Oral Conditions in Peds Pts

Common benign reactive lesion of the oral mucosa caused by chronic low-grade trauma or irritation (e.g., cheek/lip biting, rough tooth edges, ill-fitting appliances)

Irritiation fibroma aka traumatic fribroma, focal fibrous hyperplasia

• Smooth, red/yellow nodule

• Tender

• Acute or chronic

• Radiographic evaluation, drainage, and *antibiotic

• Remove etiology (usually caries or trauma)

Alveolar abcess

• Yellow or white fluid-filled vesicles caused by a primary infection with herpes simplex virus type 1 (HSV-1)

• Rupture in a few days and form painful ulcers

• May have fever

• Urgent care

• Antiviral medication, fluids 

• Topical anesthetic 

• Resolves in 10-14 days

Acute herpetic gingivostomatitis

• White sessile lesion; rough surface

• HPV origin

• May resolve spontaneously (no tx) or require excision 

Verruca vulgaris

Disturbance of enamel during tooth development

Enamel hypoplasia

• Fine white flecks to brown opaque lesions and/or pitting

• Esthetics 

Fluorosis

Reduced bone mineral density that is less severe than osteoporosis and may progress to osteoporosis.

Osteopenia

A skeletal disease characterized by decreased bone mass and deterioration of bone tissue, resulting in increased bone fragility and fracture risk.

Osteoperosis

Antiresorptive medications used to slow bone resorption, preserve or increase bone density, and reduce fracture risk

Bisphosphonates

T/F: Osteoperosis can directly cause periodontal disease

F