科研之友
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摘要
Traumatic ulceration of the ventral surface of the tongue is an uncommon condition in infants and toddlers, which is often associated with natal and neonatal teeth in newborns. The aim of this report is to present a case of bilateral ulcerative ulcers on the ventral surface of the tongue caused by the eruption of first primary mandibular molars in a 14-month-old male child. The child was able to point to the lesions and also refused to consume certain beverages and foods, which favored an early diagnosis. Clinical treatment consisted of manual smoothing of the sharp edges of both mandibular first molars and a home regimen of lidocaine hydrochloride solution (Xylocaine , Astra) and a steroid solution of triamcinolone acetonide (Omcilon - A, Brystol-Myers) for symptoms relief and lesion healing, respectively. Complete healing of both lesions and normal feeding were both observed at a one-week follow-up exam. Early detection of the lesions and parental compliance with recommended home regimens were key factors for a successful treatment outcome, since untreated cases of tongue ulcerative lesions may evoke feeding difficulties and failure to thrive. Although there are several reports of ulcerative lesions on the tongue caused by dental eruption, they are usually associated with the eruption of mandibular primary incisors (Riga-Fede disease). However, there are no reports of ulcerative lesions caused by other primary teeth. La ulceraci車n traum芍tica de la superficie ventral de la lengua es una condici車n poco com迆n en beb谷s y ni os peque os, la cual se asocia a menudo con los dientes natales y neonatales en los reci谷n nacidos. El objetivo de este reporte es presentar un caso de 迆lceras bilaterales en la superficie ventral de la lengua causada por la erupci車n de los primeros molares mandibulares temporales en un infante de sexo masculino de 14 meses de edad. En ni o fue capaz de se alar las lesiones y se neg車 a consumir ciertas bebidas y alimentos, lo que favoreci車 un diagn車stico precoz. El tratamiento cl赤nico consisti車 en el suavizado manual de los bordes afilados de los primeros molares inferiores y un r谷gimen casero de soluci車n de clorhidrato de lidoca赤na (Xiloca赤na , Astra) junto a la soluci車n esteroidal de acet車nido de triamcinolona (Omcilon - A, Brystol-Myers) para el alivio de los s赤ntomas y curaci車n de la lesi車n respectivamente. La curaci車n completa de ambas lesiones y la alimentaci車n normal se observ車 en una semana del control de seguimiento. La detecci車n temprana de las lesiones y el cumplimiento de los padres con los reg赤menes caseros recomendados, s
