Clinical Cases in Pediatric Dentistry Clinical Cases in Pediatric Dentistry Editor: Amr M. Moursi, DDS, PhD Associate Professor and Chairman Department of Pediatric Dentistry New York University College of Dentistry New York, NY USA Associate Editors: Marcio A. da Fonseca, DDS, MS Law-Lewis Professor and Director Pediatric Dentistry Graduate Program School of Dentistry University of Washington Seattle Children’s Hospital Seattle, WA USA Amy L. Truesdale, DDS Clinical Assistant Professor Department of Pediatric Dentistry New York University College of Dentistry New York, NY USA A John Wiley & Sons, Inc., Publication This edition first published 2012 © 2012 by Blackwell Publishing Ltd. Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientific, Technical and Medical business to form Wiley-Blackwell. 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Da Fonseca, Marcio A. III. Truesdale, Amy. IV. Series: Clinical cases uncovered. [DNLM: 1. Dental Care for Children–methods–Case Reports. 2. Child. 3. Infant. 4. Oral Surgical Procedures–Case Reports. 5. Tooth Diseases–Case Reports. WU 480] 617.6'45–dc23 2011044218 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Set in 10/13 pt Univers Light by Toppan Best-set Premedia Limited Disclaimer The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation warranties of fitness for a particular purpose. No warranty may be created or extended by sales or promotional materials. The advice and strategies contained herein may not be suitable for every situation. 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TABLE OF CONTENTS List of Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xv Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii Chapter 1 Medically Compromised Patients 3 Case 1 Congenital Heart Disease . . . . . . . . . . . . . . . . . . . . . 4 Kerrod B. Hallett Case 2 Cystic Fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . .11 Richard Balmer Case 3 Hemophilia A . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Barbara Sheller Case 4 T Cell Lymphoblastic Leukemia/Chemotherapy . . . . . . . . .22 Kerrod B. Hallett Case 5 Liver Transplant . . . . . . . . . . . . . . . . . . . . . . . . . .29 Paddy Fleming Case 6 Chronic Benign Neutropenia . . . . . . . . . . . . . . . . . . .35 Paddy Fleming Case 7 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Eleanor McGovern Case 8 Crohn’s Disease . . . . . . . . . . . . . . . . . . . . . . . . .47 Paddy Fleming Chapter 2 Oral Medicine And Oral-facial Pathology 53 Case 1 Acute Odontogenic Infection . . . . . . . . . . . . . . . . . . .54 Angus C. Cameron Case 2 Primary Herpetic Gingivostomatitis . . . . . . . . . . . . . . . .59 Angus C. Cameron Case 3 Peripheral Giant Cell Granuloma . . . . . . . . . . . . . . . . .64 Angus C. Cameron Clinical Cases in Pediatric Dentistry vii TABLE OF CONT E NTS Case 4 Eruption Cysts in a Newborn, Natal/Neonatal Teeth . . . . . . .69 Angus C. Cameron Case 5 Gingival Enlargement/Heart Transplant . . . . . . . . . . . . . .73 Angus C. Cameron Case 6 Premature Loss of Primary Teeth—Hypophostasia . . . . . . .78 Angus C. Cameron Case 7 Amelogenesis Imperfecta . . . . . . . . . . . . . . . . . . . .83 Sam Gue Chapter 3 Complex Pulp Therapy 89 Case 1 Indirect Pulp Treatment . . . . . . . . . . . . . . . . . . . . . .90 Evelyn Mamber Case 2 Partial Pulpotomy in Traumatized Primary Incisors . . . . . . . .95 Etty Dayan, Diana Ram, and Anna B. Fuks Case 3 Cervical Pulpotomy in Cariously Exposed Primary Molars . . . 101 Moti Moskovitz and Anna B. Fuks Case 4 Root Canal Treatment in a Primary Molar . . . . . . . . . . . 106 Moti Moskovitz Case 5 Partial Pulpotomy in a Cariously Exposed Young Permanent Molar . . . . . . . . . . . . . . . . . . . . 111 Moti Moskovitz and Anna B. Fuks Case 6 Pulpotomy with MTA in an Immature Permanent Molar . . . . 115 Zvia Elazary and Ilana Heling Case 7 Root End Closure—Apexification with Ca(OH) . . . . . . . . 120 2 Iris Slutzky-Goldberg Case 8 Root End Closure with MTA . . . . . . . . . . . . . . . . . . 126 Iris Slutzky-Goldberg Case 9 Revascularization of Necrotic Immature Permanent Tooth with Apical Periodontitis . . . . . . . . . . . 131 Eyal Nuni Chapter 4 Orofacial Trauma 137 Case 1 Intrusion Injury to Primary Dentition . . . . . . . . . . . . . . 138 S. Thikkurissy and Dennis J. McTigue Case 2 Root Fracture in the Primary Dentition . . . . . . . . . . . . . 143 S. Thikkurissy and Dennis J. McTigue Case 3 Complicated Crown Fracture, Permanent Tooth . . . . . . . . 147 Dennis J. McTigue and S. Thikkurissy Case 4 Dentoalveolar Luxation Injury to Permanent Dentition . . . . . 152 S. Thikkurissy and Dennis J. McTigue Case 5 Permanent Tooth Root Fracture and Extrusive Luxation . . . . 157 Dennis J. McTigue and S. Thikkurissy Case 6 Permanent Incisor Intrusion . . . . . . . . . . . . . . . . . . 162 Dennis J. McTigue and S. Thikkurissy viii Clinical Cases in Pediatric Dentistry TABLE OF CO NTENTS Case 7 Permanent Tooth Avulsion . . . . . . . . . . . . . . . . . . . 167 Dennis J. McTigue and S. Thikkurissy Case 8 Soft Tissue Injury Management . . . . . . . . . . . . . . . . 172 S. Thikkurissy and Dennis J. McTigue Chapter 5 Infant Oral Health 181 Case 1 Perinatal Oral Pathology . . . . . . . . . . . . . . . . . . . . 182 Paul Casamassimo and Homa Amini Case 2 First Dental Visit, Acquired Pathology . . . . . . . . . . . . . 186 Homa Amini and Paul Casamassimo Case 3 Early Childhood Caries Managed with Interim Therapeutic Restorations . . . . . . . . . . . . . . . . 190 Homa Amini and Paul Casamassimo Case 4 First Dental Visit, Healthy Child . . . . . . . . . . . . . . . . . 194 Homa Amini and Paul Casamassimo Case 5 General Anesthesia, Restorative Case, Disability . . . . . . . 198 Homa Amini and Paul Casamassimo Chapter 6 Growth and Development 203 Case 1 Orthodontic Documentation, Evaluation, and Assessment . . 204 Jeffrey A. Dean Case 2 Space Management: Premature Loss of Primary Second Molar in Preschool Child . . . . . . . . . . . 208 Jeffrey A. Dean Case 3 Bilateral Space Management in the Mixed Dentition . . . . . 212 Jeffrey A. Dean Case 4 Interceptive Orthodontics: Habit Appliances . . . . . . . . . . 217 Jeffrey A. Dean Case 5 Interceptive Orthodontics—Anterior Crossbite in a Child in the Mixed Dentition . . . . . . . . . . . . . . . . 221 Jeffrey A. Dean Case 6 Patient with Craniofacial Anomaly . . . . . . . . . . . . . . . 226 Jeffrey A. Dean Chapter 7 Behavior Management and Medical Emergencies 233 Case 1 Non-pharmacological Behavior Management . . . . . . . . . . 234 Michael D. Webb, Diane L. Howell, and Amr M. Moursi Case 2 Pharmacological Behavior Management . . . . . . . . . . . . 239 Michael D. Webb, Diane L. Howell, and Amr M. Moursi Case 3 Intraoperative Pain Management . . . . . . . . . . . . . . . . 245 Michael D. Webb, Diane L. Howell, and Amr M. Moursi Case 4 General Anesthesia . . . . . . . . . . . . . . . . . . . . . . . 249 Michael D. Webb, Diane L. Howell, and Amr M. Moursi Clinical Cases in Pediatric Dentistry ix