产牙:罕见病例报告与管理策略

Benjamin Elly, James Njiru, Marian Esiromo
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摘要

背景:出生时长牙是一种罕见现象,会给父母和医护人员带来挑战:一名 30 岁的初产妇在 41 周时出现潜产。她的产程进展顺利,以自然脊椎分娩的方式产下一名活产女婴,体重 3700 克,1 分钟和 5 分钟时的 Apgar 评分分别为 8 分和 10 分。经检查,在颌前区观察到两颗乳牙。婴儿出生后服用了维生素 K。第二天,医生发现婴儿吃奶困难,母亲报告说乳头淤青,吃奶时疼痛。儿科牙医注意到牙齿活动度很大,计划进行拔牙。在局部麻醉凝胶的作用下,拔牙手术顺利完成。随访显示,母乳喂养正常,婴儿体重增加,牙龈愈合良好:结论:出生时长牙是一种罕见现象,会给父母和医护人员带来挑战。这是一种受文化束缚的现象,可能会导致父母剥夺对婴儿的关爱。医护人员需要了解这种情况,以便为父母提供咨询,并对婴儿进行适当的管理。
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Natal Teeth: A Rare Case Report and Management Strategies
Background: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals.Case presentation: A 30-year-old primigravida presented at 41 weeks in latent labor. She progressedwell and delivered by spontaneous vertex delivery, a live female infant, 3700 g with an Apgar score of 8and 10 at 1 and 5 minutes, respectively. On examination, two natal teeth were observed in themandibular anterior region. Vitamin K was administered to the infant after birth. The following day, it wasnoted that the baby had difficulty breastfeeding, and the mother reported bruising of the nipples and painwhile breastfeeding. A pediatric dentist noted that the teeth had severe mobility and planned forextraction. Extraction was performed under topical anesthetic gel successfully. Follow-up visits revealednormal breastfeeding with associated infant weight gain, and the gums had healed well.Conclusion: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals. It is a culture-bound phenomenon that can cause parents to denytheir baby love and affection. Healthcare professionals need to be aware of this condition in order tocounsel the parents and manage the baby appropriately.
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