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Article: Volume 42 Number 7 Page 681 - September 2015

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  Dent Update 2015; 42: 681-685

Paediatric dentistry:  Dental Abrasion of Incisor caused by a Babies’ Dummy Clip: A Case Report

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Abstract: Tooth surface loss (TSL), the non-carious loss of tooth tissue, is considered pathological if the teeth involved experience sensitivity and pain, are functionally compromised or they detract from the patient's appearance. TSL is a common clinical finding in many patient groups, although differences between the primary and permanent dentition contribute to TSL occurring at a faster rate and with worse outcomes in the primary dentition. This case report presents localized abrasion and associated apical periodontitis affecting a single primary tooth in a 2-year-old infant following the misuse of a babies’ dummy clip whilst teething. Abrasion is rare in the primary dentition.

Clinical relevance: This article highlights an unusual presentation of dental abrasion affecting the primary dentition caused by a previously unreported foreign object; abrasion in this case was a side-effect of soothing the discomfort of teething.

Author notes: Esma J Doğramacı, BDS, MSc, MFDS, MOrth, Lecturer, Orthodontics, School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia and Giampiero Rossi-Fedele, DDS, MClinDent, PhD, Associate Professor and Head of Endodontics, School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia.

Objective: To highlight the need for important oral and dental health advice to pass between dentists and other healthcare professionals such as those working in community baby clinics.