Case Report: A rare case of bilateral molar natal teeth in a term newborn

B. M. Varriano, L. Ades, S. R. Vaughan
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Abstract

Reports of natal and neonatal teeth have been well documented in the literature, though the presence of natal primary molars remains rare, and a clear management strategy does not exist. This is a case study of a female newborn delivered at a gestational age of 41 weeks 1 day to a 31-year-old G1P1001 mother. Apgar scores were 8 and 9 at 1 and 5 min, respectively. The infant was delivered by cesarean section and was admitted to the Mass General Hospital Newborn Nursery, where she received routine care. The patient had two posterior molars, which warranted consultation for oral maxillofacial surgery. Due to the gross mobility of the natal teeth and the risk of aspiration in a small breastfeeding newborn, the decision was made to extract the natal teeth immediately. Understanding the management of natal teeth is important for the pediatrician.
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病例报告:一个足月新生儿双侧臼齿的罕见病例
文献中关于出生时和新生儿牙齿的报道屡见不鲜,但出生时出现初级臼齿的情况仍然很少见,而且也没有明确的管理策略。本病例研究的新生儿为女性,胎龄为 41 周 1 天,母亲为 31 岁的 G1P1001。1 分钟和 5 分钟时的 Apgar 评分分别为 8 分和 9 分。婴儿是剖腹产,被送入麻省总医院新生儿监护室,并在那里接受了常规护理。患者有两颗后磨牙,需要进行口腔颌面外科手术。由于乳牙活动度大,而且哺乳期的新生儿体型较小,有吸入的风险,因此决定立即拔除乳牙。了解如何处理乳牙对儿科医生来说非常重要。
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