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Biomedical subjects

G Vadiakas

Publications and source records attributed to G Vadiakas.

10 recordsLinked to original sources

Garre's osteomyelitis of an unusual origin in a 8-year-old child. A case report.

Garre's osteomyelitis is a type of chronic osteomyelitis that primarily affects children and adolescents. Although the disease is well described in the dental literature and is usually associated with an odontogenic infection resulting from caries, a number of other causative factors have been occasionally reported, such as a dental extraction or a mild periodontitis. There have also been cases of unknown aetiology. This paper describes a case of Garre's osteomyelitis in an 8-year-old child, in whom the condition arose following a local periodontal infection in an ectopically erupting first permanent molar that was in infraocclusion. The lesion remained unresolved for a period of over 6 months as a result of misdiagnosis, following a number of unsuccessful treatment attempts. Identification of the true cause and treatment through periodontal surgery resulted in lesion resolution and resolved the diagnostic problem. Dentists should be aware that the periodontium may be a potential source of infection for Garre's osteomyelitis in children, particularly in the presence of ectopically erupting posterior teeth. In such cases, periodontal treatment should be sufficient to treat the disease and extraction of the tooth involved may not be necessary.

Child↗

Profile of non-nutritive sucking habits in relation to nursing behavior in pre-school children.

Although a number of investigators have studied the prevalence and etiology of non-nutritive sucking habits in children, no consensus exists among dental and medical experts in respect to the contributing factors and preventing behaviors. Furthermore, changes in the rearing practices of children make management of such habits even more complicated. The purpose of the present study was to investigate finger and pacifier sucking habits among pre-school children, and its possible relationship to nursing behavior. Parental attitudes towards sucking habits were also registered. Questionnaires were sent to parents of 600 children, three to five years old, following an oral examination in a private office. Children attended kindergartens that were randomly selected from the area of Athens, Greece. Questions regarding the nursing patterns-breast or bottle feeding-characteristics of finger and pacifier sucking habits, parental attitudes towards sucking habits, as well as recommendations of the pediatricians were included. Three hundred and sixteen questionnaires were returned by parents. Results indicated that pre-school children discontinued a pacifier sucking habit earlier compared to a finger habit. Pacifiers showed a preventive effect against finger sucking, since only 2% of the sample examined practiced both habits. Breast feeding was not clearly associated with sucking habits; however, long bottle feeding periods were related with decreased finger sucking and high figures of pacifier sucking. The majority of pediatricians were not in favor of an intervention in breaking a finger sucking habit of the child.

Attitude to Health↗

Management of intrusive luxation injuries.

Traumatic intrusion of permanent teeth is a relatively infrequent but serious type of dental injury, due to the complicated picture it involves. Various treatment approaches have been suggested, so far, regarding management of intrusive luxation. Techniques aiming to reposition the intruded tooth include observation for spontaneous reeruption, surgical as well as orthodontic repositioning. However, development of complications such as pulp necrosis, inflammatory root resorption, replacement resorption and ankylosis and loss of marginal bone support makes selection of the most favorable technique controversial. In this paper, a critical review of the existing treatment modalities is attempted and treatment approaches based on diagnostic parameters that are indicative of the severity of an intrusive injury are presented. Recommendations are made after taking into consideration experimental and clinical study findings and observations from other author's and our own clinical experience. Two cases of intrusive luxation in children are presented and management of the dental injuries as well as the complications which occurred are being discussed.

Alveolar Process↗

A typical Hallermann-Streiff syndrome in a 3 year old child.

Hallermann Streiff syndrome is a rare congenital disorder characterized by dyscephaly, dental anomalies, proportionate nanism, hypotrichosis, cutaneous atrophy limited to the head, bilateral congenital cataracts and bilateral microphthalmia. Despite the marked craniofacial characteristics and oral findings, a relative lack of reports in the dental literature has been noted. In this article, a review of the literature regarding the general clinical features and differential diagnosis is presented. A case of a 3-year-old female is reported with special consideration on the management of her dental problems under general anesthesia. The anesthetic risks of such a procedure as well as the prognosis of her dental development are being discussed.

Anesthesia, Dental↗

Feeding practices of Greek children with and without nursing caries.

PURPOSE: This study was performed to examine the feeding practices and demographic and nursing characteristics of Greek children with and without nursing caries. It was also intended to evaluate what dentists and pediatricians tell parents when they examine children with nursing caries. METHODS: 260 children, ages 3-5 (130 with nursing caries, NC group, and 130 without, NNC group) participated in the study. RESULTS: 95% of the NC group used the bottle at night. In the control, although 85% of the group used the bottle, none of the children developed nursing caries. CONCLUSIONS: 1) The nursing habit of bottle feeding is not the only factor determining the development of nursing caries. 2) Falling asleep with the bottle seems to be the most determinant factor associated with the development of nursing caries. 3) Breastfeeding of the child for more than 40 days may act preventively and inhibit the development of nursing caries in children.

Bottle Feeding↗

[Secondary caries as a problem].

A large number of the all operative work performed in a dental office is amalgam fillings. Secondary caries continuous to be a serious problem although amalgam has been improved to a large extent. All efforts that have been made to eliminate the problem of secondary caries associated with amalgam fillings have not been very successful so far. There is always a lack of permanent seal between restorations and the prepared tooth surfaces so that microleakage always exists. The purpose of this paper was to search the literature on the subject and find ways and attempts that have been made on the elimination of secondary caries. On the other hand was aimed to present and discuss the application of fluorides into the cavity preparation as a preventive method of eliminating secondary caries as well as the possible effects of fluorides on the dental pulp if they exist. The literature gives a lot of information on the subject and fluorides in the cavity before the filling insertion seems to be a safe and approved method against secondary caries. Regarding the effect of fluorides on the pulp it is indicated that when the proper agent and technique is used there is no any deleterious effect and the method is not contraindicated.

Dental Amalgam↗

[Correlation between pregnancy and dental caries].

The purpose of this review is to examine the correlation between pregnancy and dental caries. The epidemiologic results are few and controversial, leading to no certain conclusion. The possible causes of caries during pregnancy are: changes in saliva and mouth flora, vomiting, neglected oral hygiene and nutritional changes. The causes are extensively discussed, particularly the last two, which seem to be the basic ones, although the others cannot be rejected. The increased needs of dental care of the woman during pregnancy must be emphasized, as well as her special management during the dental treatment. Treating the pregnant patient is a task of a group of specialists which should include the dentist, too. A protocol for facing the pregnant's dental treatment needs is suggested.

Dental Caries↗

Enamel pretreatment with sodium hypochlorite to enhance bonding in hypocalcified amelogenesis imperfecta: case report and SEM analysis.

Bonding composite resin to enamel of teeth affected by amelogenesis imperfecta (AI) is often problematic, especially in cases with poorly mineralized, friable enamel. Difficulty in bonding hypomineralized enamel can significantly limit the restorative and orthodontic treatment options for AI patients. In this report, we document a novel approach to bonding AI enamel by pretreating the tooth surface with 5% sodium hypochlorite (NaOCl), resulting in improved bonding of an orthodontic bracket to a previously impacted maxillary canine.

Acid Etching, Dental↗