Sublingual Traumatic Ulcerative Lesions Caused by the Eruption of First Primary Mandibular Molars: a Case Report

Cassia Cilene Dezan; Luiz Reynaldo de Figueiredo Walter; Karin Weber-Gasparoni; João Paulo Menck Sangiorgio; Bruna Nogari; Karen Barros Parron Fernandes

doi:10.4067/S0717-95022011000400011

Back

Sublingual Traumatic Ulcerative Lesions Caused by the Eruption of First Primary Mandibular Molars: a Case Report

Journal article

Open access

Peer reviewed

Sublingual Traumatic Ulcerative Lesions Caused by the Eruption of First Primary Mandibular Molars: a Case Report

Cassia Cilene Dezan, Luiz Reynaldo de Figueiredo Walter, Karin Weber-Gasparoni, João Paulo Menck Sangiorgio, Bruna Nogari and Karen Barros Parron Fernandes

International journal of morphology, Vol.29(4), pp.1136-1138

12/01/2011

DOI: 10.4067/S0717-95022011000400011

Files and links (1)

url

https://doi.org/10.4067/S0717-95022011000400011View

Published (Version of record) Open Access

Abstract

Traumatic ulceration of the ventral surface of the tongue is an uncommon condition in infants and toddlers, which is often associated with natal and neonatal teeth in newborns. The aim of this report is to present a case of bilateral ulcerative ulcers on the ventral surface of the tongue caused by the eruption of first primary mandibular molars in a 14-month-old male child. The child was able to point to the lesions and also refused to consume certain beverages and foods, which favored an early diagnosis. Clinical treatment consisted of manual smoothing of the sharp edges of both mandibular first molars and a home regimen of lidocaine hydrochloride solution (Xylocaine®, Astra) and a steroid solution of triamcinolone acetonide (Omcilon A, Brystol-Myers) for symptoms relief and lesion healing, respectively. Complete healing of both lesions and normal feeding were both observed at a one-week follow-up exam. Early detection of the lesions and parental compliance with recommended home regimens were key factors for a successful treatment outcome, since untreated cases of tongue ulcerative lesions may evoke feeding difficulties and failure to thrive. Although there are several reports of ulcerative lesions on the tongue caused by dental eruption, they are usually associated with the eruption of mandibular primary incisors (Riga-Fede disease). However, there are no reports of ulcerative lesions caused by other primary teeth.

ANATOMY & MORPHOLOGY

Details

Title: Subtitle: Sublingual Traumatic Ulcerative Lesions Caused by the Eruption of First Primary Mandibular Molars: a Case Report
Creators: Cassia Cilene Dezan - Universidade Estadual de Londrina
Luiz Reynaldo de Figueiredo Walter - Universidade Estadual de Londrina
Karin Weber-Gasparoni - University of Iowa
João Paulo Menck Sangiorgio - Universidade Estadual de Londrina
Bruna Nogari - Universidade Federal do Paraná
Karen Barros Parron Fernandes - Universidade Federal do Paraná
Resource Type: Journal article
Publication Details: International journal of morphology, Vol.29(4), pp.1136-1138
DOI: 10.4067/S0717-95022011000400011
ISSN: 0717-9502
eISSN: 0717-9502
Publisher: Sociedad Chilena de Anatomía
Alternative title: Lesión Ulcerativa Traumática Sublingual Causada por la Erupción del Primer Molar Temporal: Reporte de un Caso
Language: Portuguese
Date published: 12/01/2011
Academic Unit: Pediatric Dentistry
Record Identifier: 9984367644302771

Metrics

6 Record Views