Hunter's syndrome or mucopolysaccharidosis (MPS) type II is an X-linked recessive mucopolysaccharide disorder caused by a defect in the metabolism of glycosaminoglycans (GAGs) characterized by involvement of nervous, cardiovascular, respiratory, and mucoskeletal systems along with numerous oral manifestations. This is a case report of a 13-year-old boy referred to the Department of Pediatric Dentistry with a chief complaint of irregularly placed teeth from a general physician. Here we highlight the pivotal role of pediatric dentists in diagnosis and treatment planning for patients diagnosed with such systemic conditions and the provision of advanced dental care in the management of the same.

BACKGROUND: Pre-fabricated myofunctional appliances for early orthodontic therapy have been designed specifically for the care of children at the time of mixed dentition in growing adolescents with class II division 1 malocclusions. Sophisticated prefabricated removable functional appliances known as pre-orthodontic trainers have been shown to train the orofacial musculature, thus correcting malocclusions. CASE DESCRIPTION: This is a case report of 9-year-old boy diagnosed as Class II division 1 malocclusion with protruded upper anterior teeth, constricted upper arch, space loss in lower arch and Class 2 molar relation on side. Functional treatment approach was decided using pre orthodontic T4K trainer for 12 months. At the end of this phase of treatment, improvements have been evaluated with lateral cephalograms superimposition between T1 and T2. DISCUSSION: Class II orthopaedic treatment along with the use of functional appliances by early interception assist in addressing the concerns with soft tissues, muscles, mouth respiration, and bruxism. The pre orthodontic trainer allowed a good dento-skeletal result as it had a major effect on the masticatory muscles after 12 months application which helped in obtaining a good esthetic outcome for the patient. CONCLUSIONS: The use of prefabricated functional appliance in children can be an advantageous method for early treatment of class II malocclusions with functional patterns as these devices influences masticatory muscle which help in molding the facial tissues and a viable alternative to braces for treating malocclusions in children because it stimulates the development of the dental arches transversely to stop the progression of the malocclusion. Therefore, when a lack of transverse development is discovered at a young age, this appliance is an invaluable tool for enhancing dental arch development, interceptive management of malocclusion, and oral habits.

Background: In a growing patient, orthopaedic treatment of skeletal Class III malocclusion is critical because it can prevent future orthodontic and surgical procedures. Graber’s stated that early treatment by growth modification during the eruption of incisors or before the maxillary incisors become locked behind the mandibular counterparts is more advantageous. Case Description: This case report describes the treatment of a child aged 10 years with skeletal Class III malocclusion. The treatment plan was carried out with the use of a facemask and the results were highly satisfactory resulting in improved facial esthetics, a skeletal Class I with a Dental Class I molar, and canine relationship, an ideal overjet and overbite. Conclusion: Thus, growth modification, if done in properly selected cases, alleviates the need for future orthodontic and surgical intervention. The patient is being monitored until the end of growth to ensure the stability of treatment results.

Introduction: Early childhood caries is one of the most prevalent, infectious, biolm-mediated, and transmissible childhood diseases with longterm progression and developmental implications that affect children worldwide. also Also known as baby bottle caries, baby bottle tooth decay, nursing bottle caries, nursing caries or rampant caries. , describes dental caries affecting children aged 0–71 months. For an effective prevention of early childhood caries, conducting a caries risk assessment and providing parental education within 6 months (but no longer than 12 months) of the child's rst tooth eruption is recommended and the theme of this project was to form a multidisciplinary team collaboration and create awareness to work in collaboration to prevent early childhood caries. Methods:All the multiple stakeholders in the care giving of infants and toddlers children are were involved in this awareness program, . . questionnaires Questionnaires relevant to the awareness were customized after validation to include all the proven etiologic factors that are proven to be etiologic to for early childhood caries in children. A total of 300 participants including mothers of infants, dental and medical students, gynecologist, pediatricians, pedodontist and asha ASHA workers were all evaluated assessed for awareness of etiologic factors and they were then educated with powerpoint presentations and video presentations on the etiologic factors and how to prevent early childhood caries. The post lecture sensitization was evaluated & compared by the post session questionnaires.Post test questionnaire was used to assess effectiveness of intervention. Results: A statistically signicant improvement (p < 0.05) was observed in the post awareness test scores for knowledge, attitude& practices of participantsthan the pre awareness test score. Compared to the pre awareness group results 75 (25%) there was signicant improvement in the post awareness group 269 (89.7%) was noted.The overall distribution of the post awareness session excellentscores were 89.7% and results were statistically signicant. Conclusion: Awareness is he mainstay in prevention of any diseases and early childhood caries being one of the devastating diseases that burdens the child and the parents physically, mentally, semotionally and nancially along with tooth pain, dental abscess, cellulitis and tooth loss leading to psychological impact ,speech disorders and spread of dental cries to permanent tooth needs to be stopped. As prevention is better than cure this kind of workshopscomprehensive interventetnions like these involving all the stakeholders of a child health will denitely empower them with more knowledge and skill to educate the mother and child to take precautions to prevent the diseases like early childhood caries.