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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👉 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

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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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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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