International Journal of Clinical Pediatric Dentistry

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VOLUME 10 , ISSUE 1 ( January-March, 2017 ) > List of Articles

CASE REPORT

Diagnosis and Management of Hidden Caries in a Primary Molar Tooth

Arwa Gera, Uri Zilberman

Keywords : Computed tomography scan, Deciduous molar, Hidden caries, Preeruptive intracoronal lesion

Citation Information : Gera A, Zilberman U. Diagnosis and Management of Hidden Caries in a Primary Molar Tooth. Int J Clin Pediatr Dent 2017; 10 (1):99-102.

DOI: 10.5005/jp-journals-10005-1415

License: CC BY-NC 4.0

Published Online: 01-04-2009

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Hidden caries is a dentinal lesion beneath the dentinoenamel junction, visible on radiographs. A single report described this lesion in primary dentition. This case report describes a case of hidden caries in a mandibular second primary molar, misdiagnosed as malignant swelling. A 3-year-old white girl was referred to the Department of Pediatric Dentistry with a chief complaint of pain and extraoral swelling on the right side of the mandible for the last 3 months. She was earlier referred to the surgical department for biopsy of the lesion. Radiographic and computed tomography scan examination showed a periapical lesion with buccal plate resorption and radiolucency beneath the enamel on the mesial part of tooth 85. The tooth was extracted, and follow-up of 2 years showed normal development of tooth 45. The main problem is early detection and treatment, since the outer surface of enamel may appear intact on tactile examination.

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