Interesting Cases

NEPHROCALCINOSIS SYNDROME- A RARE CASE REPORT
BY: DR KOEL DEBNATH


Introduction
Enamel renal syndrome is the rarest of rare syndrome associated with kidney agenesis, amelogenesis imperfecta and gingival hyperplasia. The prevalence rate of this rare syndrome is <1/ 1000000. 
Case presentation

A 17 year old boy came to the department of Periodontics, with a chief complaint of dislodged crown in anterior teeth region. On clinical examination, the patient had teeth with mottled enamel and gingival enlargement. The orthopantomograph and gingival biopsy revealed pulpal calcification and gingival calcification respectively. Furthermore, the renal ultrasonography revealed absence/agenesis of the left kidney. Thus, based on radiographical, histological and ultrasound investigations, patient was diagnosed with nephrocalcinosis syndrome. The patient was treated with periodontal therapy and prosthodontic full mouth rehabilitation.

Discussion
This case report highlights the need of a periodontist to be acquainted about the signs and symptoms of the syndrome to benefit an individual in the right diagnosis and treatment plan.

INTERDISCIPLINARY CASE
BY: DR SOMIK BOSE


This is a case of crown lengthening by apically displaced flap irt 25 & 26.

The case was referred to our department by the Dept of Conservative and Endodontics. rct was done done irt 25 & 26 and grossly carious teeth was restored for the preparation of the teeth. But it was necessary to expose the margins of the teeth for facilitating the placement of crowns.

Maintaining the sound principles of restoring the biologic width, it was deemed necessary to do gingivectomy with MODIFIED WIDMAN FLAP and recontouring of the bone and exposing the margins of the teeth.

This was done by giving internal bevel and crevicular incisions and reflecting the full thickness flap.