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Related Experiment Videos

A five-year-old with a dental abscess: a case study.

D L Mahony1, A Martinelli

  • 1Department of Maternal-Child Health, Boston College School of Nursing, Chestnut Hill, MA 02167, USA.

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|August 24, 1999
PubMed
Summary

Dental caries are common in children, sometimes leading to serious infections like abscesses. This case study explores treatment options for a pediatric dental emergency, considering family impact and prevention in low-income groups.

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Area of Science:

  • Pediatric Dentistry
  • Infectious Diseases in Children
  • Family Medicine

Background:

  • Dental caries represent a significant childhood health issue in the U.S.
  • Nurse practitioners (NPs) frequently encounter pediatric patients with dental caries complications, including abscesses and cellulitis.

Observation:

  • A 5-year-old girl presented with acute tooth pain, fever, and facial swelling, indicative of a severe dental issue.
  • The clinical scenario necessitated evaluating immediate treatment options balancing medical necessity with family considerations.

Findings:

  • Three treatment pathways were considered: oral amoxicillin, intramuscular ceftriaxone, or hospitalization for intravenous care.
  • The chosen treatment integrated the disease process with the family's circumstances, highlighting a holistic approach.

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Implications:

  • The article presents a model for understanding dental caries progression in underserved populations.
  • Recommendations for prevention strategies targeting low-income groups are provided, aiming to reduce the incidence of severe dental complications.