Management of mandibular fractures in children. Diagnosis and treatment. Case report

Mandibular fractures in children are rare, and deserve special care because they are in full growth and craniofacial development. The appropriate treatment will depend on the age of the child and the affected mandibular area.

The evaluation and treatment must be immediate to avoid functional disorders, serious consequences in the craniofacial development and in the aesthetics of the patient. The treatment of mandibular fractures can be conservative or surgical.

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We share the recommendations for the diagnosis, management and treatment of mandibular fractures in pediatric patients, and we report the case of a 3-year-old patient and her surgical treatment.

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👉 Article 1: READ AND DOWNLOAD "Mandibular fractures in children under 3 years: A rare case report" IN FULL IN PDF👈

Renato Maranoa, Patrício de Oliveira Netoa, Keiko Oliveira Sakugawab, Liliane S.S. Zanettic, Márcio de Moraesa. Mandibular fractures in children under 3 years: A rare case report. Rev Port Estomatol Med Dent Cir Maxilofac. 2013;54(3):166–170

👉 Article 2: READ AND DOWNLOAD "What are the differences in Pediatric Mandible Fractures?" IN FULL IN PDF👈

Karacor- Altuntas Z, Ismayilzade M (2017) What are the Differences in Pediatric Mandible Fractures? J. Aesthet Reconstr Surg. Vol 3 No.2: 11

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Natal teeth and Riga Fede ulcer: Diagnosis and treatment

Riga Fede ulcer is usually located on the ventral side of the tongue, and is caused by the trauma caused by the presence of a natal or neonatal tooth. It is painful, so it limits the sucking action of breast milk, putting the baby's feeding at risk.

Natal and neonatal teeth are of unknown etiology, and are characterized by not presenting a single shape, they can be small or large and conical or normal in shape.

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We share the clinical implications and the approach to the treatment of natal and neonatal teeth, regarding the case of the presence of Riga Fede ulcer in a two-month-old baby.

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Neonatal tooth with Riga-Fede disease affecting breastfeeding: A case report

👇 READ AND DOWNLOAD THE ARTICLE "Natal teeth and Riga Fede ulcer: Diagnosis and treatment" IN PDF 👇


Danelon, M., Emerenciano, N. G., Garcia, L. G., Percinoto, C., & Cunha, R. F. (2017). Natal teeth associated with Riga-Fede ulcer: case report. ARCHIVES OF HEALTH INVESTIGATION, 6(4). https://doi.org/10.21270/archi.v6i4.2059

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Dentigerous cyst in mixed and primary dentition. Diagnosis and surgical treatment

Dentigerous cysts are cavities with liquid content, and develop from the remains of the enamel epithelium. They are the most common, benign cysts, and are usually located in the lower jaw. It is related to the crowns of unerupted teeth.

They manifest as radiographic findings or when the patient has acute inflammation. Enucleation of the cyst is performed using the surgical technique of marsupialization.

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We share several cases that report the diagnosis, management and surgical treatment (enucleation and marsupialization) of the dentigerous cyst in mixed and primary dentition.

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👉 ARTICLE 1: READ AND DOWNLOAD "Dentigerous Cysts in Primary Dentition: Report of 2 Cases" IN FULL IN PDF👈

Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent. 2006 May-Jun;28(3):269-72. PMID: 16805361.

👉 ARTICLE 2: READ AND DOWNLOAD "Dentigerous cyst in a young child: a case report" IN FULL IN PDF👈

McKinney, S. L., & Lukes, S. M. (2021). Dentigerous cyst in a young child: a case report. Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD, 55(3), 177–181.

👉 ARTICLE 3: READ AND DOWNLOAD "Dentigerous Cyst in Children: A Case Report and Outline of Clinical Management for Pediatric and General Dentists" IN FULL IN PDF👈

Meer, Zakirulla & Yavagal, Chandrashekar & Jayashankar, DN & Meer, Allahbaksh. (2012). Dentigerous Cyst in Children: A Case Report and Outline of Clinical Management for Pediatric and General Dentists. Journal of Orofacial Research. 2. 238-242. 10.5005/jp-journals-10026-1051.

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Marsupialization of a large mandibular cyst in a pediatric patient - Clinical Case

Mandibular cysts are generally benign neoplasms, may be of odontogenic origin and vary in size and severity. Mandibular cysts can expand, injuring large extensions of bone tissue, involving the stability of the teeth.

Various techniques are used to surgically remove the mandibular cyst, enucleation when the cyst is small, or marsupialization when it is large.

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We share the case of surgical removal (marsupialization) of a large mandibular cyst in a pediatric patient, and the use of a multipurpose space maintainer.

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Salem Waly. Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt. 2090-097X, October 2019, Vol. 10, No. 4

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What are those bony bumps in my mouth? (Torus)

Torus are exostoses or benign bony protrusions that appear in the upper or lower jaw. It can be unilateral or bilateral, and its etiology is unknown, but it is related to genetic factors, trauma or environmental factors.

The torus should be removed if they are large and generate aesthetic, chewing, swallowing problems, or when they interfere with the making of dental prostheses.

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The bony bumps (torus) are slow growing and can appear in the upper or lower jaw, their removal is surgical. More information about its characteristics and manifestations in the article that we share.

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Soumya Chatterjee. Cleveland Clinic Journal of Medicine Jan 2016, 83 (1) 17-18; DOI: 10.3949/ccjm.83a.15033

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Odontogenic facial cellulitis in a pediatric patient - Medical-dental management considerations

Facial cellulitis is an infection, usually of odontogenic origin, that moves and evolves rapidly, putting the patient's general health at risk. The management of facial cellulitis in pediatric dentistry must be multidisciplinary.

In the initial stages, cellulite is of a soft consistency, in advanced stages it is hardened. The infant's immune system is diminished, so it is necessary to control and eliminate the causative agent.

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We share an article that details the clinical characteristics, pharmacological and multidisciplinary management of odontogenic facial cellulite in children.

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Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management

👉 READ AND DOWNLOAD "Odontogenic facial cellulitis in a pediatric patient - Medical-dental management considerations" IN FULL IN PDF👈

Giunta Crescente C, Soto de Facchin M, Acevedo Rodríguez AM. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists. Arch Argent Pediatr 2018;116(4):e548-e553

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Odontogenic infection in facial spaces - Pharmacological and surgical management in pediatric patients

Facial spaces are virtual spaces that are found between tissues, organs and faciae. These spaces become relevant in infectious processes, since they are occupied by purulent secretions that move through various regions of the head and neck.

Infections that affect the head and neck are generally of odontogenic origin, and have a rapid evolution that put the patient's life at risk. Treatment must be immediate and in many cases multidisciplinary.

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We share the case of an odontogenic infection that affected the facial spaces of a pediatric patient. We report the clinical and pharmacological management, and the surgical procedure (drainage).

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👇 Read and download the article in PDF 👇



Khaja Khalid Nawaz M. Management of Facial Space Infection in a 9-Year-Old Child - A Case Report. International Journal of Clinical Oral and Maxillofacial Surgery. Vol. 2, No. 1, 2016, pp. 1-4.doi: 10.11648/j.ijcoms.20160201.11

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Guide for the surgical management and oral pathology of the pediatric patient

To perform a surgical procedure in pediatric patients, we must take into account a series of special considerations, such as knowledge of anatomy, dental development and eruption, behavior and behavior of the patient.

Some of the pathologies that we can frequently find in children that need surgical procedures are: supernumerary and impacted teeth, congenital cysts, mucoceles.

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We share a manual that offers us recommendations and criteria for surgical procedures in pediatric patients and the most common pathological cases (biopsies, cysts, tumors, natal and neonatal teeth, mucocele, granulomas)

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American Academy of Pediatric Dentistry. Management considerations for pediatric oral surgery and oral pathology. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:450-60.

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Mandibular tumors in pediatric patients. Report of 04 cases of aggressive tumors

There are several causes that give rise to a jaw tumor in a pediatric patient, so it is important for the professional to know the clinical characteristics of the lesion. Jaw tumors in children are not frequent, and cause a physical and psychological alteration of the patient.

In these cases, the use of images and a biopsy is necessary to determine the histopathology of the lesion and carry out an appropriate treatment plan.

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We share 04 cases of aggressive mandibular tumors in pediatric patients, of different histopathological origin. The treatment and evolution of the patient are documented.

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Manual of Local Anesthesia - Anesthetic techniques and anatomical references

Stress and fear are present in patients when they undergo invasive dental procedures, so proper administration of dental anesthesia ensures a painless, fast and effective dental procedure.

The professional must know the appropriate administration technique for the dental procedure, the anatomical references, and the recommended dose for the patient.

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We share a dental anesthesia manual, which teaches us in a practical and simple way the different anesthetic techniques and their anatomical references.

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Management of acute orofacial infection of odontogenic origin in children - Diagnosis, clinic and pharmacology

Infections of odontogenic origin are those that are generated and evolve from a tooth, either by a process of pulpal or periodontal infection. These infections spread to other tissues and put the patient's life at risk.

The abscess and cellulitis are the manifestations of the progressive phases of the infectious process. It is important to know their differences, and the clinical and pharmacological management.

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We share a clinical and pharmacological management manual for orofacial infections (abscess and cellulitis) of odontogenic origin in children.

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👉 READ AND DOWNLOAD "Management acute orofacial infection of odontogenic origin in children" IN FULL IN PDF👈

Management acute orofacial infection of odontogenic origin in children 1° Edition. 2016. Oral Health Division Ministry of Health Malaysia.

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Facial swelling in a pediatric patient - Causes, clinical and radiological manifestations

It is common to find some type of facial swelling in pediatric patients, so it is necessary to know its clinical manifestations and a correct anamnesis. We must bear in mind that the cause of a swelling is diverse.

In these cases, the use of computed tomography or magnetic resonance imaging is recommended to determine the extent and involvement of the swelling. Rhabdomyosarcoma, osteogenic sarcoma and Ewing's sarcoma should be taken into account in the differential diagnosis.

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We share an article that tells us about and classifies the different causes and clinical manifestations of facial swelling in pediatric patients. It also teaches us how to identify facial swellings on CT scans and MRIs.

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Causes of Facial Swelling in Pediatric Patients: Correlation of Clinical and Radiologic Findings Geetika Khanna, Yutaka Sato, Richard J. H. Smith, Nancy M. Bauman, and Jeffrey Nerad RadioGraphics 2006 26:1, 157-171

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Inferior alveolar nerve block Technique For Children - Tips and tricks

Dental anesthesia blocks the painful sensations that result from a dental procedure, thus controlling the stress and fear that patients have. There are several anesthetic application techniques in dentistry, each one of them block specific regions.

The inferior alveolar nerve block technique is one of the most used, because it blocks the painful sensations of half of the tongue, lip, teeth and bone of the lower jaw.

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In pediatric dentistry, the inferior alveolar nerve block technique can be quite a challenge, and the video that we share offers several tips and tricks for its administration in pediatric patients.

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Source: Youtube/ AtoZ Kidsdental

Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management

Facial cellulitis is an infectious process, usually odontogenic, that puts the life of the pediatric patient at serious risk if it does not have the appropriate treatment. The immune system of the child patient is not developed enough to deal with this type of infection.

Facial cellulite spreads to other anatomical regions, aponeurotic plane and tissue spaces. Clinically, facial cellulite is of a soft consistency and with inflammatory signs. Early diagnosis and treatment prevents serious consequences of cellulite.

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Treatment of facial cellulite in an infant must be immediate, and multidisciplinary management is necessary in many cases. We share an article that teaches us how to identify, diagnose and treat facial cellulite in pediatric patients.

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👉 READ AND DOWNLOAD "Odontogenic facial cellulitis in a pediatric patient - Diagnosis, treatment and multidisciplinary management" IN FULL IN PDF👈

Giunta Crescente C, Soto de Facchin M, Acevedo Rodríguez AM. Medical-dental considerations in the care of children with facial cellulitis of odontogenic origin. A disease of interest for pediatricians and pediatric dentists. Arch Argent Pediatr 2018;116(4):e548-e553.

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What is a dry socket? All you need to know

Dry socket is the inflammation of the dental alveolus, and it happens after a post-extraction dental complication, it is very painful, and infrequent, but with the right treatment it disappears in a few days.

The post-surgical recommendations of the dental surgeon are intended to avoid post-operative complications, such as: inflammation and hemorrhage. The patient must take into account the recommendations of the surgeon.

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We share a video that explains everything you need to know about dry socket: signs, symptoms, causes, and the importance of the surgeon's post-operative recommendations.

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Pediatric Anesthesia in Oral and Maxillofacial Surgery

We start by saying that an adult patient is not the same as a pediatric patient. The anatomy and physiology are completely different, and these values must be taken into account when planning a surgical treatment.

The use of anesthesia reduces stress and anxiety during surgical procedures, but it is important to know how to handle the formulas to calculate the dose in pediatric patients.

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We share a complete article that points out the anatomical and physiological differences of the pediatric patient, the anesthetic techniques for a surgical procedure, and the anesthetic considerations in the case of special patients.

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Deepak G Krishnan. Oral Maxillofac Surg Clin North Am. 2018 May.

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