Ludwig's Angina. Presentation of a pediatric case

Ludwig’s angina is a serious, a rapidly progressive cellulitis of the floor of the mouth which, involves the submandibular, submaxillary, and sublingual spaces of the face, it is life threatening if not early recognised and complications like septicemia and asphyxia caused by expanding edema of soft tissues of the neck may occur.

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A 11-year-old boy referred to, our clinic had tender swelling of the floor of his mouth. Based on his history and symptoms, the diagnosis of Ludwig’s angina was suspected. Infected teeth were diagnosed in oral and radiological examination.

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The child was treated appropriately by extraction of infected teeth after antibiotic therapy. Many departments may have limited experience of the disease because of its rare occurrence. So, it is important to recognize Ludwings angina in the earlier stages of the disease.

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Introduction: Ludwig´s angina was firstly described by Wilhelm Frederick von Ludwing in 1836. Ludwig´s angina is a serious, life threatening if not early recognised and treated due to septicemia and asphyxia caused by expanding edema of soft tissues of the neck.



Souce: JBR Journal of Interdisciplinary Medicine and Dental Science
Authors: Mine Simsek / Esma Yildiz / Mutar Hamdi Aras

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Reimplantation of avulsed dry permanent teeth after three days: A report of two cases

Avulsion is a traumatic injury which results in loss of the tooth from the alveolus, while reimplantation is the technique of reinserting an avulsed tooth into the alveolus or tooth socket after its loss.

The success of reimplantation depends on many factors among which are the time lapse before the tooth is reimplanted in the socket and the storage medium of the avulsed tooth.

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Other factors which may affect the success of reimplantation include the condition of the tooth, particularly the periodontal ligament tissue remaining on the root surface, sex, age, type of tooth reimplanted, stage of root formation, type of cleansing procedure following contamination of the root surface, duration of splinting, and the use of antibiotics.

With favorable conditions such as the periodontal ligament remaining on the root surface, the tooth stored in adequate storage medium for not more than 60 minutes, and immediate reimplantation after the accident, the tooth may be retained for as long as 5 to 10 years and few for a lifetime, but some fail soon after reimplantation.

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Unfavorable conditions include teeth out of the mouth for more than 6 hours in no storage media and without periodontal ligament on the root surface.



° njcponline.com
° Nigerian Journal of Clinical Practice
° IN Ize-Iyamu, BDO Saheeb

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Pseudo class III treatment in 2-year-old children

Timing of orthodontic treatment especially for children with developing Class III malocclusions has always been somewhat controversial. Pseudo class III malocclusion is recommended to be treated early as this type of malocclusion doesn’t diminish with age.

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Untreated pseudo class III may lead to serious problems. The case report describes pseudo class III in primary dentition successfully treated by using Protrusive Arch Wire.



INTRODUCTION: Timing of orthodontic treatment, especially for children with developing class III malocclusions, has always been somewhat controversial.

The earlier the interceptive phase is initiated, the greater the orthopedic effects will be to the detriment of the unavoidable orthodontic and orthopedic effects.

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Source: Open Journal of Stomatology, 2014, 4, 10-13
Author: Maen Mahfouz

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Secondary brain abscess in an 11-year-old boy due to a dental infection

This is the case of an abscess of a primary molar that is related to a brain abscess in an 11-year-old boy. The patient presented to the emergency for a headache and was discharged with a diagnosis of migraine.


In the article you can find out about the entire dental medical procedure that was carried out in order to determine the diagnosis and treatment of the child under 11 years old. We share the article by Drs Hibberd and Nguyen.

READ FULL ARTICLE HERE

Souce / Image : Canadian Dental Association
Authors : Christine E. Hibberd , BA (Hons), DMD ; Trang D. Nguyen , DDS

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