16^th International Conference on Modern Dental Health & Treatment September 21-22, 2018 | Philadelphia, Pennsylvania, USA

In 2005 Dr. Sirma Angelova graduated her higher education at the University of Economics in Varna, Bulgaria and gained a Master degree of International Financial Affairs. In 2011 she graduated her higher education and gained a Master Degree of Dental Medicine at the Medical University-Varna. Angelova gained a Certificate of Specialization of Pediatric Dentistry in 2015. In 2017 She gained a postgraduate degree, PhD, after the accomplishment of an independent research on the topic of “Caries Risk Assessment and Prevention in Children Suffering from Some Renal Disorders”. In 2018 she gained an academic degree of Chief-Assistant at the Medical University-Varna.

Children suffering from common health disorders, respectively with suppressed immunity, including children with diagnosed pyelonephritis and nephrotic syndrome, are characterized with the definite predisposition to functional disturbances and deviations from the physiological norm, related to impact upon structures of the oral-maxillary-facial region. The aim of this study is to investigate the correlation between clinical and environmental factors for caries in children with diagnosed pyelonephritis and nephrotic syndrome. The object of the research is represented by 41 healthy children, 24 patients of child’s age with the established nephrotic syndrome and 92 children with the diagnosis of pyelonephritis. A combination of clinical, statistical and sociological methods have been applied. The average values of the indicators number of carious lesions and number of carious spots are greatest in participants with the diagnosis of nephrotic syndrome. A moderate negative correlation between the level of education of parents and number of carious lesions in children has been ascertained. The enhancement of educational qualification of parents corresponds to the reduction of children’s teeth and teeth surfaces afflicted by caries. Based on the calculated coefficient by Pearson (-0,336) has been recorded moderate negative relation between the social-economic status of the family and the number of carious lesions in examined children with renal diseases and healthy controls. We can conclude that the low level of educational qualification of parents and declined social-economic status of families are associated with high caries rate afflicting dentition of participants.

Introduction: Interdisciplinary collaboration is widely recognized and considered essential for optimizing the development of knowledge and practice in the dental field. This case report describes the comprehensive treatment of a patient who needs interdisciplinary management.\r\n\r\nCase descriptions: A 12 years-old, female who presented with the chief compliant of “unpleasant smile” due to peg-shaped lateral incisor or mesiodistally deficient lateral incisor as defined by Grahnén.\r\n\r\nDiscussion : Priority has been given to peg-shaped incisor’s correction since it was the patient’s main concern. Moreover, unilateral peg-shaped lateral can alter the patient’s esthetics & anterior occlusion resulting in median diastema, generalized anterior spacing & upper midline deviation.\r\nAn interdisciplinary approach was employed to meet the patient esthetic demand through the following specialties:\r\n\r\nOrthodontics: the orthodontic involvement has been designed to address the esthetics needs, anterior occlusion & to facilitate the final restoration by:\r\n(A) Space opening and (B) Proper tooth positioning.