Abstract
ABSTRACT Focal dermal hypoplasia (FDH) is an unusual X-linked dominant disorder that affects ectoderm and mesoderm derived tissues with females affected in 90% of cases. A case report ofa12 year old female diagnosed with FDH is presented. The dental significance of these patients are multifactorial and dental management should be focused on prevention and regular monitory visits. Restoration of functionality should be addressed by a combination of orthodontic, basic restorative and pros-thodontic disciplines. Due to the multisystem involvement and the dental complexities of patients suffering from FDH a multidisciplinary approach is required for optimal patient care. Keywords: Focal dermal hypoplasia, Goltz-Gorlin syndrome, Ecto-dermal Dysplasia.
Highlights
Endodontic treatment and management of patients is a multi-fold approach
The majority of the participants (88%) indicated that they would perform endodontic access cavity preparation with ease on anterior teeth and the lowest (43%) confidence levels was indicated on multi-rooted posterior teeth
Of the 70 who confirmed that they were more competent in endodontic access cavity preparation on anterior teeth 36 (48.0 %) were fourth-year dental students and 34 (45.3%) were fifth-year dental students
Summary
Endodontic treatment and management of patients is a multi-fold approach. It involves the complete debridement of infected tissues inside the root canal system and a root canal preparation which will meet biological and mechanical needs.[1] The first step in treating an endodontically affected tooth is the preparation of a proper access cavity.[1] The use of rotary burs to create endodontic access cavities or locating root canal orifices can cause serious iatrogenic damage to the tooth and greatly influence the prognosis and restorability.[1]. Pumela Gwengu: Dip OH, BDS, MPH, M Dent (Comm Dent), The use of rotary burs in an incorrect manner and misaligned angle of penetration is often a critical factor in iatrogenic tooth damage.[2] To prevent adverse outcomes like these, appropriately designed pre-clinical teaching and learning strategies will be required
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