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Neonatal Teeth

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141. Statement on pregnancy and travel

voyages. Par contre, de façon pratique, cela est rarement possible. 6 Toxoid vaccines Tetanus and Diphtheria Toxoids Adsorbed (Td) Based on extensive use in pregnant women there is no evidence that either tetanus or diptheria toxoid are teratogenic (6;7) . It is prudent to update tetanus immunization in pregnancy if it is a risk especially as maternal immunity is passed to the baby and can help protect against neonatal tetanus. Inactivated, killed, and recombinant DNA virus vaccines In general (...) (9) . One recent study showed acute hepatitis A infection during pregnancy is associated with high risk of maternal complications including premature contractions, placental separation, premature rupture of membranes and pre-term labour (10) . There is also possible transmission to the neonate at delivery if the pregnant woman is incubating the virus or is acutely ill at the time of delivery (11) . Anatoxines Anatoxines diphtérique et tétanique adsorbées (dT) Les anatoxines diphtérique et

2010 CPG Infobase

142. Grown-Up Congenital Heart Disease

surgery or percuta- neous technique. The recommendation is limited to dental procedures requiring manipulation of the gingival or periapical region of the teeth or perforation of the oral mucosa. Antibiotics are not recommended for respiratory tract, gastrointestinal, genitourinary, dermatological, or musculoskeletal procedures unless there is an established infection. The updated recommendations dramatically change long- established practice for primary care physicians, cardiologists, den- tists

2010 European Society of Cardiology

143. Insomnia

in response to a stressful event but continues despite resolution of the event. Secondary insomnia may be caused by: Other sleep disorders including: Sleep apnoea. For more information, see the CKS topic on . Circadian rhythm disorders such as shift work, jet lag, advanced sleep phase syndrome and delayed sleep phase syndrome. For more information, see the CKS topic on . Parasomnias such as restless legs syndrome, periodic limb movement disorder, sleep talking, sleep walking, sleep terrors, teeth grinding (...) an increased incidence of cleft lip and palate in addition to cases of severe neonatal respiratory depression in late pregnancy. Adverse effects of Z-drugs include gastrointestinal effects such as nausea, vomiting and diarrhoea. Less commonly dizziness, drowsiness, dry mouth, headache amnesia, confusion, depression, hallucinations, nightmares, and paradoxical effects such as talkativeness, excitement, aggression and increased anxiety have been reported [ ; ]. Tolerance and dependence and withdrawal

2015 NICE Clinical Knowledge Summaries

144. When a parent won’t abide by the understanding behind a non-medical exemption to school vaccine mandates

to post comments By LW (not verified) on 01 Apr 2015 --------------------------------- One thing I have been doing wrong for many years is to scrub the teeth with baking soda immediately upon vomiting -- This obviously has contributed to 'cupping'. I am rather ashamed of myself for allowing this to happen; I just never looked with a mirror behind those front teeth even though I recognized accellerated reduction in height. Thinking back, I have caught myself from time to time having a tendancy (...) to lightly sort of rub that area with wet snuff that had gotten back behind the teeth and on the toung. I don't recall ever doing that until I went 'upper decker'. I also strongly suspect that my windmill-chasing folly of folic vs. folate contributed as I was breaking the capsules and taking little doses at a time (Well, the stuff is expensive!). I was chasing it down with milk but I suppose it is possible it was 'lingering' on the toung which was constantly rubbing the back of the teeth as it went

2015 Respectful Insolence

145. An “un-American suppression” of antivaccine views or good reporting?

". The idea is to eliminate tetanos, especially among neonates. I'm heading for this Unicef website right now to give a few bucks. Anyone reading this thread, please have a look by yourself at this project and decide if you feel like donating, too. to post comments By Helianthus (not verified) on 20 Mar 2015 "When you are vaccinated against a disease your body produces antibodies to protect you against the disease" NHS choices. This is supposed to give us an 'acquired' immunity and set us up (...) exposure of Al (225 to 1750 μg per dose) when compared with estimated levels absorbed from breast milk (2.0 μg). This study does not dispute the safety of vaccines but reinforces the need to study long-term effects of early exposure to neuro-toxic substances on the developing brain. Pragmatic vaccine safety needs to embrace conventional toxicology, addressing especial characteristics of unborn fetuses, neonates and infants exposed to low levels of aluminum, and ethylmercury traditionally." to post

2015 Respectful Insolence

147. Inflammatory Myofibroblastic Tumor Mimicking Apical Periodontitis. (PubMed)

Inflammatory Myofibroblastic Tumor Mimicking Apical Periodontitis. Inflammatory myofibroblastic tumors (IMTs) are rare. IMTs of the head and neck occur in all age groups, from neonates to old age, with the highest incidence occurring in childhood and early adulthood. An IMT has been defined as a histologically distinctive lesion of uncertain behavior. This article describes an unusual case of IMT mimicking apical periodontitis in the mandible of a 42-year-old man. At first presentation (...) , the patient showed spontaneous pain and percussion pain at teeth #28 to 30, which continued after initial endodontic treatment. Panoramic radiography revealed a radiolucent lesion at the site. Cone-beam computed tomographic imaging showed osteolytic lesions, suggesting an aggressive neoplasm requiring incisional biopsy. Histopathological examination indicated an IMT. The lesion was removed en bloc under general anesthesia, and the patient manifested no clinical evidence of recurrence for 24 months

2015 Journal of Endodontics

148. Natal Tooth Associated with Fibrous Hyperplasia – A Rare Case Report (PubMed)

Natal Tooth Associated with Fibrous Hyperplasia – A Rare Case Report Eruption of tooth at about 6 months of age is a significant stage in child's life and is an emotional event for parents. However, a tooth present in the oral cavity of newborn can lead to a lot of delusions. Natal and neonatal teeth are of utmost importance not only for a dentist but also for a paediatrician due to parent's anxiety, folklore superstitions and numerous associated complications with it. This paper reports

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2015 Journal of clinical and diagnostic research : JCDR

149. X-ray Study of Human Dental Tissues Affected by Erythroblastosis Fetalis. (PubMed)

green teeth. Despite no obvious elemental variation across the pigmented tissue region, the high-resolution crystallographic properties probed by wide-angle synchrotron X-ray scattering revealed an ultrastructural variation (orientation, particle size, and lattice parameter of hydroxyapatite crystallites) associated with a pigmentation line in dentine and with a distinct neonatal line in enamel. © International & American Associations for Dental Research 2015. (...) X-ray Study of Human Dental Tissues Affected by Erythroblastosis Fetalis. Numerous diseases are known to cause microstructural alteration of dental tissues structure. One type in particular is associated with neonatal jaundice and circulation of bilirubin in blood at high concentration due to increased hemolysis in conditions such as erythroblastosis fetalis, septicemia, biliary atresia, and other causes of hyperbilirubinemia. In those conditions, the products of the catabolism of hemoglobin

2015 Journal of Dental Research

150. Childhood Measures of NICU-based Chemical Exposure

Sinai Study Details Study Description Go to Brief Summary: This study aims to identify early life exposures to metals and chemicals by measuring the concentration of metals and organic compounds in shed primary teeth. The researchers will also investigate associations between the presence of these chemicals in teeth and children's social, emotional, and neuro-development. Condition or disease Development Detailed Description: Since children begin shedding their primary teeth around age 6 (...) , the investigators will enroll children who will be turning 6 in the next two years. First, the investigators will follow up with the children's development by conducting a battery of non-invasive neurodevelopmental tests. Also, the parents will be asked to complete a questionnaire called the Child Behavior Checklist, which assesses behavioral problems. Then, each child's parent will be asked to send the research team 2-3 teeth that their child has shed, or to send teeth as they are shed over the next three

2014 Clinical Trials

153. Langerhans Cell Histiocytosis

million children per year, with lower incidence in black patients (0.41 per 1 million) and higher incidence in Hispanic patients (1.63 per 1 million) younger than 5 years. Crowded living conditions and lower socioeconomic circumstances were associated with a higher risk of LCH, possibly because of the correlation with maternal and neonatal infections.[ ] Identical twins and non-twin siblings with LCH, as well as LCH in multiple generations in one family, have been reported.[ ] Etiology The etiology (...) involves the body creases, such as the antecubital fossa and perineum. Infants with LCH may also present with a generalized skin rash, which may mimic many other skin disorders and may or may not be pruritic. Vesicular LCH skin lesions need to be differentiated from congenital infections. Skin LCH in infants may be limited to skin (skin-only disease) or may be part of multisystem LCH. In a report of 61 neonatal cases from 1,069 patients in the Histiocyte Society database, nearly 60% (36 of 61 patients

2012 PDQ - NCI's Comprehensive Cancer Database

154. Ovarian Cysts (Overview)

the neonatal period to postmenopause. Most ovarian cysts, however, occur during infancy and adolescence, which are hormonally active periods of development. Most are functional in nature and resolve without treatment. (See Epidemiology, Prognosis, Treatment, and Medication.) However, ovarian cysts can herald an underlying malignant process or, possibly, distract the clinician from a more dangerous condition, such as , ovarian torsion, or appendicitis. (On the other hand, there may be an inverse (...) growth [ ] Maternal gonadotropins - The transplacental effects of maternal gonadotropins may lead to the development of neonatal and fetal ovarian cysts [ ] Cigarette smoking - The risk of functional ovarian cysts is increased with cigarette smoking; risk from smoking is possibly increased further with a decreased body mass index (BMI) [ , ] Tubal ligation - Functional cysts have been associated with tubal ligation sterilizations [ ] Risk factors for ovarian cystadenocarcinoma include the following

2014 eMedicine.com

155. Neutropenia (Overview)

in cases involving drug exposure: If the identity of the causative agent is not known, stop administration of all drugs until the etiology is established Use careful oral hygiene to prevent infections of the mucosa and teeth Avoid rectal temperature measurements and rectal examinations Administer stool softeners for constipation Use good skin care for wounds and abrasions: Skin infections should be managed by someone with experience in the treatment of infection in neutropenic patients Antibiotics (...) granular lymphocyte proliferation or leukemia In isoimmune neonatal neutropenia, the mother produces IgG antineutrophil antibodies to fetal neutrophil antigens that are recognized as nonself. This occurs in 3% of live births. The disorder manifests as neonatal fever, urinary tract infection, cellulitis, pneumonia, and sepsis. The duration of the neutropenia is typically 7 weeks. Chronic autoimmune neutropenia is observed in adults and has no age predilection. As many as 36% of patients will exhibit

2014 eMedicine.com

156. Epidermal Inclusion Cyst (Overview)

has been identified. Pigmentation of epidermoid cysts is common in individuals with dark skin. In a study of Indian patients with epidermoid cysts, 63% of the cysts contained melanin pigment. [ ] Sex Epidermoid cysts are approximately twice as common in men as in women. Age Epidermoid cysts may occur at any age; however, they most commonly arise in the third and fourth decades of life. Small epidermoid cysts known as milia are common in the neonatal period. Previous Next: Prognosis Epidermoid (...) Acad Dermatol Venereol . 2001 Mar. 15(2):184-5. . Bechara FG, Sand M, Rotterdam S, Altmeyer P, Hoffmann K. Multiple epidermal inclusion cysts after axillary liposuction-curettage: a rare complication of a frequent procedure. Int J Dermatol . 2008 Nov. 47(11):1197-8. . Leppard B, Bussey HJ. Epidermoid cysts, polyposis coli and Gardner's syndrome. Br J Surg . 1975 May. 62(5):387-93. . Besser FS. Pachyonychia congenita with epidermal cysts and teeth at birth: 4th generation. Br J Dermatol . 1971 Jan

2014 eMedicine.com

157. Factor XIII (Overview)

polymorphisms to specific populations should be expected. Since it is an autosomal disorder, homozygous FXIII deficiency occurs in either sex. Acquired inhibitors to FXIII can present in either males or females. Physiologically, reduced levels of FXIII are found in healthy newborns, with a gradual rise in levels into the reference range. Premature infants have lower values than full-term neonates. FXIII levels drop in the latter half of a normal pregnancy. Neonates with severe FXIII deficiency may present (...) with bleeding from the umbilical cord. Easy bruising and delayed and recurrent bleeding after trauma begin in childhood. Oral bleeding can begin with teething and cuts or abrasions to the lips, tongue, and frenulum. Bleeding remains a problem throughout life and requires replacement therapy. FXIII deficiency acquired as a result of autoantibodies has been reported in the older population, as has acquired hemophilia A. Both drug-induced autoantibodies and alloantibodies have been reported in severely

2014 eMedicine.com

158. Anetoderma (Follow-up)

, Vabres P. Anetoderma of prematurity: an iatrogenic consequence of neonatal intensive care. Arch Dermatol . 2010 May. 146(5):565-7. . Karrer S, Szeimies RM, Stolz W, Landthaler M. Primary Anetoderma in children: report of two cases and literature review. Pediatr Dermatol . 1996 Sep-Oct. 13(5):382-5. . Taïeb A, Dufillot D, Pellegrin-Carloz B, Calabet A, Clementy J, Guillard JM, et al. Postgranulomatous anetoderma associated with Takayasu's arteritis in a child. Arch Dermatol . 1987 Jun. 123(6):796-800 (...) antibodies. Skinmed . 2011 May-Jun. 9(3):168-71. . de Souza EM, Daldon PE, Cintra ML. Anetoderma associated with primary antiphospholipid syndrome. J Am Acad Dermatol . 2007 May. 56(5):881-2. . Hodak E, David M. Primary anetoderma and antiphospholipid antibodies--review of the literature. Clin Rev Allergy Immunol . 2007 Apr. 32(2):162-6. . Goujon E, Beer F, Gay S, Sandre D, Gouyon JB, Vabres P. Anetoderma of prematurity: an iatrogenic consequence of neonatal intensive care. Arch Dermatol . 2010 May. 146

2014 eMedicine.com

159. Agranulocytosis (Follow-up)

in certain contexts. Go to for complete information on this topic. Next: General Care General measures to be taken include the following: Removal of any offending drugs or agents is the most important step in most cases involving drug exposure; if the identity of the causative agent is not known, stop administration of all drugs until the etiology is established Use careful oral hygiene to prevent infections of the mucosa and teeth; control oral and gingival lesion pain with saline and hydrogen peroxide (...) usefulness in treating neonatal sepsis. Their usefulness in adults with neutropenia, in whom adequate increments of WBC counts are difficult to achieve, has not been demonstrated in randomized clinical trials. [ ] Granulocyte transfusion could be considered in cases of gram-negative sepsis with no improvement in 24-48 hours. Previous Next: Other Medical Measures Other measures that may be taken in the care of the patient with neutropenia include the following: Corticosteroid therapy (potentially

2014 eMedicine.com

160. Bacterial Infections and Pregnancy (Follow-up)

, and stillbirth; occasionally, GBS bacteremia leads to endocarditis or meningitis In postpartum women, GBS can cause urinary tract infections (UTIs) and pelvic abscesses In newborns, early-onset GBS infection occurs before age 7 days (mean age at presentation is age 12 hours) and primarily manifests as nonfocal sepsis, pneumonia, or meningitis Late-onset disease in neonates occurs at age 7-89 days (mean age, 36 days), and nonfocal bacteremia and meningitis are the most common presentations Babies who survive (...) or erythromycin has not been established, IV can be used The neonate must be carefully observed for signs and symptoms of disease Urinary tract infections Asymptomatic bacteriuria develops in 10-15% of pregnant women and can lead to complications such as pyelonephritis and , so all pregnant women should undergo screening with urine culture at least once during early pregnancy and should be treated if the results are positive. [ , ] Significant bacteriuria is defined as >100,000 colony-forming units (CFU

2014 eMedicine.com

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