Sunday, October 31, 2010

NATAL TEETH


p/s : khusus untuk my beloved friend-W A R

W, natal teeth tu gigi yang ada terus lepas lahir. Neonatal dia tumbuh kira-kira sebulan lepas lahir. Baca la kat bawah ni, tak faham nanti mesej ek..miss u dearie



Considerations

Natal teeth are relatively uncommon, appearing in about one in every 2,000 to 3,000 births.
Although most natal teeth are isolated incidents, their presence may be associated with
 certain medical syndromes.
Natal teeth generally develop on the lower gum, where the central incisor teeth
will appear. They have little root structure and are attached to the end of the gum by
soft tissue and are often wobbly.
Natal teeth are usually not well formed, but they are firm enough that, because of their
 placement, they may cause irritation and injury to the infant's tongue when nursing.
 Natal teeth may also be uncomfortable for a nursing mother.
Frequently, natal teeth are removed shortly after birth while the newborn infant is still in the hospital,
especially if the tooth is loose and the child runs a risk of aspiration, or "breathing in" the tooth.

Causes

Most of the time, natal teeth are not related to a medical condition. However, 
sometimes
 they may be associated with:

Home Care

If the teeth are not removed, keep them clean by gently wiping the gums and teeth with a
clean, damp cloth. Examine the infant's gums and tongue frequently to make sure the teeth
 are not causing injury.

When to Contact a Medical Professional

Call your doctor if an infant with natal teeth develops a sore tongue or mouth or
other symptoms.

What to Expect at Your Office Visit

This finding is usually discovered by the health care provider during the initial examination
of the infant, and often no further documentation is needed other than just to note that there
were teeth present at birth.
Dental x-rays may be considered. If there are signs of any condition that can be associated
with natal teeth, examination and testing for that condition will be performed.

Alternative Names

Fetal teeth

Management of natal teeth.
1. Obtain dental radiographs whenever possible before removing natal 
teeth in order to better advise the parents of complications. 
2. Leave natal teeth in the mouth as long as possible in order to decrease the 
likelihood of removing permanent tooth buds with the natal tooth. 
3. Obtain the parents' consent and rule out neonatal
 hypoprothrombinemia before removing natal teeth. 

4. Recommend postoperative evaluation by a pedodontist in order to 
obtain diagnostic radiographs and necessary treatment.
Natal teeth: a review.
The incidence of natal teeth is approximately 1:2,000 to 1:3,000 live 
births. The most commonly affected teeth are the lower primary central
 incisors. Natal teeth usually occur in pairs. The eruption of more than two 
natal teeth is rare.

 The majority of natal teeth represent the early eruption of normal 
primary deciduous dentition. Less than 10% of natal teeth are
 supernumerary. Natal teeth might resemble normal primary dentition in 
size and shape; however, the teeth are often smaller, conical and yellowish,
 and have hypoplastic enamel  and dentin with poor or absent root formation. 

Complications include discomfort during suckling, sublingual ulceration,
 laceration of the mother's breasts and aspiration of the teeth. A dental 
roentgenogram is indicated to differentiate the premature eruption of a 
primary tooth from a supernumerary tooth. 

Tooth extraction is indicated if the tooth is supernumerary or excessively 
mobile. If the tooth does not interfere with breastfeeding and is
otherwise asymptomatic, no treatment is necessary



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