Akanksha Juneja

Abstract

The presence of teeth in a neonate is a rare occurrence. The aetiology of these natal or neonatal teeth is still not established. Their prevalence is considered to be low, more frequently seen in females. They routinely occur in the same position as that of the deciduous dentition and more commonly in the incisor and molar regions of the mandibular arch. It requires an assiduous clinical and radiographic evaluation for diagnosis and pertinent treatment. The dentists and the child’s paediatricians should be well informed about possible clinical complexities such as Riga -Fede disease linked to natal or neonatal teeth. The clinician should consider the overall wellbeing of the infant, before extracting natal/neonatal teeth to prevent the risk associated with hypoprothrombinaemia, Periodic follow-ups should be scheduled to evaluate its recurrences or residual tooth formation. Keywords: Natal tooth, Neonatal tooth, Prematurely erupted teeth, Riga Fede disease, Residual tooth.

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Abstract

The management of ECC by the regular stereotyped restorative methods alone is incapable, particularly in a vast community or developing countries like India, where we lack free availability of dental equipment and manpower. The announcement of silver diamine fluoride (SDF) as another fluoride delivery system is a breakthrough therapy with evidences of caries lesion arrest rates of about 70 percent. SDF presents as an advantageous modality and is favoured as a satisfactory interim treatment option for its less invasive nature and its inexpensiveness. Most of the researchers have reported SDF to be undeniably more potent cariostatic agent than the fluoride varnishes in arresting caries. Its anti -caries effectiveness was found to be alike on incipient dental caries, non-cavitated and cavitated lesions and no severe pulpal damage after SDF application has been reported. Hence it is justified to state that SDF is a competent, efficient, secure and a reasonable caries preventive tool which is time saving and also patient oriented. Keywords: Silver diamine fluoride (SDF), Cariostatic agents, Fluoride delivery systems, Early childhood caries (ECC), Caries prevention, Fluoride varnishes.

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