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Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 7: Infants and Young Children with Special Health Care Needs
Module Contents
Overview
7.1 Children with Special Health Care Needs
7.2 Oral Health Status
7.3 Oral Conditions
Oral Development
Oral Trauma
Bruxism
Oral Infections (current page)
Gingival Overgrowth
7.4 Interview and
Risk Assessment
Interview
Risk Assessment
7.5 Oral Screening
7.6 Anticipatory Guidance
7.7 Dental Visits
7.8 The Dental Home
Key Points
Post-Test
References
Additional Resources



7.3 Oral Conditions, continued

Oral Infections

 
photo of tooth decay
  Fig 7. Tooth Decay

Tooth Decay
Children with poor oral hygiene may be at increased risk for tooth decay (see Module 3, section 3.5, Dental Caries) if they also

  • Experience frequent vomiting or gastroesophageal reflux

  • Have smaller than normal amounts of saliva (which can be a side effect of medications)

  • Take medications containing sugar

  • Eat a special diet that requires prolonged bottle feeding or snacking

photo of viral infection
  Fig 8. Viral Infection

Viral and Fungal Infections
Herpetic gingivostomatitis, severe inflammation of the intraoral soft tissue, and recurrent herpes labialis (viral infections) are most common in young children. Candidiasis (a fungal infection) can occur in children who have compromised immune systems or who are on long-term antibiotic regimens. (See Module 3, section 3.6, Infections.)


photo of gingival infection
  Fig 9. Gingival Infection

Gingival Infection
Severe gingivitis or early periodontitis can occur in children with impaired immune systems or connective tissue disorders and inadequate oral hygiene. Simple gingivitis results from an accumulation of bacterial plaque and presents as red, swollen gums that bleed easily. Periodontitis is more severe and can lead to tooth loss if not treated.



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logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau