Specialty Registrar in Paediatric Dentistry, King´s College Hospital and Royal National ENT and Eastman Dental Hospitals, London, UK.
Dental Core Trainee in Oral and Maxillofacial Surgery, Royal Surrey County Hospital, Guildford, UK.
Br Dent J. 2022 Apr;232(7):449-453. doi: 10.1038/s41415-022-4091-3. Epub 2022 Apr 8.
Natal and neonatal teeth are a relatively rare but well-documented phenomenon, with the majority being prematurely erupted teeth of the normal primary dentition. Related complications include feeding issues, traumatic lingual ulceration and risk of aspiration. We present three clinical cases referred to the Paediatric Dentistry Department at Guy's and St Thomas' NHS Foundation Trust and their management. Treatment choice is based on individual assessment of each patient and options include monitoring, smoothing of the teeth or extraction. General dental practitioners should be able to diagnose natal and neonatal teeth and provide initial management in primary care, with referral to secondary care services in more complex cases or those which are likely to require extraction.
先天牙和新生牙是一种相对罕见但有充分记录的现象,大多数是正常乳牙提前萌出。相关并发症包括喂养问题、舌创伤性溃疡和吸入风险。我们报告了三个临床病例,这些病例被转诊到盖伊和圣托马斯国民保健信托基金会的儿科牙科系,并对其进行了处理。治疗选择基于对每位患者的个体评估,选择包括监测、牙齿平滑或拔牙。一般牙医应该能够诊断先天牙和新生牙,并在初级保健中提供初步治疗,在更复杂的病例或可能需要拔牙的病例中,应将其转介到二级保健服务。