Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Retrospective Study of Clinical Characteristics and Treatments in Natal and Neonatal Teeth

선천치와 신생치의 임상적 특성과 치료에 관한 후향적 연구

  • Cho, Wonchang (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Misun (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Lee, Hyoseol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 조원창 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (강동경희대학교병원 치과병원 소아치과) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김광철 (강동경희대학교병원 치과병원 소아치과) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2016.08.23
  • Accepted : 2016.11.01
  • Published : 2017.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Natal teeth that are already present at birth and neonatal teeth that erupt shortly after birth may cause various complications. The purpose of this study is to evaluate the characteristics of natal/neonatal teeth in Korean infants who visited to Kyung Hee University Dental Hospital from 2006 to 2015. A retrospective review of clinical data, including the sex of the patients, chief complaints of the mothers, clinical appearances and locations of the natal/neonatal teeth, and associated complications and treatments, was collected. Overall, a total of 75 teeth were found in 48 patients and 69% of the infants had natal teeth, while 31% had neonatal teeth, all of which were mandibular incisors. Females showed more natal/neonatal teeth than males. Major reasons for visiting the dental clinic were parental anxiety, referrals from other clinics, Riga-Fede disease, and pain during breastfeeding. Extraction was the most common treatment choice; observation and grinding were also used.

선천치와 신생치는 출생시 맹출했거나 조기에 맹출하는 치아로 다양한 합병증을 가지고 있으나, 많은 부모들이 이에 대한 정보부족으로 적절한 치료 없이 불편을 겪고 있다. 본 연구는 2006 - 2015년에 경희대학교 치과병원 소아치과를 내원한 환아에게서 발견되는 선천치와 신생치의 특성을 평가하고자 한다. 환아들의 성별, 부모의 주소, 임상적인 특징과 합병증 및 치료법을 조사하여 후향적 연구를 진행하였다. 환아들 가운데 69%는 선천치를, 31%는 신생치를 가졌으며 모두 하악 절치였다. 여환이 남환보다 많았고 내원 주소로는 부모의 걱정이 가장 많았으며 병원 의뢰와 리가 페데병(Riga-Fede disease) 그리고 수유시 통증이 그 뒤를 이었다. 치료방법으로는 발치가 가장 많았으며 치아 유지와 치아 다듬기도 행해졌다. 선천치와 신생치는 다양한 특성과 합병증을 가지고 있으므로 치과의사는 아이의 전반적인 건강을 위해 이러한 치아의 병리에 대해 정확히 이해하는 것이 중요하다.

Keywords

References

  1. Massler M, Savara BS : Natal and neonatal teeth: A review of twenty-four cases reported in the literature. J Pediatr, 36:349-359, 1950. https://doi.org/10.1016/S0022-3476(50)80105-1
  2. Kates GA, Needleman HL, Holmes LB : Natal and neonatal teeth: A clinical study. J Am Dent Assoc, 109:441-443, 1984. https://doi.org/10.14219/jada.archive.1984.0415
  3. Magitot E : Anomalies in the erupton of the teeth in man. Br J Dent Sc, 26:640-641, 1883.
  4. Slayton RL : Treatment alternatives for sublingual traumatic ulceration (Riga-Fede disease). Pediatr Dent, 22:413-414, 2000.
  5. Bjuggren G : Premature eruption in the primary dentition--a clinical and radiological study. Sven Tandlak Tidskr, 66:343-355, 1973.
  6. Bigeard L, Hemmerle J, Sommermater J : Clinical and ultrastructural study of the natal tooth: Enamel and dentin assessments. ASDC J Dent Child, 63:23-31, 1995.
  7. Ooshima T, Mihara J, Saito T, Sobue S : Eruption of toothlike structure following the exfoliation of natal tooth: Report of case. ASDC J Dent Child, 53:275-278, 1985.
  8. Stamfelj I, Jan J, Cvetko E, Gaspersic D : Size, ultrastructure, and microhardness of natal teeth with agenesis of permanent successors. Ann Anat, 192:220-226, 2010. https://doi.org/10.1016/j.aanat.2010.05.003
  9. Jasmin JR, Clergeau-Guerithault S : A scanning electron microscopic study of the enamel of neonatal teeth. J Biol Buccale, 19:309-314, 1991.
  10. Leung AK : Natal teeth. Am J Dis Child, 140:249-251, 1986.
  11. Alvarez MP, Crespi PV, Shanske AL : Natal molars in Pfeiffer syndrome type 3: a case report. J Clin Pediatr Dent, 18:21-24, 1993.
  12. Buchanan S, Jenkins CR : Riga-Fede's syndrome: Natal or neonatal teeth associated with tongue ulceration. Case report. Aust Dent J, 42:225-227, 1997. https://doi.org/10.1111/j.1834-7819.1997.tb00125.x
  13. Bodenhoff J, Gorlin RJ : Natal and neonatal teeth folklore and fact. Pediatrics, 32:1087-1093, 1963.
  14. Brandt SK, Shapiro SD, Kittle PE : Immature primary molar in the newborn. Pediatr Dent, 5:210-213, 1983.
  15. King NM, Lee AM : Prematurely erupted teeth in newborn infants. J Pediatr, 114:807-809, 1989. https://doi.org/10.1016/S0022-3476(89)80142-8
  16. Narang T, De D, Kanwar AJ. Riga-Fede disease: trauma due to teeth or tongue tie? J Eur Acad Dermatol Venereol, 22:395-396, 2008. https://doi.org/10.1111/j.1468-3083.2007.02347.x
  17. Hedge RJ : Sublingual traumatic ulceration due to neonatal teeth (Riga-fede disease). J Indian Soc Pedod Prev Dent, 23:51-52, 2005. https://doi.org/10.4103/0970-4388.16031
  18. Singh S, Subbba Reddy VV, Dhananjaya G, Patil R. Reactive fibrous hyperplasia associated with a natal tooth: A case report. J Indian Soc Pedo Prev Dent, 22:183-186, 2004.
  19. Basavanthappa NN, Kagathur U, Basavanthappa RN, Suryaprakash ST : Natal and neonatal teeth: A retrospective study of 15 cases. Eur J Dent, 5:168-172, 2011.
  20. Padmanabhan MY, Pandey RK, Aparna R, Radhakrishnan V : Neonatal sublingual traumatic ulceration - case report & review of the literature. Dent Traumatol, 26:490-495, 2010. https://doi.org/10.1111/j.1600-9657.2010.00926.x
  21. Choi SC, Park JH, Choi YC, Kim GT : Sublingual traumatic ulceration (a Riga-Fede disease): report of two cases. Dental Traumatol, 25:48-50, 2009. https://doi.org/10.1111/j.1600-9657.2009.00773.x
  22. Cunha RF, Boer FAC, Torriani DD, Frossard WTG : Natal and neonatal teeth: review of the literature. Pediatr Dent, 23:158-162, 2001.
  23. Sothinathan R, Shakib K : Natal teeth: a sign of fortuity or grave misfortune. Br Dent J, 210:265-266, 2011. https://doi.org/10.1038/sj.bdj.2011.200