By Crispian Scully, Richard Welbury, Catherine Flaitz, Oslei Paes de Almeida
Like the profitable first version, this superior, up-to-date and accelerated moment version profiles the typical orofacial problems and a variety of much less universal and a few infrequent problems. the point of interest is at the prevalence of those problems in youngsters and youth, and the writer tailors the statement to precise pediatric age teams. within the re-creation, the textual content contains therapy thoughts for the most typical oral illnesses. Any medical professional referred to as upon to diagnose and deal with little ones who've orofacial difficulties will enjoy the wealth of fabric provided here.
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Additional info for A color atlas of orofacial health and disease in children and adolescents: diagnosis and management
The hypertrophy causes the pulp to become obliterated with age. Diagnosis Diagnosis is clinical, supported by imaging. Management Restorative dentistry is usually indicated and genetic counseling. Preservation of the primary dentition is important. Many pediatric dentists place stainless steal crowns or bond composite resin to the occlusal surface of the primary molars to prevent excessive occlusal wear and pulpal involvement. 43 Figure 43. Dentine dysplasia Type II. 22 OROFACIAL HEALTH AND DISEASE IN CHILDREN AND ADOLESCENTS DENTINOGENESIS IMPERFECTA Dentinogenesis imperfecta (Figs 44–49) is an autosomal dominant condition (incidence 1 in 8000) in which the dentine is abnormal in structure and hence translucent.
Most patients are prone to seizures and learning disability. Cerebral calcifications are seen on imaging. Angiofibromas, typically seen in the nasolabial fold are pathognomonic, can be severely disfiguring and may involve other sites, such as the chin (adenoma sebaceum). Fibrous plaques on the forehead and ‘shagreen patches’ elsewhere and hypopigmented ‘ash leaf’ patches seen on the trunk are other cutaneous features. Subungual fibromas are another pathognomonic feature and may be seen with longitudinal ridging of the nails.
These small cysts usually disappear spontaneously by rupturing or involution within a month or so. There may be an association of gingival cysts with milia (superficial epidermal inclusion cysts). Oral cysts are otherwise rare in neonates, although cysts may present at the base of the tongue where they can cause airway obstruction. Diagnosis Diagnosis is clinical. 56 Figure 56. Gingival cysts in a young infant. Management Reassurance only is usually required. GINGIVAL FIBROMATOSES Hereditary gingival fibromatosis is a familial condition, in which generalized gingival fibromatosis (Fig.