Clinical Cases in Pediatric Dentistry

Amr M. Moursi, Amr M. Moursi

• Publisher: Wiley-Blackwell
• Year: 2019
• ISBN:
  9781119290919
• Edition: 2
• Topic: Medicina
• Subtopic: Odontotecnica

Maintaining the original popular format enjoyed by so many readers, this Second Edition features comprehensive updates to all 66 cases to include the latest diagnostic and treatment techniques. Each chapter also includes brand-new cases, for a total of 13 entirely new cases. The most current references to the literature, best practices, and evidence based clinical guidelines, plus new and updated self?assessment questions with detailed answers and explanations, have been added to all the cases.

This second edition maintains the same aim of presenting actual clinical cases to question and educate the reader on pediatric dentistry, using a clear, concise, and consistent format to offer a case history, diagnostics and treatment plans for each case. Clinical Cases in Pediatric Dentistry, Second Edition is based on the most current evidence, with standards of care and policies as adopted by relevant associations and societies. This important resource:

• Presents updated content, clinical guidelines, and references in existing cases, with thirteen brand new case scenarios
• Takes an easy-to-follow format, with patient history and diagnostics, questions, and answers, and explanations for each case
• Part of the "Clinical Cases" series applying both theory and practice to actual clinical cases
• Includes access to a companion website featuring additional case studies, charts, tables, web links, and the figures from the book in PowerPoint

Presenting real-world cases that encompass all-important areas of pediatric dentistry, Clinical Cases in Pediatric Dentistry, Second Edition is an essential resource for pre-doctoral dental students, post-graduate residents, and pediatric dentists preparing for board examinations and recertification. It's also an excellent guide for students and faculty in pediatric dentistry departments, as well as practicing pediatric dentists and family dentists.

1
Early Childhood Oral Health

Homa Amini

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• Case 1: Perinatal Oral Pathology
  Homa Amini
• Case 2: First Dental Visit, Healthy Child
  Homa Amini
• Case 3: First Dental Visit, Medically Compromised Child
  Homa Amini
• Case 4: Early Childhood Caries Managed with Silver Diamine Fluoride
  Homa Amini and James R. Boynton
• Case 5: Early Childhood Caries Managed with Interim Therapeutic Restorations
  Homa Amini
• Case 6: Early Childhood Caries Managed with General Anesthesia
  Homa Amini

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Case 1 Perinatal Oral Pathology

Figure 1.1.1 Intraoral photograph showing anterior mandibular natal teeth.

A. Presenting Patient

• Seven‐day‐old male
• Consultative visit requested by neonatologist

B. Chief Complaint

• Neonatologist requests “evaluation of what appear to be teeth erupting on bottom jaw”

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FUNDAMENTAL POINT 1

Obtaining a History

• Obtain a thorough history of the pregnancy and birth
• Obtain a thorough understanding of the child’s natal teeth, including when first observed, associated complications with ventilator tubing, or infections (Cunha et al. 2001; Amini and Casamassimo 2010)

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C. Social History

• First child
• Twenty‐one‐year‐old single, immigrant mother
• Qualified for public assistance

D. Medical History

• Born two weeks prematurely
• On ventilator for two days
• Currently in pediatric intensive care unit

E. Medical Consult

• Not applicable

F. Dental History

• Teeth present at birth

G. Extraoral Exam

• Head misshapen
• Sparse hair

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FUNDAMENTAL POINT 2

Clinical Exam: Significance of Findings

• Determine if the teeth present a problem for nursing due to irritation of child or mother. Also determine the potential risk of aspiration if teeth are mobile
• If removal is contemplated, consider radiographic examination to determine whether teeth are supernumerary or prematurely erupting teeth of the primary dentition

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H. Intraoral Exam

• Edentulous maxillary arch
• High maxillary frenum
• Palate intact
• Mandibular arch with teeth in the mandibular left central incisor and mandibular right central incisor positions, partially erupted, brownish in color, rotated and firm to manipulation (Figure 1.1.1)

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BACKGROUND INFORMATION 1

Natal and Neonatal Teeth

• Teeth can be present at birth (natal teeth) or erupt within the first 30 days after birth (neonatal teeth)
• Most natal teeth are members of the normal complement of primary teeth
• Most natal teeth appear in the mandibular anterior region
• Natal teeth may be associated with other disorders, usually those involving the skin, bones, or ectoderm, such as chondroectodermal dysplasia. Therefore, careful systemic evaluation of children with natal teeth is necessary (Moura et al. 2014)

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I. Diagnostic Tools

• Occlusal radiograph of mandibular anterior region if deemed necessary (Figure 1.1.2)

J. Differential Diagnosis

• Other congenital neonatal pathology including: Bohn’s nodules, Epstein’s pearls, and other retent...