Browsing by Author "Sharma, Vipul"

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    Early surprise: managing natal tooth in a 22-day-old infant
    (Medip Academy, 2024-06) Singh, Vritika; Sharma, Reema; Jain, Shantanu; Marwah, Nikhil; Sharma, Vipul
    The presence of teeth at birth or earlier than expected is a rare phenomenon and can evoke a variety of reactions. Natal teeth are those present at birth, while neonatal teeth appear within the first 30 days after birth, constituting an unusual and rare occurrence. This case report describes the management of a 22-day-old female infant with presence of an excessively mobile tooth in the lower jaw since birth, causing breastfeeding difficulties. The tooth appeared whitish opaque in colour, with grade II mobility. Crown size, shape, and appearance were similar to normal teeth. Due to the association of natal teeth with breastfeeding discomfort, extraction was recommended. No vitamin K prophylaxis was administered as the baby had achieved normal safe levels. Topical anesthesia was applied, and the tooth was extracted using primary anterior forceps. Hemostasis was achieved with sterile cotton gauze, and the patient was discharged post-extraction.
  • No Thumbnail Available
    Item
    Management of natal tooth of a 2 months old infant: a case report
    (Medip Academy, 2024-02) Sharma, Vipul; Saxena, Nivedita; Nigam, Anant Gopal; Singh, Vritika
    Natal and neonatal teeth are the type of supernumerary tooth which have various myths and superstitions associated with it. Natal teeth are the teeth which appear at the time of the birth whereas neonatal teeth appear within one month of life. Presence of natal teeth often risks the aspiration of teeth by infant and the mother also has difficulty in breast feeding and comes with the complaint of the same. The present case report of 2-month-old infant describes the management of natal teeth present in mandibular arch with mobility. After the consent of parents, the extraction of the shell-like tooth was done immediately and hemostasis was achieved. The follow up was carried out after 1 week to examine the normal healing of extraction site.
  • No Thumbnail Available
    Item
    Pyogenic granuloma in a 6-year-old boy - a rare case report
    (Medip Academy, 2023-04) Gera, Divya; Tanwar, Anshul; Nigam, Anant G.; Jain, Shradha; Sharma, Vipul
    The gingiva, also known as the gums, is the pink-coloured keratinized mucosa that surrounds and protects the teeth. Gingival enlargement or gingival overgrowth, a common trait of gingival disease, is characterized by an increase in the size of gingiva. Irritation fibroma is an exophytic soft tissue mass in the oral mucosa. Indeed, it is not a real neoplasm, but a focal hyperplasia of fibrous connective tissue induced by local trauma or chronic irritation. Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity, majority are found on the marginal gingiva with only 15% of the tumours on the alveolar part. It predominantly occurs in the second decade of life in young females, male to female ratio is 1:99, and size of lesion varies in diameter from few millimetres to several centimetres. This article presents a case of pyogenic granuloma in an 6year old boy who presented with a gingival overgrowth in his mandibular left buccal surface region i.r.t 31 including marginal and attached gingiva. He had discomfort during mastication, interferes with occlusion there was episode of bleeding during brushing. The lesion was excised and histopathological report confirmed the diagnosis. Case was followed up for six months and no recurrence of the lesion. Etiological factors, clinical features, differential diagnosis and different treatment options are discussed based on the review of current literature available.
  • No Thumbnail Available
    Item
    Tectocerebellar dysraphia and occipital encephalocele: an unusual association with abdominal situs inversus and congenital heart disease.
    (2008-11-07) Krishnamurthy, Sriram; Kapoor, Seema; Sharma, Vipul; Prakash, Anjali
    Tectocerebellar dysraphia is a rare constellation of malformations comprising of occipital encephalocele, aplasia of the cerebellar vermis and deformity of the tectum. We describe a 7 month old infant who presented with tectocerebellar dysraphia associated with double outlet right ventricle, pulmonary stenosis and abdominal situs inversus. This association has not been reported in the literature, to the best of our knowledge.