Dental Care for a Child with Congenital Hydrocephalus: A Case Report with 12-Month Follow-Up

Abstract

Hydrocephalus affects the central nervous system as a result of progressive ventricular dilatation from the accumulation of cerebrospinal fluid in the brain’s lateral ventricles. This paper reports on the oral characteristics of a child with congenital hydrocephalus, discusses her complex dental care needs, and presents dental management of this case. Despite the complex and challenging dental needs, this child received dental treatment in a chairside approach without general anesthesia. A thorough knowledge of the patient’s medical condition, together with expert clinical skills, was indispensable for managing the child and improving the quality and length of her life.

Evaluation of a Novel Tool for Apical Plug Formation during Apexification of Immature Teeth

“…When forming apical plugs using handle pluggers, they transfer the compressed calcium silicate cement mass directly to the apical third, with minimal compacting, which reduces the fragmentation and deformation of the total mass of the material, which keeps it coherent and free of voids and gaps. The clinical work that used this technique demonstrates its value when working with children [14,31] in clinical settings. Baghdadi previously evaluated some new dental materials using in vitro studies, including a microleakage method using a dye, but he emphasized that the ultimate test of dental materials is not their performance in the laboratory, but their performance in the clinical environment [32,33].…”

“…Specialized carriers, such as the Micro Apical Placement (MAP) System, deliver the material to the apical third of the canal and condense it with handle pluggers [12][13][14].…”

The Management of Immature Necrotic Permanent Molars for Uncooperative Child

“…In this case, it was decided to provide dental treatment under sedation on dental chair. Protocol of treating necrotic immature molars was followed in,[ 4 ] where the entire treatment of tooth #46 with biodentine apical plug was accomplished in one session, whereas the treatment of tooth #36 with MTA apical plug was performed in two sessions. Q-Mix consists of bisbiguanide antimicrobial agent (2% chlorhexidine [CHX]), a polyaminocarboxylic acid calcium-chelating agent (17% ethylenediaminetetraacetic acid), and a surfactant (N-cetyl-N, N, N-trimethylammonium bromide-0.001 to about 3.0 weight percent) and deionized water.…”