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European Archives of Paediatric Dentistry

, Volume 18, Issue 1, pp 59–63 | Cite as

Regional early development and eruption of permanent teeth: case report

  • A. M. Al MullahiEmail author
  • A. Bakathir
  • S. Al Jahdhami
Case Report

Abstract

Background

Early development and eruption of permanent teeth are rarely reported in scientific literature. Early eruption of permanent teeth has been reported to occur due to local factors such as trauma or dental abscesses in primary teeth, and in systemic conditions. Congenital diffuse infiltrating facial lipomatosis (CDIFL) is a rare condition that belongs to a group of lipomatosis tumours. In this disorder, the mature adipocytes invade adjacent soft and hard tissues in the facial region. Accelerated tooth eruption is one of the dental anomalies associated with CDIFL.

Case report

A 3-year-old boy presented with a swelling of the lower lip localised early development and eruption of permanent teeth and dental caries involving many primary teeth.

Treatment

The planned treatment included biopsy of the swollen lower lip to confirm the diagnosis, surgical reduction and reconstruction of lip aesthetics. The management of the carious primary teeth included preventative and comprehensive dental care and extractions. These procedures were completed under general anaesthesia due to the child’s young age and poor cooperation. The lip biopsy showed features of CDIFL such as the presence of infiltrating adipose tissue, prominent number of nerve bundles and thickened vessels.

Follow-up

The high recurrence rate of CDIFL mandates long-term monitoring during the facial growth period of the child. Follow-up care by the paediatric dentist and maxillofacial surgeon has been required to manage all aspects of this congenital malformation.

Conclusion

This rare disorder has many implications affecting child’s facial aesthetics, psychological well being, developing occlusion and risk of dental caries. A multi-disciplinary approach is needed for management of this condition.

Keywords

Congenital Lipomatosis Lower lip Tooth eruption 

Notes

Compliance with ethical standard

This article does not contain any studies with human participants or animals performed by any of the authors. There was no funding for this case report.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© European Academy of Paediatric Dentistry 2016

Authors and Affiliations

  • A. M. Al Mullahi
    • 1
    Email author
  • A. Bakathir
    • 1
  • S. Al Jahdhami
    • 2
  1. 1.Oral Health DepartmentSultan Qaboos University HospitalMuscatSultanate of Oman
  2. 2.Pathology DepartmentSultan Qaboos University HospitalMuscatSultanate of Oman

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