Westchester Oral Surgery September 2019

Surgeons Remove Over 500 Teeth From 7-year-old’s Mouth

In July 2019, surgeons at the Saveetha Dental College and Hospital in Chennai, India, removed over 500 teeth from the mouth of a 7-year-old boy. The boy, whose name was not released in the hospital statement, had suffered from swelling and pain in his jaw for several years. When his parents brought him to the hospital this past summer, doctors ordered an X-ray and CT scan. This revealed what doctors believe to be a compound odontoma in the boy’s lower right jaw full of rudimentary teeth. Doctors decided surgery was the best course of action. With the use of general anesthesia, surgeons found they did not have to break the jaw on both sides. By drilling into the jaw from the top, it took around 90 minutes to remove the lesion. Reconstructive surgery was not required. After the surgery, surgeons spent five hours removing each individual tooth from the lesion. Dr. Prathiba Ramani, the head of Oral and Maxillofacial Pathology at Saveetha Dental, told CNN that, “There were a total of 526 teeth ranging from 0.1 millimeters to 15 millimeters.

Even the smallest piece had a crown, root, and enamel coat, indicating it was a tooth.”

The boy was discharged from the hospital after three days, with just 21 teeth in his mouth, and is expected to make a full recovery. Reports state that his doctors believe there will be no problem in the growth of the child’s other teeth, though he will likely require molar implants after turning 16. Compound composite odontoma is an incredibly rare condition that usually appears within the first two decades of a patient’s life. In this case, the boy’s parents stated that they noticed swelling in their son’s jaw when he was 3 years old but had to wait until he was old enough to sit still so a doctor could examine him. The exact cause of the boy’s condition is still unknown. Dr. Ramani has stated it could be linked to genetic or environmental factors, including radiation. A study has been taken up to see if radiation from mobile phone towers could be a factor in compound composite odontoma. This is the first documented case world-wide where so many teeth were removed from one individual’s mouth.

Classic Apple Crisp

Have a Laugh

INGREDIENTS What do you do when apples are in season but you don’t have time to make a pie? You opt for a crisp, of course. DIRECTIONS

1. Heat oven to 350 F.

Filling: •

5 lbs Granny Smith apples, peeled, cored, and chopped

2. In a mixing bowl, mix all filling ingredients together. Transfer to individual serving ramekins. 3. In a different mixing bowl, combine flour, sugar, cinnamon, and salt for the topping. Mix in butter until it forms lumps roughly the size of a pea, then stir in pecans. Sprinkle topping over filling. 4. Bake for 35–40 minutes, let stand for 10 minutes, and serve.

• • • •

1/4 cup pecans, finely chopped

3 tbsp all-purpose flour

2 tbsp maple syrup 1 tbsp lemon juice

Topping: •

3/4 cup all-purpose flour

• • • • •

1/3 cup brown sugar

1/4 tsp ground cinnamon

1/4 tsp salt

6 tbsp chilled butter, cut into pieces 1/4 cup pecans, coarsely chopped

Inspired by Food Network

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Westchester Office • 914-251-0313

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