Complication After Extraction of Natal Teeth with Continued Growth of a Dental Papilla.

The purposes of this case report were to describe a growing two-cm gingival mass that developed after natal teeth were extracted in a four-month-old female patient, present a review of the literature on the growth of a gingival mass after the extraction of natal teeth, and illustrate the clinical and histological features that differentiate this condition from other types of gingival masses in infants. Histological examination of the excised mass revealed that it contained tooth-like hard tissue (regular and irregular dentin) that intermingled with bone, dental pulp, and fibrous tissue. We found eight cases from 1962 to 2009 in which a soft-tissue mass with dentin-like hard tissue or a tooth-like structure had developed after the extraction of natal teeth. Based on clinical and histological findings, we deduced that the mass was the result of abnormal growth of a residual dental papilla, including mesenchymal stem cells. Consequently, dentists, obstetricians, gynecologists, and pediatricians should be aware of this potential complication and observe caution before they extract natal teeth.

Dentes natais - relato de caso clínico / Natal Teeth - case report

Introdução Dentes natais são aqueles presentes na cavidade oral no nascimento. Aparecem comumente na mandíbula, podendo interferir na alimentação. Objetivo: Relatar o caso clínico de um paciente de vinte e quatro meses de vida, do gênero masculino, levado pela mãe à clínica de odontopediatria, com dificuldade de alimentação. Método: Durante a anamnese, a mãe relatou a presença de dentes no lactente, desde o nascimento, e a perda de peso. Ao ser submetido a exame clínico, observaram-se dois dentes na região de incisivos inferiores, com bastante mobilidade. Em seguida, ao ser submetido a exame radiográfico, constatou-se que eram os dentes 71 e 81. Resultado: Optou-se por extraí-los, pois não estavam bem implantados, havendo o risco de aspiração pelo bebê. Após sete dias, verificou-se que houve ganho de peso e a abordagem mostrou-se indicada e eficaz. Conclusão A decisão de tratamento depende do conhecimento científico do cirurgião-dentista, da avaliação radiográfica, do grau de mobilidade dentária e da avaliação da amamentação.

Introduction Natal teeth are those in the oral cavity at birth. Appear commonly in the mandible, which may interfere with eating. Objective: To report the clinical case of a patient twenty-four months old, male, taken by his mother to the clinic of pediatric dentistry, with feeding difficulties. Method: During the interview, the mother reported the presence of teeth in infants from birth, and weight loss. To be subjected to clinical examination, there were two teeth in the region of the lower incisors are highly mobile. Then, when he underwent radiographic examination, it was found that the teeth were 71 and 81. Result: It was decided to remove them because they were not well established, with the risk of aspiration by the infant. After seven days, it was found that there was weight gain and the approach proved to be indicated and effective. Conclusion The treatment decision depends on scientific knowledge of the dentist, radiographic evaluation, the degree of tooth mobility and evaluation of breastfeeding. Keywords: Natal teeth, Pediatric Dentistry, Treatment.

[Natal teeth: apropos of five cases]. / Dents natales: à propos de cinq cas.

INTRODUCTION: The normal eruption of primary teeth begins with mandibular incisors about the age of 6 months. There are several qualifiers used to describe prematurely erupted teeth. Massler and Savara defined "natal teeth" as teeth present at birth and "neonatal teeth" as teeth erupted within the first month of life. The aim of this study, based on 5 cases, is to present clinical and structural characteristics, etiology, management techniques, complications and a review of the literature for natal teeth. MATERIAL AND METHODS: Our study is a retrospective study of 17,000 infants who were examined in the Neonatal Department of Children Hospital between 1984 and 2001. The material consisted of 5 infants with natal teeth, identified by the pediatrician. We analyzed the family history, the pregnancy history, the gender, the etiology, the complete examination of the infant, the clinical, the structural characteristics, the complications and the management of the teeth. RESULTS: We found 4 boys and 1 girl, 2 of the newborns were premature, all of them observed to have natal teeth. The incidence was 1: 3,400 births. There were 14 natal teeth, 10 incisors (70%) and 4 canines (30%), no molar was found. Nine of the teeth (6 incisors and 3 canines) were maxillary (65%) and 5 (4 incisors and 1 canine) were mandibular (35%). No morphological syndrome was discovered. Most of the teeth were mobile in all directions and were extracted because of the possibility of aspiration, the difficulty in feeding and the ulceration of the ventral surface of the tongue. DISCUSSION: According to the literature, this phenomenon is rare and the incisors are the teeth most commonly involved. Natal teeth are more common than neonatal teeth and nearly 90% of these teeth are the normal primary teeth. The presence of natal teeth is due to several factors related to an unknown cause of disturbed biological chronology. There is no conclusive evidence of a correlation between early eruption and systemic disorders, but some investigators suggest that natal teeth may be associated with certain syndromes. We must keep in mind that radiographic examination is essential for the differential diagnosis between supernumerary and normal primary teeth. The supernumerary teeth should always be extracted but the decision to extract a normal mature natal tooth should be done according to scientific knowledge, mobility of the tooth, local or general complications and parental opinion.

Hypoplasia of primary and permanent teeth following osteitis and the implications of delayed diagnosis of a neonatal maxillary primary molar.

A 2-year-and-6-month-old Japanese girl with delayed eruption of a maxillary right primary canine and disturbance in the development of maxillary right primary molars was examined. The crown of the maxillary right first primary molar was severely decayed and hypoplastic. The periodontal tissues on the maxillary right posterior region were swollen and slight erythrogenic change was observed. Radiographic examination revealed a disturbance in the development of the permanent successor and the primary teeth in the maxillary right quadrant. According to the history, the maxillary right first primary molar had erupted on day seven after birth. It is suggested that the disturbance in development of the permanent successor and the primary teeth was secondary to osteitis caused by infection of the neonatal tooth. Appropriate dental treatment had not been administered for more than two years because the neonatal molar had not been diagnosed.

Dientes natales y neonatales: reporte de un caso / Natal and neonatal teeth: report of a case

La erupción temprana de dientes al nacimiento o en los primeros meses de vida son informados en la literatura en forma periódica. La clasificación más usada es la descripta por Massler y Savara (1950), que los calsifica en natales y neonatales. Se pueden asociar a ulceraciones traumáticas sublinguales (enfermedad de Riga-Fede). El objetivo de este trabajo es resumir las características más importantes en cuanto a diagnóstico, pronóstico y tratamiento de dientes natales y neonatales. Este trabajo informa un caso de una niña con dos dientes neonatales asociados a enfermedad de Riga-Fede, donde el tratamiento instaurado fue la extracción (AU)

Riga-Fedes syndrome: natal or neonatal teeth associated with tongue ulceration. Case report.

A case of natal teeth associated with traumatic ulceration to the ventral surface of the tongue (Riga-Fedes syndrome) in a four week old boy is presented. On radiographic examination, two teeth, present at birth, were found to be early erupted deciduous lower central incisors. A family history of natal teeth, all involving both lower deciduous central incisors associated with trauma to the tongue during suckling, was elicited. The ulceration healed over a period of four weeks using an innovative conservative treatment regime, involving the use of Stomahesive Wafer. Four months later the only sign of any previous pathosis was a fibrous scar on the ventral surface of the tongue.

Natal and neonatal teeth.

The purpose of this report is to present two cases of natal and neonatal teeth including discussion on the various features concerning these conditions as well as the possible management strategies. The first case is a natal tooth in a newborn Saudi girl while the second case is two neonatal teeth in a Saudi boy.

Natal teeth and steatocystoma multiplex: a newly recognized syndrome.

A Chinese family is reported in which five generations have exhibited natal teeth and generalized multiple steatocystomas. This autosomal dominant condition is not similar to the two reported types of pachyonychia congenita, because nail lesions, palmoplantar keratosis and hyperhidrosis, follicular keratosis, and oral leukokeratosis were not observed. Therefore, it is suggested that this family exhibits a newly recognized syndrome.