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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Hall technique: Complete information for the treatment of carious primary molars

Caries is an infectious process that seriously affects dental enamel, and when it is not treated in time, it endangers the permanence of the tooth in the oral cavity.

Steel crowns are used in pediatric dentistry when primary teeth are severely damaged by dental caries. They are usually placed after pulp treatment and in hypoplastic teeth.

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The objective of the article is to provide adequate information on the Hall technique, indications, contraindications, disadvantages, and the cost-effectiveness of this procedure. A complete analysis of this rehabilitation technique for carious primary teeth.

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Altoukhi DH, El-Housseiny AA. Hall Technique for Carious Primary Molars: A Review of the Literature. Dent J (Basel). 2020 Jan 17;8(1):11. doi: 10.3390/dj8010011. PMID: 31963463; PMCID: PMC7148518.

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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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Oral manifestations of eating disorders in adolescent patients

Eating disorders are a set of psychopathological disorders that are related to eating behaviors, and affect physical and emotional health, these conditions usually manifest in young people and adolescents. The most common eating disorders are anorexia and bulimia.

Patients with eating disorders present alterations in the perioral tissues, oral mucosa and teeth. These alterations generate several problems in the different functions of the oral cavity.

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We share a study that describes the different oral manifestations of eating disorders (anorexia, bulimia) that we can find in an adolescent patient with the aim that the professional identifies these signs early.

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Effects of tobacco on the oral cavity: Nicotine Stomatitis

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

Monda M, Costacurta M, Maffei L, Docimo R. Oral manifestations of eating disorders in adolescent patients. A review. Eur J Paediatr Dent. 2021 Jun;22(2):155-158. doi: 10.23804/ejpd.2021.22.02.13

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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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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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Pharmacological treatment of oral infections in pediatric dentistry - Recommendations and dose calculation

When the pediatric patient presents an oral infection, antibiotics should be administered with the objective of controlling the infection and avoiding serious consequences at a systematic level. The correct management of antibiotics is a challenge for many pediatric dentists.

In comparison, the metabolism of a drug in a child is different from that of an adult, so the administration of an antibiotic should be taking into account the diagnosis, age and weight of the pediatric patient.

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The article that we share offers us a review of the proper use of antibiotics in pediatric dentistry, considerations that we must take into account when prescribing antibiotics, and recommendations to calculate the dose in pediatric dentistry.

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Monika Khoja, et al. Use or Misuse of Antibiotics in Pediatric Dentistry!!!. J Dental Sci 2019, 4(2): 000224.

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Pharmacological management of the behavior of the pediatric patient: Nitrous Oxide and General Anesthesia

When pediatric patients attend their dental appointment, it can create a feeling of fear and stress that influences their behavior during the procedure. There are two types of behavior management: pharmacological and non-pharmacological.

When non-pharmacological behavior management techniques have been tried without results, we can use pharmacological methods: conscious sedation and general anesthesia.

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We share two videos that teach us the use of nitrous oxide and general anesthesia as a method of pharmacological control in pediatric patients, touching on topics such as: indications, contraindications, dosage and recommendations.

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Source: Youtube/ Dentistry Madeeasy

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Syndromes of the First and Second Branchial Arches - Clinical and radiographic characteristics

The formation of the branchial arches can be altered, generating abnormalities that are evident in fistulas or cysts. Alterations in the first and second branchial arches compromise the eyes, nose, mouth, skull, neck, cervical spine, and hands.

For correct treatment, a diagnosis must be made based on the clinical finding and the results of imaging studies (computed tomography and magnetic resonance imaging).

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We share two articles that detail the clinical and radiographic characteristics of alterations of the first and second branchial arches.

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👉 READ AND DOWNLOAD "Syndromes of the First and Second Branchial Arches, Part 1: Embryology and Characteristic Defects" IN FULL IN PDF👈

👉 READ AND DOWNLOAD "Syndromes of the First and Second Branchial Arches, Part 2: Syndromes" IN FULL IN PDF👈

Johnson JM, Moonis G, Green GE, Carmody R, Burbank HN. Syndromes of the first and second branchial arches, part 1: embryology and characteristic defects. AJNR Am J Neuroradiol. 2011 Jan;32(1):14-9. doi: 10.3174/ajnr.A2072.

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Manual of diagnosis and pulp treatment in non-vital primary teeth

Non-vital teeth are those whose nerves lack vitality and there is no blood flow inside. This may be due to deep caries or dental trauma that irreversibly affects the dental pulp.

A correct history, clinical and radiographic evaluation is necessary in these cases to determine the appropriate treatment for these cases (dental extraction, pulpectomy, lesion sterilization tissue repair).

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We share a guide that helps us identify the signs and symptoms of a non-vital tooth, and evaluates the pulp treatment options in non-vital primary teeth.

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Coll JA, Dhar V, Vargas K, et al. Use of Non-Vital Pulp Therapies in Primary Teeth. Pediatr Dent 2020;42(5):337-49.

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Dental Anesthesia: Overdose and Complications in Pediatric Patients

The use of dental anesthesia helps us control pain and anxiety in dental procedures in pediatric dentistry patients. The pediatric dentist must know the anesthesia application technique, the dose, the anatomical references, and the management of complications due to dental anesthesia.

Knowing the proper dose for the patient avoids the risk of overdose, and knowing the anatomical landmarks ensures correct application of the anesthetic solution.

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We share an article that teaches us to anticipate cases of overdose due to dental anesthesia in pediatric patients, and the behavior that we must have in the face of complications that may arise in the dental office.

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How to handle medical emergencies in pediatric dentistry?

During dental practice, emergency events can occur that put the life of the pediatric patient at risk. The pediatric dentist must identify emergency manifestations and take immediate and effective action.

The possibility of a medical emergency can be anticipated and reduced by conducting an interview with the parents, medical interconsultation, and a correct anamnesis.

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We share a video that teaches us what should be the immediate behavior that the pediatric dentist should have in the event of a medical emergency in a pediatric patient (syncope / asthma / anaphylaxis)

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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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