Exfoliation of non-resorbed primary incisors in a 4-year-old child – case report and literature review
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2017, Vol 70, Issue 2
Abstract
Introduction. Early exfoliation of non-resorbed tooth can be a symptom of severe systemic disease, even a fatal one. Case description. A 4-year-old boy presented with increased mobility of the lower incisors which resulted in missing 81; the tooth exfoliated with non-resorbed root six months earlier. Intra-oral examination revealed that mobility of 71 was more pronounced than that of the lateral incisors (it exfoliated non-resorbed within the next three months), while the remaining teeth were of normal mobility. Additionally, teeth 51 and 61 had pinkish crowns with horizontal gingival recessions. The boy was caries-free and had not experienced any dental trauma (DMF=0). His oral mucosa was sound, but he presented poor oral hygiene. The pantomogram showed a horizontal reduction of the maxillary front alveolar bone height. The patient was mouth breathing due to recurrent infections of the upper respiratory tract with adenoid hypertrophy. The skin of the hands and feet was normal. There was a case of inherited skeletal disorder in the patient’s family. The patient was consulted by the paediatric haematologist, orthopaedic surgeon and laryngologist (adenoidectomy). The laboratory tests showed proper blood cell count and no signs of calcium-phosphate metabolism disorders. The boy stayed under dental observation for six years without any further abnormal exfoliations. Discussion. Careful medical and dental diagnostics was required to exclude possible reasons for the tooth loss such as quantitative or qualitative neutrophil defects, metabolic or connective tissue disorders or neoplasia. Conclusion. This was a case of idiopathic early teeth exfoliation, which self-limited. Nevertheless, thorough diagnostics, adenoidectomy and oral hygiene improvement were fundamental for the diagnostic and treatment process.
Authors and Affiliations
Ilona Wieczkowska, Anna Jarząbek, Magdalena Gońda-Domin, Karolina Węsierska, Rafał Rojek, Joanna Mikołajczyk, Hanna Bielawska-Victorini
Keywords
Related Articles
- EP ID EP192838
- DOI -
- Views 92
- Downloads 0
Poziom lęku przed leczeniem stomatologicznym, a stan uzębienia u 18-latków w Polsce
Wstęp. Stan zdrowia jamy ustnej polskich nastolatków jest niezadawalający i w ciągu ostatnich lat nie zaobserwowano znaczącej poprawy. Młodzież w Polsce ma więcej zębów z próchnicą, zębów wypełnionych i wyż...
Intraoral Exostoses. Etiology, morphology and treatment.
Exostoses are bone malformations located mostly in the midline of the palate and the lingual side of the mandible. Exostoses can grow and cause a problem while constructing and using removable dentures. The etiology of e...
Postępowanie chirurgiczno-protetyczne w przypadku pacjentki obciążonej ziarniniakiem Wegenera
Ziarniniak Wegenera jest rzadkim schorzeniem układowym należącym do grupy martwiczych, ziarniniakowych zapaleń naczyń krwionośnych. Choroba dotyczy głównie naczyń górnych i dolnych dróg oddechowych oraz nerek. W obrębie...
Practical application of Cari Screen test and ecological balance hypothesis
Aim or Purpose: The aim of study is to determine status of oral health and assess efficacy of Cari Screen test to estimate risk of caries in 3 year-old children. The ecological balance hypothesis suggests that risk of ca...
Leczenie złamań żuchwy – przegląd metod od starożytności do czasów współczesnych
Wstęp: rozwojowi cywilizacji towarzyszyły zawsze różnorodne urazy, z których konsekwencjami człowiek musiał się zmierzyć. Cel pracy: na podstawie piśmiennictwa oraz własnych doświadczeń opisano sposoby postępowania w lec...