eISSN: 2299-551X
ISSN: 0011-4553
Journal of Stomatology
Current issue Archive Manuscripts accepted About the journal Editorial board Journal's reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
 
2/2017
vol. 70
 
Share:
Share:
more
 
 
abstract:

Exfoliation of non-resorbed primary incisors in a 4-year-old child – case report and literature review

Ilona Wieczkowska
1
,
Anna Jarząbek
1
,
Magdalena Gońda-Domin
1
,
Karolina Węsierska
1
,
Rafał Rojek
2
,
Joanna Mikołajczyk
1
,
Hanna Bielawska-Victorini
3

1.
Department of Pediatric Dentistry, Pomeranian Medical University in Szczecin, Poland
2.
Department of Paediatric Dentistry, Pomeranian Medical University, Szczecin, Poland
3.
Chair and Department of Orthodontics, Pomeranian Medical University in Szczecin, Poland
Online publish date: 2017/04/30
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
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.

 
Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe