Indian Journal of Public Health Research & Development

Abhik Sinha ¹

Affiliations
1 Department of Orthodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

A good oral health is important for one and all, and especially in patients with syndromes. A syndrome is defined as “a set of signs or a series of events occurring together that often point to a single disease or condition as a cause”. Early diagnosis is important for having an effective treatment in these patients. The oral findings are generally the basis for diagnosis in early adolescence and is usually the time when a comprehensive orthodontic treatment is sought. Thus, orthodontists should be thoroughly aware of the patients syndrome and the clinical features with which they relate. The treatment intervention would likely require–aligning of teeth, management of cleft, management of functional shift such as–deviation, habitual posturing, arch coordination, and dis-impaction of teeth.

This review article aims to compile various clinical features of syndromes that are encountered in the dental office and the orthodontic aspects to be considered while treating such cases.

Keywords

Oral Health, Syndrome, Early Diagnosis, Orthodontic Treatment, Impaction.

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Abhik Sinha ¹

Affiliations
1 Department of Orthodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Orthodontic patients traditionally had comprised of only the young and healthy people. With its gaining awareness, elder patients with systemic disorders have also been seeking treatment. This means, an increased number of diabetic patients also report to the orthodontic office. Diabetes mellitus is defined as “a chronic, progressive metabolic disease characterized by hyperglycaemia resulting from defects in insulin secretion, action or both”. Thus, it becomes necessary for the orthodontist to have knowledge pertaining to the types, cardinal signs, and oral manifestations of diabetes mellitus and keep them in mind while planning for orthodontic treatment. This article reviews in detail Diabetes mellitus from its historical perspective, prevalence, classification, cardinal signs, pathogenesis, oral manifestations, and the management options to be considered in terms of–before and during treatment along with the emergencies that might pop up in case such a patient is undergoing treatment in an orthodontic set-up.

Keywords

Diabetes Mellitus, Metabolic Disorder, Hyperglycemia, Prevalence, Emergencies.

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