Neonatal teeth: Importance of histological findings in management update.


Journal

European journal of paediatric dentistry
ISSN: 2035-648X
Titre abrégé: Eur J Paediatr Dent
Pays: Italy
ID NLM: 101121881

Informations de publication

Date de publication:
Dec 2020
Historique:
entrez: 18 12 2020
pubmed: 19 12 2020
medline: 23 12 2020
Statut: ppublish

Résumé

Presence of teeth in a newborn represents a rare finding and a disturbance of biological chronology of teeth. The aim of this paper is to report two cases with neonatal teeth histologically examined. In this paper two cases of patients with neonatal teeth are reported and histological examinations of three extracted teeth are described. We report an exceptional finding in one of the neonatal teeth microscopically examined: a massive inflammatory infiltration in the pulp tissue similar to that in pulpitis. The management of natal and neonatal teeth usually includes the extraction in case of ulceration on the tongue or severe tooth mobility to prevent accidental inhalation or feeding disturbances. The presence of an inflammatory infiltration of pulp tissue in one of teeth histologically examined suggests to review the indications for extraction considered to date. The management of natal and neonatal teeth should consider the presence of an inflammatory infiltration of pulp tissue. An anamnestic interview is advisable in ordert to deeply investigate about possible behaviours of the child due to pain or discomfort.

Sections du résumé

BACKGROUND BACKGROUND
Presence of teeth in a newborn represents a rare finding and a disturbance of biological chronology of teeth. The aim of this paper is to report two cases with neonatal teeth histologically examined.
CASE REPORT METHODS
In this paper two cases of patients with neonatal teeth are reported and histological examinations of three extracted teeth are described. We report an exceptional finding in one of the neonatal teeth microscopically examined: a massive inflammatory infiltration in the pulp tissue similar to that in pulpitis.
RESULTS RESULTS
The management of natal and neonatal teeth usually includes the extraction in case of ulceration on the tongue or severe tooth mobility to prevent accidental inhalation or feeding disturbances. The presence of an inflammatory infiltration of pulp tissue in one of teeth histologically examined suggests to review the indications for extraction considered to date.
CONCLUSION CONCLUSIONS
The management of natal and neonatal teeth should consider the presence of an inflammatory infiltration of pulp tissue. An anamnestic interview is advisable in ordert to deeply investigate about possible behaviours of the child due to pain or discomfort.

Identifiants

pubmed: 33337910
doi: 10.23804/ejpd.2020.21.04.12
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

323-325

Auteurs

P Festa (P)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy - Otorhinolaryngology Unit, AORN Santobono-Pausilipon Children's Hospital, Naples, Italy.

G Matarazzo (G)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy.

A Garret-Bernardin (A)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy.

S De Rosa (S)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy.

T Gentile (T)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy.

N Carugo (N)

Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy.

A Galeotti (A)

Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Research Hospital, IRCCS, Rome, Italy.

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Classifications MeSH