![]() ![]() Thomas Cooley, who described a syndrome of anemia with microcytic erythrocytes. The disease was first recognized clinically in the year 1925 by Dr. Thalassaemias are autosomal recessive gene disorder caused by impaired synthesis of one or more globin chains of hemoglobin. Prevalence of dentofacial abnormalities in children and adolescents with β-thalassaemia major. How to cite this URL: Elangovan A, Mungara J, Joseph E, Guptha V. Keywords: Chipmunk facies, dental caries, oral hygiene, pale oral mucosa, saddle nose, thalassaemia major How to cite this article: Elangovan A, Mungara J, Joseph E, Guptha V. Therefore, emphasis to educate these patients in the prevention and control of dental caries and maintenance of good oral hygiene should be considered. When compared with individuals with no systemic disease, oral hygiene status was similar, but the caries experience was higher in β-thalassaemia major patients. Mean oral hygiene index-simplified score was 2.43 ± 1.24, mean decayed missing filled teeth (DMFT) score was 7.10 ± 3.92, and deft was 5.68 ± 3.12.Ĭonclusion: Despite starting regular blood transfusion at an early age, β-thalassaemia major patients showed marked facial abnormalities. Study population predominantly had class I occlusion (59.7%) followed by class II occlusion (23.6%) and no class III occlusion. Prominent extraoral abnormalities were found in 41 (56.9%) of the individuals. Results: Thirty-nine (54.2%) were males and 33 (45.8%) were females. ![]() Data obtained were tabulated and statistically analyzed using Chi-square and paired t-test. Subjects and Methods: Seventy-two patients between 6 and 18 years of age diagnosed with β-thalassaemia major were examined for extraoral abnormalities, malocclusion, oral hygiene, and dental caries. I recommend getting a consult with a surgeon who does this procedure frequently to get a full facial analysis to make sure your specific goals are addressed.Prevalence of dentofacial abnormalities in children and adolescents with β-thalassaemia majorĪrun Elangovan, Jayanthi Mungara, Elizabeth Joseph, Vignesh Gupthaĭepartment of Pedodontics and Preventive Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, IndiaĬlick here for correspondence address and email Date of Submissionīackground: β-thalassaemia major is a hereditary hemolytic anemia and the patients often experience growth retardation, protrusive maxilla, and depressed nasal bride leading to various degrees of malocclusion.Īim: The purpose of this investigation is to find the prevalence of dentofacial abnormalities in β-thalassaemia major patients. All of this can be done in clinic with some calming medications and local anesthesia. It really depends on your specific anatomy. Liposuction of the jawline and sculpting is also helpful in some patients. This is especially helpful in thin patients and in combination with buccal fat pad removal is a powerful maneuver. This helps to create a shadow just under the malar area. It may seem counterintuitive to add fat when you say your problem is chubby cheeks but what we do is add volume to the highest and most projected point of the cheek bone and taper it to the lower face. We are able to create shadows and sharpness where you want it. This can make a significant difference in patients as a combo. Oftentimes fat transfer or filler injection in conjunction with this procedure is able to give a more “ideal” heart shaped face. The key is Hot is HOT! Buccal fat removal and/or manipulation can be a great and transformational procedure in the right patient. In addition to facial cosmetic surgery I do feminization procedures in the transgender population and it applies to all sexes and orientations really. It is all about fat (or volume) in the right places. ![]()
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