Management of Chronic Lymphadenopathy With Poor Oral Hygiene in Children (Case Report)

Abstract

Background. Lymphadenopathy is a common clinical feeding an anomaly in the size and consistency of lymph nodes. Local bacterial infection causes cervical adenopathy when the lymph nodes responded to local infection. Cervical lymphadenopathy is a common problems in pediatric. Lymph node with more than 10 mm diameter is usually considered abnormal. Lymph node enlargement caused by a chronic infection is known as chronic lymphadenopathy. Objectives. Discovery management of chronic lymphadenopathy in children with poor oral hygiene.Case. A 9-year-old boy came to Pediatric Dentistry Specialist Gusti Hasan Aman Dental Hospital with his parents with a complaint of pain in his right tooth posterior mandible for the last week. The patient had received medication, however the pain still existed. Extraoral examination revealed symmetrical face, a node on the middle neck sizing 30 mm in diameter for 4 years. The lump was treated several times with no progress in size. Intraoral examination revealed a cavity in posterior lower left tooth and painful in the last 5 days without any treatment. Plaque score showed poor oral hygiene.Case Management. Based on extraoral examination, the nodule on the neck reduced in size from 30 mm to 7 mm after treatment with antibiotic, anti-inflammatory medication, dental care and control periodic for oral hygiene management. Conclusion. Early detection and accurate lymphadenopathy diagnosis is important for successful therapy. Oral hygiene improvement can help in the healing process of chronic lymphadenopathy which occurred for 4 years. Keyword: Limphadenophaty chronic, Oral hygiene, Staphylococcus aureus

A Unique Association of Recurrent Swollen Lymph Nodes and Sweet Products in Pediatrics: A Cross Sectional Analysis in Rural Population of KPK

“…These results are in line with previously conducted studies by Jaitendar et al in 2014 in mentally challenged institutionalized patients, where patients with caries (79.2%) were having lymphadenitis in 76.3% 24 . Similarly, in another case report by Renie Kumala Dewi, it is also clear that the patient suffering from lymphadenitis was having a number of oral issues including dental caries due to low oral hygiene practices 25 . A study suggests that the majority of caries causes lymadenopathy in submandibular region in children 26 .…”

The Effectiveness of Video Dental Health Education Special Needs Children on the Oral Hygiene Status

“…The American Association of Mental Deficiency (AAMD) defines children with intellectual disabilities as children with mental retardation with average intellectual, thus cannot fully utilize their physical, mental, and social abilities. Intellectual disabilities are classified into four categories, based on Intelligence Quotient (IQ): mild (IQ 50-70), moderate (IQ 35-50), severe (IQ [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35], and profound (IQ under [20][21][22][23][24][25]. Clinical characteristics of the oral cavity that can be found in children with intellectual disabilities are a high prevalence of periodontal disease and dental caries.…”

“…Meanwhile, the Covid-19 pandemic limits dental treatment in emergencies only, such as unbearable pain, swollen gingiva, uncontrollable bleeding, and trauma to the teeth and facial bone that can hinder the airway. 6,22,3 Dental Health Education (DHE) is providing information on a comprehensive understanding of oral health and the determining factors that affect individuals and the community. DHE to children should be carried out appropriately and effectively.…”