Journal of Dental Medicine

Background and Aims: Multiple supernumerary teeth are rare and often found in association with syndromes such as Gardner, Cleidocranial dysplasia and cleft lip and palate, with a much less chance for isolated non-syndromic cases. The aim of this study was to report a case with 6 supernumerary teeth without syndromic association.
Case Report: The patient was a 33 year-old female, referred to oral diseases and diagnosis department with chief complaint of sensitivity to cold and hot food in right upper premolar region. Oral examination revealed 5 erupted lingually supernumerary teeth (four in mandibular and one in maxillary premolar region, respectively). Further panoramic radiography clarified an extra impacted tooth in the palatal region of left premolar maxillary area. All extra teeth had been appeared since the age of 17 during one year, as the patient claimed. Medical history and thorough clinical and paraclinical examinations were not significant except for the hypothyroidism, since 5 years ago. No other family member noticed to be the case. Based on our findings, a diagnosis of non-syndromic multiple supernumerary teeth was established.
Conclusion: A thorough examination of each patient presented with supernumerary teeth, including panoramic and intraoral radiographic images may provide valuable information regarding accompanying syndromes and unerupted teeth. Early diagnosis is an essential step for orthodontic or surgical decisions making, preventing or avoiding worsening complications such as malocclusion, adjacent normal teeth delayed eruption or rotation, diasthema, cystic lesions and resorption of contiguous teeth.

  Background and Aims: Occurrence of medical emergencies in dental offices is not uncommon. The most important and the first step in controlling the medical emergencies is the ability to provide basic life support which needs knowledge, experience and equipments. The aim of this study was to investigate the knowledge of dentists relating to the management of medical emergencies in dental office and their willingness towards holding related educational workshops.

  Materials and Methods: This analytic cross-sectional research was accomplished in Babol among 132 general and specialist dentists in 2010. A validated questionnaire (Knowledge and attitudes of reliability: Cronbach's α value 79% and 84% respectively) consisting of 17 questions about knowledge (score of 14-17: excellent, 11-14: good, 8-11 moderate and less than 8: poor), three questions about attitude and demographic characteristics was distributed. Data were analyzed using t-test, X² and Pearson correlation statistics using SPSS.

  Results: 119 dentists (91.9%) filled out the questionnaire. The average age was 38.6 ( ± 7.5) years with 84 (70.6%) male and 35 (29.4%) female individuals. The average score of knowledge was 9.31 ( ± 2.31) out of 17 points which was negatively correlated to the graduation year (r=-0.43) and age of dentists (r=-0.3). 94% were agreed with workshops and 75% were agreed with equipment of office and emergency kit and 84.9% were not satisfied with the academic education in that field.

  Conclusion: Knowledge of dentists in Babol was not sufficient in the field of medical emergencies which needs intervention for improving and updating by means of holding workshops and continuing education program.