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Case Reports
. 2018 Jul-Sep;9(3):498-501.
doi: 10.4103/ccd.ccd_140_18.

Consequences of Severe Epileptic Attack in a 3-year-old Girl with Congenital Hydrocephalus

Anshula N Deshpande  1 , Neha R Pradhan  1 , Kinjal S Patel  1 , Vinay R Mulchandani  1
Affiliations
Case Reports

Consequences of Severe Epileptic Attack in a 3-year-old Girl with Congenital Hydrocephalus

Anshula N Deshpande et al. Contemp Clin Dent. 2018 Jul-Sep.

Abstract

A 3 year old female patient with history of congenital hydrocephalus and epileptic episodes since a week was referred to the department from Dhiraj general hospital for dental opinion. The patient was non ambulatory. On initial clinical examination grade II mobility was present with lower anterior teeth along with lower lip laceration and an extra oral swelling on the left side of the face. Pharmacological management was opted for this patient as regular chair side management was not feasible. The necessary investigations were completed. When the patient was taken under general anaesthesia for treatment, a radical symptomatic and preventive treatment was opted. Such cases pose a challenge to the Pedodontist's decision making skills and must be dealt considering the long term health benefits.

Keywords: Avulsed teeth; modified tissue guard; odontoplasty; oral injuries.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative intraoral pictures. (a) Maxillary arch. (b) Mandibular arch. (c) Injured Lower lip
Figure 2
Figure 2
Coronoplasty done (a) 55, 54. (b) 64, 65. (c) 84, 85. (d) 74, 75
Figure 3
Figure 3
(a) Prophylactic extractions done in 53, 52, 51, 62, and 63. (b) Debridement and filing of mandibular alveolar bone. (c) Placement of alveolar and lip sutures. (d) Loosening of alveolar and lip sutures
Figure 4
Figure 4
Cast mock-up for a modified night guard appliance. (a) Wax build up. (b) Application of a layer of plaster of Paris over the wax. (c) Placement of a modified night guard appliance to protect the newly placed sutures
Figure 5
Figure 5
Follow-up after 1 week. (a) Completely healed maxillary arch. (b) Healthy granulation tissue in mandibular anterior alveolar region
Figure 6
Figure 6
Follow-up after 1 month showing satisfactory healing. (a) Anterior aspect of maxillary arch. (b) Anterior aspect of mandibular arch and lower lip. (c) maxillary right posterior region. (d) maxillary left posterior region. (e) mandibular left posterior region. (f) mandibular right posterior region
See this image and copyright information in PMC

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