PMC4955045_01
Girl diagonosed with Glanzmann's thrombasthenia
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F1
A 6-year-old girl (Fig. 1) reported to the Department of Pediatric and Preventive Dentistry with a chief complaint of pain in upper left back region of jaw (65) since 2 to 3 months.
Maxillary occlusal photograph showing grossly destructed 65
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F2
Intraoral examination showed grossly destructed 65 (Fig. 2), proximal caries on 75 and arrested grossly caries with 85 (Fig. 3).
IOPA of 65 showing radiolucency involving enamel dentin and pulp with severe periradicular bone loss
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F4
Intraoral periapical radiograph of 65 showed radiolucency involving enamel, dentin and pulp with severe periradicular bone loss (Fig. 4) and of 75 and 85 showed radiolucency involving enamel and dentin (Figs 5A and B).
IOPA of 75 and 85 showing radiolucency involving enamel and dentin
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F5
Intraoral periapical radiograph of 65 showed radiolucency involving enamel, dentin and pulp with severe periradicular bone loss (Fig. 4) and of 75 and 85 showed radiolucency involving enamel and dentin (Figs 5A and B).
85 restored with a stainless steel crown and 75 with composite
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F6
After a build-up of 85 crown structure with glass ionomer cement, a stainless steel crown was given (Fig. 6).
Healing of socket satisfactory after 7 days
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F7
The patient was recalled to evaluate healing of socket after 1 day and 7 days which was satisfactory (Fig. 7).
"Liver-clot" seen in socket of 65
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F8
On examination of the socket there was dislodgement of fibrous clot and presence of a "liver-clot" (Fig. 8).
Calgigraf AG-foam
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F9
Fabricated acrylic splint appliance
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F10
Appliance positioned in the child's mouth
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F11
The appliance was positioned in the child's mouth and areas of excessive pressure on intraoral tissues were identified and reduced (Fig. 11).
Healing satisfactorily complete at 2 month recall visit
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F12
At the 2-month recall visit healing was satisfactorily complete (Fig. 12).