This paper describes the case of a day old baby who was admitted to hospital because of the presence of a large intraoral swelling that was preventing her from breast feeding. Clinical examination showed a firm, pedunculated, lobulated nodule protruding from the mouth and attached to the maxillary alveolus to the left of the midline. The mucosa was normal in appearance. The growth was excised under local anaesthesia and showed a histological appearance consistent with a congenital epulis of the newborn. Healing was complete and no recurrence was seen at review after two weeks. Conservative treatment of congenital epulis is often sufficient but in this case, the nodule prevented feeding. Excision was incomplete but, as in other cases treated in the same way, there has been no obvious tendency to recur.

The aim of this article is to make clinicians aware of the use of cone beam computed tomography (CBCT) within the field of orthodontics. The paper describes five cases each one illustrating the improved diagnostic yield using CBCT over conventional radiography thus facilitating the appropriate treatment planning of patients.

No abstract

Infraocclusion is a term used to describe a tooth which has stopped its relative occlusal growth into the arch after the period of active eruption; as a result, they become depressed below the occlusal plane. Although many aetiological mechanisms have been proposed, ankylosis is considered the primary cause of infraocclusion. Complex cases benefit from multidisciplinary management. This paper concentrates on the diagnosis and management of infraoccluded second primary molars without permanent successors and without significant malocclusion and provides clinicians with a treatment decision tree to aid in treatment planning. In-brief points Early clinical and radiographic diagnosis of infraoccluded teeth. A treatment decision tree to aid in treatment planning infraoccluded primary molars in cases with missing permanent successor and without significant malocclusion.