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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Natal primary molar: clinical and histological aspects
Henrique C Ruschel1, Monica H Spiguel, Daniela D Piccinini
1Department of Oral Histology, School of Dentistry, Lutheran University of Brazil - ULBRA, Canoas, Brazil. henrirus@terra.com.br
Journal of Oral Science
|July 1, 2010
Summary
A rare case of natal primary molar in a 14-day-old infant was treated with extraction due to high mobility. Histological analysis revealed enamel hypoplasia but otherwise normal tooth structure and inflamed soft tissue.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Oral Pathology
Background:
- Natal teeth, present at birth, are rare dental anomalies.
- Primary molars are seldom observed as natal teeth, making this case unusual.
- Early diagnosis and management are crucial for infant oral health.
Observation:
- A healthy 14-day-old infant presented with a natal primary molar.
- The tooth exhibited significant mobility and was attached only to soft tissue.
- Clinical examination indicated the need for extraction.
Findings:
- Histological examination revealed enamel hypoplasia.
- Dentin structure was normal, showing a typical tubular pattern without abnormalities.
- The surrounding soft tissue displayed a young, vascularized pulp with chronic inflammation.
Implications:
- This case highlights the importance of evaluating mobile natal teeth for potential complications.
- Histological findings provide insight into the development of natal teeth with enamel hypoplasia.
- Understanding the inflammatory response in the associated soft tissue is vital for comprehensive patient care.
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