Dental abscess, facial cellulitis and Ludwig's Angina in a pediatric patient - Diagnosis and treatment - Free scientific articles, videos and clinical cases

Infections of odontogenic origin in children are the main cause of dental emergencies. Treatment must be immediate to prevent the infection from advancing and endangering the patient's life.

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Depending on the severity, the patient may receive hospital care and admission. Some of the infectious manifestations of odontogenic origin can be: abscesses and cellulitis.

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We share a complete list of clinical cases, scientific articles, videos on the diagnosis, surgical and pharmacological treatment of odontogenic infections in pediatric patients.

🎯 List of Scientific Articles, PDF Articles, Clinical Cases, Videos and more below

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

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

► Ludwig's Angina. Presentation of a pediatric case

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

► Antimicrobial therapies for odontogenic infections in children and adolescents

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

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

► Odontogenic Infection in Pediatric Dentistry: Facial Cellulitis, Ludwig's Angina - Diagnosis, clinical and pharmacological management

► Management of antibiotics in odontogenic infections in pediatric dentistry

► Management of acute orofacial infection of odontogenic origin in children - PDF Guide

► Pediatric Facial Swelling - A Guide to Radiologic Diagnosis

Ankyloglossia in infants - Diagnosis and surgical protocol

Ankyloglossia is characterized by a short lingual frenulum that limits the mobility of the tongue. This congenital anomaly causes difficulties in breastfeeding and speech problems in the future.

There are several signs and symptoms that we must be aware of, such as: long-term breastfeeding, straining of the infant, pain in the mother's nipple. Treatment for ankyloglossia is outpatient surgery with local anesthesia.

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We share the signs and symptoms for a correct diagnosis of ankyloglossia in infants and the surgical aspects of its treatment.

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Parri Ferrandis FJ. Ankyloglossia in infants: surgical aspects. Cir Pediatr. 2021 Apr 1;34(2):59-62. English, Spanish. PMID: 33826256.


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Management of antibiotics in odontogenic infections in pediatric dentistry

Odontogenic infections in children spread rapidly in various areas of the head and neck. That is why it is important for the specialist to take immediate action to avoid putting the patient's life at risk.

Antibiotic treatment in pediatric dentistry should be carried out taking into account the pharmacodynamic characteristics of the pediatric patient. The pediatric dentist must know the drug and the recommended doses to avoid adverse reactions or resistance.

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We share two videos on the correct use and management of the most used antibiotics in infections of odontogenic origin in pediatric dentistry.

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What is temporomandibular disorder? - Concept, diagnosis and current treatment

The temporomandibular joint is formed by the mandibular and the temporal bone of the skull, which together with muscular structures allow movements such as opening, closing, laterality, protrusion and mandibular retrusion.

The etiology of temporomandibular disorders are complex and varied, and it is a challenge for the evaluation, diagnosis and management of this pathology. Treatment can be conservative or surgical.

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Learn about the clinical manifestations, causes and consequences of temporomandibular disorders, in addition to the management and treatment of this pathology.

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Li, D.T.S.; Leung, Y.Y. Temporomandibular Disorders: Current Concepts and Controversies in Diagnosis and Management. Diagnostics 2021, 11, 459. https://doi.org/10.3390/diagnostics11030459

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Ameloblastoma in a pediatric patient - Characteristics, treatment and clinical case

Ameloblastoma is an odontogenic tumor, non-malignant but locally aggressive, with high recurrence, and is evidenced as a facial swelling, or sometimes as a radiographic finding.

The patient refers symptoms such as pain, dental mobility, malocclusion and others. Treatment is surgical, and can be conservative or radical, and the technique to be used will depend on the pathological and radiographic evaluation of the tumor.

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We share a review on ameloblastoma and its clinical and radiographic characteristics, as well as surgical treatment, regarding the presentation of the case in a pediatric patient.

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Belardo, Edgar, Velasco, Ignacio, Guerra, Andrés, & Rosa, Edwin. (2012). Mandibular Ameloblastoma in a 10-year-old Child: Case Report and Review of the Literature. International journal of odontostomatology, 6(3), 331-336. https://dx.doi.org/10.4067/S0718-381X2012000300016


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TMJ ankylosis in pediatric patients - Signs and symptoms

TMJ ankylosis is a pathology that consists of the fusion of the components of the joint with the mandibular fossa of the temporal. It may be unilateral or bilateral.

The displacement and movement of the TMJ is partially or totally limited, complicating eating and speaking. Treatment for TMJ ankylosis is surgery and physical therapy.

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We share a study on the causes, signs, symptoms and treatment of temporomandibular joint ankylosis in children, as well as the success of surgical treatment.

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Temporomandibular Joint Ankylosis In Children. Mzubanzi Mabongo. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 12, Issue 5 (Nov.- Dec. 2013), PP 35-41


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Trigeminal Neuralgia: Clinical features and pharmacological and surgical treatment

Trigeminal neuralgia is a disorder of the trigeminal nerve that is characterized by painful and recurrent episodes at the facial level. Patients refer to this pain as a short-lived electric shock.

The treatment is pharmacological, but surgical treatment should be considered if the pain is not controlled or when the side effects of the drugs are not tolerated.

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We share an interesting guide on the clinical features, diagnosis, pharmacological and surgical treatment of trigeminal neuralgia.

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Lambru G, Zakrzewska J, Matharu M. Pract Neurol 2021;21:392–402.


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Odontogenic Infection in Pediatric Dentistry: Facial Cellulitis, Ludwig's Angina - Diagnosis, clinical and pharmacological management

Odontogenic infections affect dental and periodontal structures and are the main cause of dental consultation. Untreated infections can be life-threatening.

Odontogenic infections are rapidly evolving, spreading to various regions of the face and neck. Care must be immediate and effective, and in many cases hospitalization is required.

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We share a series of articles on odontogenic infections in pediatric dentistry, diagnosis, clinical manifestations, pharmacological and surgical management.

🎯Scientific Articles, PDF Articles, videos and more about odontogenic infections in pediatric dentistry below

📌Odontogenic infection

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

► Antimicrobial therapies for odontogenic infections in children and adolescents

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

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

📌Face Cellulite

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

📌Ludwig's angina

► Ludwig's Angina. Presentation of a pediatric case

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

👉 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.

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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

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

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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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