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.

Advertisement

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

RECOMMENDED VIDEO
Ludwig's Angina. Presentation of a pediatric case

👉 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.

You may also like :
► Pediatric Facial Swelling - A Guide to Radiologic Diagnosis
► Antibiotics and its use in pediatric dentistry: A review
► Antimicrobial therapies for odontogenic infections in children and adolescents

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.

Advertisement

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.

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

👉 READ AND DOWNLOAD "Causes of Facial Swelling in Pediatric Patients: Correlation of Clinical and Radiologic Findings" IN FULL IN PDF👈

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

You may also like :
► Ludwig's Angina. Presentation of a pediatric case
► Management of acute orofacial infection of odontogenic origin in children - PDF Guide
► Antimicrobial therapies for odontogenic infections in children and adolescents

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.

Advertisement

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.

RECOMMENDED VIDEO
Ludwig's Angina. Presentation of a pediatric case

👉 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.

You may also like :
► Pediatric Facial Swelling - A Guide to Radiologic Diagnosis
► Antibiotics and its use in pediatric dentistry: A review
► Antimicrobial therapies for odontogenic infections in children and adolescents

Allergic manifestations to local anaesthetic in pediatric dentistry: Prevention and management

The use of local anesthetics in dentistry is of great importance because in this way we can reduce the stress, anxiety and fear of patients regarding dental procedures.

Allergic reactions to local anesthetics in pediatric patients are not frequent, but we must take the necessary preventive measures and know how to manage hypersensitivity to anesthetics.

Advertisement

We share an article that teaches us how to prevent, recognize and manage allergic manifestations to local anesthetics in pediatric patients.

RECOMMENDED VIDEO
Allergic manifestations to local anaesthetic in pediatric dentistry: Prevention and management

👉 READ AND DOWNLOAD "Allergic manifestations to local anaesthetic agents for dental anaesthesia in children" IN FULL IN PDF👈

PERONI D. ET AL. European Journal of Paediatric Dentistry vol. 20/1-2019

You may also like :
► Considerations for Pediatric Local Anesthesia
► Pediatric Anesthesia in Oral and Maxillofacial Surgery
► DENTAL ANESTHESIA : Mandibular Block for Pediatric Patients - Dental Injection Technique

Local anesthesia calculations: How to avoid overdose and toxicity in pediatric patients?

It is important to know the physiology and anatomy of the child when administering local anesthetics in a pediatric dentistry intervention. Overdose in pediatric dentistry occurs when the dosage of anesthetics is not handled correctly.

Local anesthetic systemic toxicity is a consequence of overdose, it is rare but usually occurs in children. This event is avoidable if all safety measures are taken.

Advertisement

We share an article that teaches us what are the symptoms of local anesthetic systemic toxicity in pediatric patients, and also how to properly calculate local anesthetics.

RECOMMENDED VIDEO
Tooth Extraction Aftercare Tips

👉 READ AND DOWNLOAD "Local anesthesia calculations: How to avoid overdose and toxicity in pediatric patients?" IN FULL IN PDF👈

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

You may also like :
► Considerations for Pediatric Local Anesthesia
► Oral Surgery: Use of laser in lingual frenectomy in pediatric patients
► DENTAL ANESTHESIA : Mandibular Block for Pediatric Patients - Dental Injection Technique

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.

Advertisement

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.

RECOMMENDED VIDEO
Tooth Extraction Aftercare Tips

👉 READ AND DOWNLOAD "Pediatric Anesthesia in Oral and Maxillofacial Surgery" IN FULL IN PDF👈

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

You may also like :
► Considerations for Pediatric Local Anesthesia
► Oral Surgery: Use of laser in lingual frenectomy in pediatric patients
► DENTAL ANESTHESIA : Mandibular Block for Pediatric Patients - Dental Injection Technique

Considerations for Pediatric Local Anesthesia

Pain is one of the reasons for patient absence and stress. The use of anesthesia eliminates the sensation of pain in dental treatments, reducing the stress of the pediatric patient.

In pediatric dentistry, it is important to know the weight and body mass of the infant to calculate the correct dose of anesthesia, and good behavior management of the pediatric patient.

Advertisement

We share a video that teaches us to calculate the dose and the most used local anesthetic techniques in pediatric dentistry.

RECOMMENDED VIDEO
DENTAL ANESTHESIA : Mandibular Block for Pediatric Patients - Dental Injection Technique

You may also like :
► How To Determine a Child's Medication Dose
► Behavior management in pediatric dentistry - Dr. Eyal Simchi - Webinar
► Webinar - Minor Oral Surgery in Pediatric Dentistry

Source: Youtube/ My Tooth Study

Nolla's Stages of Tooth Development - Video

Dr. Nolla in 1960 conducted a study to determine the development and maturation of permanent teeth. To perform this classification, the use of an X-ray is necessary.

The Nolla classification establishes values for tooth formation and development from the presence of the crypt to apical closure.

Advertisement

Knowing the stages of dental development of Nolla is important for diagnosis in orthodontics, pediatric dentistry and forensic dentistry. Learn the details of each phase of Nolla in the following video.

RECOMMENDED VIDEO
Tooth Development and Eruption - Odontogenesis

You may also like :
► Tooth development (Odontogenesis): 3D animated video
► Development of tooth (Odontogenesis) Part I - II
► Do you need x ray for braces? Why?

Source: Youtube / Boundless Dentistry

Pulp Therapy Procedures Manual for Primary and Immature Permanent Teeth

Pulp treatments in immature primary and permanent teeth aim to preserve the teeth until natural exfoliation. The pulp treatment to be performed will depend on a correct clinical and radiographic evaluation.

The treatment will depend on the vitality of the pulp, in case it is a vital tooth, pulp capping and pulpotomy can be performed. In non-vital teeth, pulpectomies are performed.

Advertisement

We share a complete manual that offers us recommendations for the diagnosis and pulp treatment procedure in vital and non-vital primary and young permanent teeth.

RECOMMENDED VIDEO
Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

👉 READ AND DOWNLOAD "Pulp Therapy for Primary and Immature Permanent Teeth" IN FULL IN PDF👈

American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:399-407

You may also like :
► What is the difference between apexogenesis and apexification?
► Technique for Primary Molar Tooth Pulpotomy
► PULPECTOMY procedures in primary molar teeth

Techniques and recommendations for an extraction in pediatric dentistry

Dental extraction is a dental treatment that consists of removing a tooth that has been affected by extensive caries, and that cannot be rehabilitated.

When extracting a primary tooth, we must bear in mind that the technique and patient management is different when this treatment is performed on an adult.

Advertisement

We share an article that teaches us what are the recommended techniques for dental extraction in children, and offers us several recommendations for a better surgical procedure in pediatric dentistry.

RECOMMENDED VIDEO
How to control bleeding after extraction?

👉 READ AND DOWNLOAD "Techniques and recommendations for an extraction in pediatric dentistry" IN FULL IN PDF👈

Handbook of Clinical Techniques in Pediatric Dentistry, First Edition. Edited by Jane A. Soxman. © 2015 John Wiley & Sons, Inc. Published 2015 by John Wiley & Sons, Inc.

You may also like :
► Reimplantation of avulsed dry permanent teeth after three days: A report of two cases
► First Aid for dental injuries in children
► Reimplantation of avulsed permanent teeth after three days: Clinical case in a pediatric patient

Pulpotomy: Diagnosis, types and procedure

Pulpotomy is a dental procedure that is performed on a primary tooth that is observed through an X-ray that the caries is close to the dental pulp. This treatment can be performed on primary dentition as well as permanent dentition.

During the procedure, the caries and the dental pulp are partially removed, thus maintaining the vitality and permanence of the primary tooth in the mouth.

Advertisement

We share a video that offers us details of the pulpotomy: diagnosis, indications, contraindications, procedure and types of pulpotomy.

RECOMMENDED VIDEO
Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

You may also like :
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy Medicaments used in Deciduous Dentition: An Update
► Technique for Primary Molar Tooth Pulpotomy

Source: Youtube/ Toothism

Apexogenesis: Step by step procedure

Apexogenesis is a dental treatment that is performed on immature and vital permanent teeth. The objective of this treatment is to allow root growth and apical closure of the tooth.

Apexogenesis is performed on immature teeth with open apices that are affected by caries, trauma, or fractures with pulp exposure. Follow-up and clinical controls are recommended.

Advertisement

We share a video that explains everything about apexogenesis: definition, indications, contraindications and the step-by-step procedure.

RECOMMENDED VIDEO
Pulpotomy Medicaments used in Deciduous Dentition: An Update

You may also like :
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy of Deciduous Molar - Step by step
► Technique for Primary Molar Tooth Pulpotomy

Source: Youtube/ Toothism

Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

Pulpectomy is a dental procedure that is performed on primary teeth that are affected by an infectious process that totally compromises the dental pulp.

Pulpectomy removes all the dental pulp that is infected or affected by dental trauma. At the time of performing this procedure, a correct clinical and radiographic evaluation is necessary.

Advertisement

The video that we share details everything related to pulpectomy: diagnosis, indications and contraindications, procedure, recommended filling materials, and the importance of post-treatment follow-up.

RECOMMENDED VIDEO
Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry

You may also like :
► Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy
► What is pulp therapy? What are the pulp therapies in children?
► Root Canal Treatment for children

Source: Youtube/ Toothism

How Does Myobrace Work? - Video

The evaluation, diagnosis and treatment of malocclusions from a very early age is recommended. Thanks to functional orthopedics, malocclusions can be corrected and prevented from getting worse.

The Myobrace system through different intraoral devices corrects and prevents malocclusions as well as the consequences of bad oral habits. The use of these devices decreases the time of treatment with braces


We share a video that explains how the Myobrace system works to correct malocclusions and bad oral habits.

RECOMMENDED VIDEO
Early Orthodontic Treatment: The Essential Knowledge for a General Dental Practitioner

You may also like :
► Why Is Thumb Sucking Harmful?
► Importance of Early Orthodontic Treatment: 'Underbites'
► 6 signs that your child may need early orthodontic treatment

Source: Youtube / Dental Studio Dubai

Guidelines for the management of traumatic dental injuries in the primary dentition

Dental traumas in pediatric patients represent 18% of all injuries and that is due to the activities of children, and they occur more frequently when they learn to crawl, walk or run.

The lesions can compromise dental tissue (enamel, dentin, root), dental pulp, alveolar bone, and periodontal ligaments. Soft tissues such as lips and cheeks are also included.

Advertisements

We share an article that does not offer different recommendations for the diagnosis and treatment of traumatic injuries in the primary dentition.

RECOMMENDED VIDEO
How to handle dental trauma?

👉 READ AND DOWNLOAD "Guidelines for the management of traumatic dental injuries in the primary dentition" IN FULL IN PDF👈

Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 2020;36(4):343-359. https://doi.org/10.1111/edt.12576

You may also like :
► Reimplantation of avulsed dry permanent teeth after three days: A report of two cases
► First Aid for dental injuries in children
► Reimplantation of avulsed permanent teeth after three days: Clinical case in a pediatric patient

Oral Surgery: Use of laser in lingual frenectomy in pediatric patients

The frenectomy is the surgical act that is performed on the labial or lingual frenulum. This procedure is performed when the frenulum generates limits the movements of the lip or tongue.

Among the benefits of using laser in frenectomy are: a quick surgical procedure, and a shorter and less painful post-operative period. Other benefits are: it promotes hemostasis and sterilizes the surgical site.

Advertisement

We share an interesting clinical case of a 7-year-old girl referred by the orthodontist for a lingual frenectomy. In the article we can find the benefits of using laser in frenectomy.

RECOMMENDED VIDEO
Benefits of Tongue Tie Surgery

👉 READ AND DOWNLOAD "Diode Laser Lingual Frenectomy in Pediatric Dentistry: Case Report" IN FULL IN PDF👈

Irineu Gregnanin Pedron., et al. “Diode Laser Lingual Frenectomy in Pediatric Dentistry: Case Report". Scientific Archives Of Dental Sciences 4.1 (2021): 29-33.

You may also like :
► ORAL REHABILITATION of a child with dentinogenesis imperfecta
► Esthetic restoration of deciduous anterior teeth using prefabricated zirconia crowns: A case report
► Preparation of stainless steel crown for the rehabilitation of primary molars