Pallor and Whitening of the Gums in Children

 

Abstract

Whitening of the gums often indicates that there is a problem with the health of the mouth. Many conditions can lead to gingival whitening, from Aphthous ulcers to long-term inflammatory disease. This condition may be accompanied by some signs and symptoms. In some rare cases, whitening of the gums can be a sign of oral cancer; hence, there should be a concern of the parents to see a pediatric dentist for a correct diagnosis.

Keywords: Gingival whitening; Aphthous ulcer; inflammatory disease; oral cancer

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Self-Inflicted Oral Mucosal Injuries in Pediatric Patients: A Case Series

 

Abstract

Self-Injurious Behaviour (SIB) is a deliberate harm that may lead to factitial injuries in various parts of the body including the oral mucosa. It may present with a confusing clinical appearance leading to misdiagnosis as a variety of oral diseases [1]. A case series is presented here outlining 2 cases of self-induced oral mucosal injury, which presented initially with extensive oral ulcers. These cases were investigated to rule out systemic or local causes, in order to establish an accurate diagnosis. A multidisciplinary approach to treating these conditions, which may be associated with several medical conditions, is necessary, necessitating the engagement of patients, parents and medical and dental teams [2].

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Necrotizing Fasciitis in Children Clinical Characteristics, Diagnostic Procedures, Treatment Methods, and the Outcome

 

Abstract

Background: Necrotizing fasciitis is a potentially life-threatening soft tissue infection, characterized by necrosis of the fascia, subcutaneous tissue, adipose tissue and can be fatal. NF is most common in immunocompromised hosts but may also occur in healthy patients without apparent antecedent injury. It is usually caused by either Group A streptococci or a polymicrobial, synergistic infection. The case that we present is unique in the Republic of Armenia, necrotizing fasciitis of the face in a child.

Methods: We report the case of a 3,5-year-old children who were treated for NF in our unit, inclusive, were reviewed retrospectively. Information recorded included medical history, clinical characteristics, diagnostic procedures, treatment methods, and the outcome.

Results: The essence of the treatment was to prevent further development of necrosis, taking the child out of the state of general intoxication, in connection with, early surgical debridement, anti-intoxication, antibacterial therapy were carried out in several stages. In result , auto transplantation by full thickness skin autograft has been done, maintaining the aesthetic appearance of the wound.

Conclusion: Because necrotizing fasciitis is a surgical emergency, the patient should be admitted immediately to a surgical intensive care unit, where the surgical staff is skilled in performing extensive debridement and reconstructive surgery. Despite the fact that it is rare in children, according to our data, it turned out that the reason for the penetration of microorganisms may be an incomplete injection. Clinicians should be aware of these infections, as early treatment can increase survival.

Keywords: Necrotizing fasciitis; debridement; children; soft-tissue infection

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Congenital Infections and Dental and Oral Involvement

 

Abstract

Many congenital bacterial, viral and parasitic infections can lead to dental and oral involvement. Studying them is important from clinical and epidemiology point of view. They can lead to myriad signs and symptoms. Hence they have to be detected, differentiated and managed early as far as possible. They can be prevented also by vaccination. We here have tried to collate available information in medical literature about these.

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