Lingual traumatic ulceration (Riga–Fede disease)

Abstract

An 11-month-old male infant was referred to our clinic because of a painful ulcer of approximately 5 months' duration on the ventral surface of the tongue (Fig. 1). On physical examination, the lesion was circular (3 cm x 2 cm) with erythematous, raised, and indurated borders. No pathologic findings emerged from the laboratory data, neurologic examination, or clinical history. The family history was also negative for developmental disorders and congenital syndromes. No biopsy was performed in view of the age of the infant, the particular site of the lesion, and the clinical evidence of diagnosis. The treatment included odontologic cream (methylvinylether/maleic acid) as a protective shield, a collutorium (chlorhexidine 0.2%), and the use of a teething ring. Complete healing of the lesion (Fig. 2) occurred within 3 weeks.

Conséquences locales et générales de la présence d’une dent natale chez le nouveau-né. À propos d’un cas clinique

“…Si une dent natale est asymptomatique aucun traitement n'est nécessaire. La présence d'une ulcération de la face ventrale de la langue n'est pas suffisante pour indiquer une avulsion [15][16][17][18][19]. Le traitement proposé est le lissage du bord incisif ou la mise en place d'une résine composite sur le bord incisif [15][16][17][18][19].…”

“…Dans quelques cas, on a rapporté une lacération traumatique des mamelons de la mère après la tétée. Cette donnée est néanmoins controversée car, pendant l'allaitement, la langue du nouveau-né s'interpose entre les dents natales et le mamelon [15][16][17][18][19]. Dans le cas présenté, l'altération de l'état général et la mobilité de la dent natale ont justifié l'avulsion.…”

Langerhans Cell Histiocytosis – A Mimicker of Tuberculosis of the Spine

“…[1][2][3] We present an interesting case of an 8-year-old Indonesian-Chinese boy, who presented with 1 month of low back pain and thoracolumbar tenderness. Imaging studies demonstrated T10 vertebral plana with preserved disc spaces and a paraspinal soft tissue mass causing cord compression.…”

A importância da interação entre odontopediatrias e pediatrias no manejo de dentes natais e neonatais

“…A ulceração tende a crescer de acordo com o trauma de repetição, podendo provocar uma fibrose local do tecido, com aparência de úlcera granulomatosa. Esta complicação dificulta a sucção e a alimentação do bebê, podendo causar deficiências nutricionais (37)(38)(39)(40) . A anomalia pode ainda causar lacerações ao seio materno (12,15) ; entretanto, Hals (24) , Zhu e King (5) e Walter et al (32) relataram não existir relação entre o ferimento no seio mater-no e a presença destes dentes, visto que, durante a sucção, a língua se interpõe entre o dente e o seio, ocorrendo somente uma lesão na base da língua do bebê.…”