Aim To create awareness of Kawasaki disease in the dental community as it is a rare disease and some cases might go unnoticed due to lack of knowledge of the treating dentist. Thus proper knowledge helps in the timely diagnosis of the disease and decrease the mortality rate in these patients. Children who show the oral features of this disease should be treated seriously by the dentist. Background Kawasaki disease is a rare acute systemic vasculitis disorder reported in the dental literature. Clinical features include high fever, redness of palms and soles of the feet, conjunctivitis, oropharyngeal mucositis and lymphadenopathy. The cardiac involvement in the form of myocarditis, aneurysms, pericarditis is also seen and is caused by inflammation of vessels of the heart. Case description Here we present a rare case of an 8-year-old girl who presented to the department of Pediatric Dentistry with the chief complaint of recurrent painless swelling of the lower lip. This rare presentation of lower lip swelling has not been cited in the oral manifestation of Kawasaki disease before. Clinical significance The disease has high mortality and morbidity rate if not treated early, and hence an early diagnosis and treatment are important in managing this condition. The oral findings are a characteristic feature of this serious disease, hence, many cases might first report to the dental clinician only. Dentists should always remain alert in handling patients having a history of Kawasaki disease because of the possibility of recurrence of the disease. As these patients have valvular heart defects, they might require prophylactic antibiotic treatment before the needed dental procedure. Conclusion Despite this, there seems to be less aware of this disease among the dentist, hence this condition goes unnoticed leading to few citations of this disease in the dental literature. How to cite this article Verma L, Passi S, Kaur G, Gupta J, Joshi M. Recurrent Kawasaki Disease Presenting to Dentists: “Think Beyond Dentition”. Int J Clin Pediatr Dent, 2018;11(6):532-535

A radiographic assessment of the correlation between the calcification stages of the mandibular second molar and the middle phalanx of the third finger of 9-16 years old children Mitul Joshi * , Dinesh Rao, Shubha A.B., Sunil Panwar and Sachin Franklin Abstract Background: Hand-wrist radiographs and orthopantomographs are routinely used for assessing skeletal and dental maturation and analyzing skeletal morphology and growth patterns. Though minimal radiation is associated with a hand-wrist radiograph, it would be superlative to assess the growth stage without an additional radiograph. Aim: To assess the correlation between the calcification stages of mandibular second molar and the modified middle phalanx of the third finger (modified MP3) of 9 to 16 year old children. Design: In this cross-sectional observational study we assessed the dental calcification of the mandibular second molar on orthopantomograms using Demirjian's tooth developmental stages and skeletal maturity of the middle phalanx of the third finger on hand-wrist radiographs using modified MP3 method proposed by Rajagopal and Kansal (J Clin Orthod 36(7):398, 2002) of 100 children (48 boys and 52 girls), aged between 9 and 16 years. Results: A strong association was found between calcification stages of mandibular right second molar and the developmental stages of the modified middle phalanx of the third finger of right hand in both the gender. Spearman rank order correlation coefficients between the developmental stages of the modified MP3 of hand and the developmental stages of the mandibular second molar and found to be statistically significant positive in males (0.62) and females (0.41) when Demirjian's Index (DI) and modified middle phalanx of the third finger stages were compared. Conclusion: There was a good concordance between the stages of modified middle phalanx of the third finger and the Demirjian's tooth developmental stages. Demirjian's second molar calcification stages can be a better choice for predicting skeletal maturity because of its simplicity and reliability.