Horse tooth

Introduction Most babies have some yellow-white dots on the sides of the midline and the gingival margins at 4-6 weeks after birth, much like the growing teeth, commonly known as "horse teeth" or "die".

Cause

It is called epithelial beads in medicine. The epithelial beads are made up of epithelial cells. It is a normal physiological phenomenon. It is not a disease. "Horse" does not affect the development of infants' feeding and deciduous teeth. It will gradually develop within a few months after birth. Shedding, some babies due to malnutrition, "horse teeth" can not fall off in time, this is not much hindrance, no need to heal.

an examination

Related inspection

Oral X-ray examination blood routine

Clinical physical examination: white granular secretions were seen in the gums of the children. There was no ulceration on the surface, no redness around the skin, and it could not be scrubbed with a light wipe in front. Strong scrubbing can cause bleeding under the submucosal mucosa.
Local tissue examination: biopsy cytology of white rice-like secretions showed epithelial-like cell accumulation, no neutrophil and lymphocyte infiltration, indicating that the disease has nothing to do with infection.

Differential diagnosis

According to the clinical manifestations of this disease, it should be differentiated from thrush. Thrush is a skin lesion caused by Candida albicans infection. It usually forms a patchy white film adhesion around the gums. It can be gently peeled off with a cotton swab. After peeling off the white mucosa, the base is congested and pathological examination is visible. Fungal spores and hyphae. Therefore, according to clinical characteristics and pathological examination can be distinguished.

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