Traumatic sublingual ulceration in a newborn

Natal and neonatal teeth are those which are present in the oral cavity at the time of birth and within thirty days of birth. They are likely to be associated with traumatic sublingual ulceration caused to the suckling as well as movements of the tongue. The treatment of choice is mostly conservative whenever possible. The purpose of this report is to present a case of traumatic sublingual ulceration in a twenty days old baby. The lesion resolved soon after the offending tooth was removed.

Knowledge, Attitude and Awareness of The Pediatricians in Preventing Dental Caries in Children of Ernakulum District.

Aim: To assess the knowledge, attitude and awareness of the pediatricians in preventing dental caries in the children of Ernakulum district, as the first step towards educating parents about the preventive health strategies and implementation of these should begin at the pediatrician’s office. Methods: A questionnaire survey was conducted among 50 private and 50 institution based pediatricians of Ernakulam district. Their knowledge was assessed about dental caries, fluoride supplement and spread of caries. Their attitude toward prevention of dental caries was assessed based on queries about their role in promoting oral health, assessment of dental caries during routine examination. The collected data was tabulated and percent frequency distributions for responses to each questions were calculated. Results: A majority (72.9%) of the pediatricians routinely examined the oral cavity of the patients for caries. However, 62.5% diagnosed caries as frank cavities on teeth before referral to the dentist. About 71.8% of them felt that they are committed towards upholding the oral health of a child, but constrained knowledge hampers their counselling process. About 54.5% of the practitioners gave credence to 1 year as an ideal age for the first dental checkup for the child. Conclusion: As the results of this study clearly revealed that, 71.8% of the pediatricians felt that they have the obligation towards the maintenance of a child’s oral health. Therefore, a well informed and perceptive pediatrician can improve the oral health of a child by carrying out dental examination along with physical examination at his office.