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Natal tooth
Published in Alisa McQueen, S. Margaret Paik, Pediatric Emergency Medicine: Illustrated Clinical Cases, 2018
Extraction of the natal tooth. Normal eruption of the first primary teeth can occur as early as 6 months of age. A natal tooth is a tooth that is present at birth, whereas a neonatal tooth is one that erupts within the first 30 days of life. These teeth are usually in pairs and can look like normal teeth. However, more commonly they are small in size, yellow in color, conical, and have hypoplastic enamel and dentin. They usually have no or poor root formation. The most common location for a natal tooth is the lower central incisor. These teeth are thought to come from abnormal superficial migration of the tooth's germ line. The teeth can be classified into four categories based on where the tooth is located with respect to the gum line. These teeth can actually be left alone if they are determined to be part of the normal dentition through x-rays. However, complications can occur, including breastfeeding interference, sublingual ulceration, or aspiration of loose teeth. In such cases, a pediatric dentist should remove them after the age of 10 days. Removal will also avoid any future impaction or space issues.
Macroglossia
Published in Prem Puri, Newborn Surgery, 2017
Thambipillai Sri Paran, George G. Youngson
Mild macroglossia as seen in most children with Beckwith–Wiedemann syndrome and smaller oral lesions does not need any special care. When associated with systemic disorders such as hypothyroidism, management of the primary condition alone is what is needed. Moderate enlargements can be managed by nursing the infant in the lateral or prone position to assist the airway and drooling. A multidisciplinary approach including a dietician, speech therapist, and pediatric dentist will be useful.
Pain Management in Dentistry
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Pediatric Dentistry: Pediatric dentistry is an age- defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. (Adopted 1995)
Economic evaluation of an expanded caries-preventive program targeting toddlers in high-risk areas in Sweden
Published in Acta Odontologica Scandinavica, 2019
Maria Anderson, Thomas Davidson, Göran Dahllöf, Margaret Grindefjord
Although use of fluoride varnish in some programs is clinically effective, it should also be cost effective; public resources are limited and ideally used only in social programs that have proven cost effectiveness. Recent systematic reviews indicate that the number of economic evaluations in dentistry are increasing [10], but the need is still large, and more work in this field is necessary. A recent report on scientific evidence in pediatric dentistry identified a knowledge gap concerning the management of dental conditions and their cost effectiveness [11]. Marihno et al. (2013) concluded that there is a need for methodological quality improvements in reporting economic evaluations of caries-preventive programs [12]. Report standards for economic evaluations are now available to support researchers [13].
Metagenome sequencing-based strain-level and functional characterization of supragingival microbiome associated with dental caries in children
Published in Journal of Oral Microbiology, 2019
Nezar Noor Al-Hebshi, Divyashri Baraniya, Tsute Chen, Jennifer Hill, Sumant Puri, Marisol Tellez, Nur A. Hasan, Rita R. Colwell, Amid Ismail
Study children were recruited from the Pediatric Dentistry Clinic at the Temple University Kornberg School of Dentistry. Each child had to fulfill the following criteria: 6–10 years old with all first permanent molars erupted (mixed dentition); no history of antibiotic, antifungal, or steroid intake or use of mouthwashes in the three months prior to sampling; no evidence of oral abscess or candidiasis; no history of diabetes, immunodeficiency, or dental prophylaxis in the previous 30 days. Supragingival plaque samples were obtained from eligible children, as described below, before full mouth prophylaxis, and clinical examination were performed. Caries status was assessed with clinical visual examination following the International Caries Classification and Management System (ICCMS) [23] as well as radiographic examination. Eventually, 10 caries-free children (defined as having no carious lesions, including white spots, and no previous fillings), 10 with early caries (defined as having at least one tooth with early, non-cavitated carious lesion), and 10 with advanced caries (defined as having at least one tooth with cavitated carious lesion) were recruited. The characteristics of the study groups are presented in Supplementary Table 1.
Maturation of the oral microbiota during primary teeth eruption: a longitudinal, preliminary study
Published in Journal of Oral Microbiology, 2022
He Xu, Bijun Tian, Weihua Shi, Jing Tian, Wenjun Wang, Man Qin
Before implements of the longitudinal observation, a clear and concise training was given by one attending pediatric dentist to each participant’s parents, including the general order and month age of primary teeth eruption, the identification of each sampling dentition state, how to observe and differentiate the oral health status, illustration of sampling methods, and most importantly, oral health instructions about how to help their babies maintain oral health at different dentition states. During the longitudinal observation, the dentist kept in touch with all the parents to follow up the participant’s health and oral condition, so as to monitor the time of sample collection.