reference-

A.K.Tripathi for general medicine 3rd edition

Dentowebinar by Dr. Sachin Junnarkar

Anisha ValliLeave a comment

The digital transmission of medical imaging, remote medical diagnosis, and evaluations, and video consultations with specialists have currently formed an integral part of the health care delivery system. With the pandemic restrictions and the entire working sector turning to technology, the healthcare sector has not been left behind as well.
Telemedicine is the practice of medicine using technology to deliver care at a distance.

We are honored to have with us Dr. Sachin Junnarkar who is going to take us into the world of telemedicine.

To register: https://docs.google.com/forms/d/e/1FAIpQLSdIvvJu1X-DGaDBKfQzt1RjU7phcAT2jimmvhhJgDHeDFcvFw/viewform?usp=sf_link

Tooth Dentowesome invites you to yet another exciting webinar on the topic “Telemedicine”.

Join and learn something new.

Day: Sunday
Date: 11th July 2021
Time: 7PM IST
Platform: YouTube Live

Regards,
Team Dentowesome