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Neonatal Teeth

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62. Migraine

headache (which can be due to ergotamines, triptans, simple analgesics and opioids) is included in this category. Infection, for example, intracranial infection (including meningitis, encephalitis and cerebral abscess) or systemic infection. Disorders of homeostasis for example hypoxia or hypertension including pre-eclampsia and eclampsia. Disorders of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structure such as angle closure glaucoma, temporomandibular

2019 NICE Clinical Knowledge Summaries

65. Dental interventions to prevent caries in children

in dental caries between experimental and control participants, expressed as a percentage). It can be calculated as 1-(relative risk) or 1-(odds ratio) x 100. 1.3.2 THE DMF INDEx DMFT and DMFS are used to describe numerically the prevalence of dental caries in an individual’ s permanent teeth. They are obtained by calculating the number of decayed (D), missing (M) and filled (F) teeth (T) or surfaces (S). Calculation of these figures requires determining the number of teeth which: y have caries lesions (...) (incipient caries are not included) y have been extracted y have fillings or crowns. The sum of the three figures forms the DMFT value. For example: DMFT of 4/3/9=16 means that four teeth are decayed, three teeth are missing and nine teeth have fillings. It also means that 12 teeth are intact. If a tooth has both a caries lesion and a filling it is calculated as D only. DMFT of 28 (or 32, if third molar (‘wisdom’) teeth are included) is the maximum, meaning that all teeth are affected. A more detailed

2014 SIGN

66. Asfotase alfa for treating paediatric-onset hypophosphatasia

(https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 542 2 The condition The condition 2.1 Hypophosphatasia is a genetic disorder caused by mutations in the tissue non- specific alkaline phosphatase (TNSALP) gene, which reduce its activity. This causes disruption of mineralisation, a process in which calcium and phosphorous are deposited in developing bones and teeth. Several clinical forms of hypophosphatasia are currently recognised: perinatal onset (onset before or at birth (...) in the bones and teeth, and to reduce complications of dysregulated bone mineral metabolism. Asfotase alfa is administered by subcutaneous injection. 3.2 Asfotase alfa has a marketing authorisation under exceptional circumstances in the UK 'for long-term enzyme replacement therapy in patients with paediatric- onset hypophosphatasia to treat the bone manifestations of the disease' . Treatment should be started by a physician experienced in the management of metabolic or bone disorders. The recommended

2017 National Institute for Health and Clinical Excellence - Highly specialised technology

67. Newborn Nursing Care Pathway

feeding Parent education/ Anticipatory Guidance • Refer to >12 – 24 hr Variance • Refer to POS Intervention • Refer to POS • If latching difficulty persists due to tight frenulum or tongue refer to PHCP Norm and Normal Variations • Refer to POS Parent education/ Anticipatory Guidance • Refer to >12 – 24 hr • Oral hygiene • Look into baby’s mouth regularly Wipe gums with soft, clean damp cloth daily prior to the eruption of the first teeth Prevention of tooth decay • www.cda-adc.ca/en/oral_health

2015 British Columbia Perinatal Health Program

68. Breastfeeding Healthy Term Infants

for hydration, neonatal jaundice, and other abnormalities that may require investigation or referral 84 • Provide anticipatory guidance and resources such as Baby’s Best Chance, 60 on possible breastfeeding concerns (e.g. teething, biting, increased feeding frequency during growth spurts) • Provide information about recommendation of exclusive breastfeeding for first six months with continuation for two years or more combined with nutritious and safe complementary foods 3.0 Breastfeeding Guidelines (...) Discharge 16 72 hours to 7 days and beyond 16D. Breastfeeding Challenges in the Postpartum Period 17 Infant Challenges Near -T erm Infant 17 Hypoglycemia 18 Neonatal Jaundice 18 Ankyloglossia (tongue tie) 19 Maternal Challenges Breast Fullness 19 Breast Engorgement 19 Areolar Engorgement 20 Plugged or Blocked Duct 20 Milk Blister or Blocked Nipple Pore 20 Overabundance of Breastmilk 20 Mastitis 21 Breast Abscess 22 Inverted or Flat Nipples 22 Nipple pain 22 Maternal conditions (such as Vasospasm

2015 British Columbia Perinatal Health Program

72. Acute pain management: scientific evidence (3rd Edition)

PATIENT 339 10.1 Developmental neurobiology of pain 339 10.2 Long-term consequences of early pain and injury 340 10.3 Paediatric pain assessment 340 10.3.1 Pain assessment in neonates 341 10.3.2 Observational and behavioural measures in infants and children 342 10.3.3 Self-report in children and adolescents 342 10.3.4 Children with cognitive impairment 343 10.4 Management of procedural pain 346 10.4.1 Procedural pain in the neonate 347 10.4.2 Procedural pain in infants and older children 347 10.4.3 (...) with spinal cord injury 248 9.2 Simple analgesics for the treatment of migraine 266 9.3 Table of triptans 267 9.4 Pooled effectiveness data from emergency department studies of the treatment of migraine 296 10.1 Acute pain intensity measurement tools — neonates 344 10.2 Composite scales for infants and children 345 10.3 Self-report tools for children 346 11.1 ADEC drug categorisation according to fetal risk 387 11.2 Categorisation of drugs used in pain management 388 11.3 The breastfeeding patient

2015 National Health and Medical Research Council

73. How best to treat UTIs in women who breastfeed?

poor feeding; amoxicillin and cephalexin may cause diarrhea; nitrofurantoin may cause diarrhea or, in infants with G6PD deficiency, hemolytic anemia; and ciprofloxacin may cause pseudomembranous colitis in infants and green teeth in neonates (SOR: C, case reports and expert opinion). URI Citation Journal of Family Practice, 63(2) 2014: 102-103. Collections hosted by hosted by

2014 Clinical Inquiries

74. Bites - human and animal

Bites - human and animal Bites - human and animal - NICE CKS Share Bites - human and animal: Summary A bite is an injury inflicted by the teeth of a human or animal. Bite wounds can take a number of forms including lacerations, puncture wounds, and crush or degloving injuries. Human bites are either: Occlusal injuries (inflicted by actual biting), or Clenched-fist injuries (sustained when a clenched fist hits a person's teeth, often during a fight, causing small wounds over (...) the metacarpophalangeal joints). Dog bites characteristically involve puncture wounds from the canine teeth which anchor the victim whilst the other teeth bite, shear, and tear the tissues causing structural damage. Cats have fine, sharp teeth and, despite having a weaker bite than dogs, inflict deep puncture wounds inoculated with saliva, and are capable of penetrating bone, joints, and tendons. Dog bites are the most common mammalian bite. Bacterial infection is a risk if there is a break in the skin. Infective

2018 NICE Clinical Knowledge Summaries

75. Lacerations

or ibuprofen for pain relief, if needed; and keep the wound clean and dry to reduce the risk of infection. Removal of wound closure (if necessary). Have I got the right topic? Have I got the right topic? From birth onwards. This CKS topic covers the management of lacerations in primary care. This CKS topic does not cover the management of skin tears (traumatic injuries presenting in people with fragile skin, including neonates and elderly people). There are separate CKS topics on and . The target audience

2018 NICE Clinical Knowledge Summaries

76. Perinatal death and exposure to dental amalgam fillings during pregnancy in the population-based MoBa cohort. (PubMed)

with dental amalgam.Data on perinatal death (stillbirth ≥ 22 weeks plus early neonatal death 0-7 days after birth) were obtained from the Medical Birth Registry of Norway.The absolute risk of perinatal death ranged from 0.20% in women with no amalgam-filled teeth to 0.67% in women with 13 or more teeth filled with amalgam. Analyses including the number of teeth filled with amalgam as a continuous variable indicated an increased risk of perinatal death by increasing number of teeth filled with dental (...) Perinatal death and exposure to dental amalgam fillings during pregnancy in the population-based MoBa cohort. The aim was to gain knowledge regarding the risk of perinatal death related to exposure to dental amalgam fillings in the mother.Population-based observational cohort study.The Norwegian Mother and Child Cohort Study, a Norwegian birth cohort of children born in 1999-2008 conducted by the Norwegian Institute of Public Health.72,038 pregnant women with data on the number of teeth filled

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2018 PLoS ONE

77. Clinico-radiologic features of molar-incisor malformation in a case series of 38 patients: A retrospective observational study. (PubMed)

%), and endodontic-periodontal lesion (28.9%). The medical histories of the patients with MIM indicate that almost all (94.7%) were hospitalized due to problems during the neonatal period. MIM may cause various dental problems, such as periapical and periodontal abscess and early loss of the affected teeth. The early diagnosis of MIM on radiographs and appropriate treatment will contribute to a favorable prognosis, especially for young and adolescent patients.

2019 Medicine

78. Management Considerations for Pediatric Oral Surgery and Oral Pathology

, gingival keratin cysts, Epstein pearls, Bohn’s nodules, congenital epulis of newborn, dental lamina cysts, natal teeth, and neonatal teeth; fields: all; limits: within the last 10 years, humans, English, clinical trials. Papers for review were chosen from the list of articles matching these criteria and from references with selected articles. When data did not appear sufficient or were incon- clusive, recommendations were based upon expert and/or consensus opinion by experience researchers (...) for frenectomies has dem- onstrated a shorter operative working time, a better ability to control bleeding, reduced intra- and post-operative pain and discomfort, fewer postoperative complications (e.g., swelling, infection), no need for suture removal, and increased patient acceptance 71,96,97 These procedures require extensive training as well as skillful technique and patient management. 67,68,74,84,94,98-101 Natal and neonatal teeth Natal and neonatal teeth can present a challenge when deci- ding

2015 American Academy of Pediatric Dentistry

79. Use of Local Anesthesia for Pediatric Dental Patients

contouring and placement of mini-screw implants to aid tooth movement, 1,18,20 as well as in pediatric dentistry to anesthetize palatal tissues prior to injection and for extraction of loose pri- mary teeth without the need for an injection. They contain high doses of both amide and ester agents and are at risk for side effects similar to that of other topical anesthetics. 1,13-15,18,19 The FDA does not regulate compounded topical anesthetics and recently issued warning about their use. 17,18 * Total (...) , since specific teeth may be anesthetized with less residual anesthesia, avoiding discomfort and potential self-mutilation of block anesthesia. 29 The mandibular bone of a child usually is less dense than that of an adult, permitting more rapid and complete diffusion of the anesthetic. 6 Mandibular buccal infiltration anesthesia is as effective as inferior nerve block anesthesia for some operative procedures. 6 In patients with bleeding disorders, the PDL injection minimizes the potential

2015 American Academy of Pediatric Dentistry

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