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Nursing habits and dental decay in infants: "nursing bottle caries".

The decay-producing capabilities of certain foods can be influenced by eating habits. When a habit of frequent nocturnal bottle or breast feeding is maintained beyond a year of age, the potential for gross dental decay in very young children is established. Bovine milk, milk formulas and human breast milk have all been implicated in the condition of "nursing bottle caries," because of their lactose content. Additional sweeteners in the nursing bottle, the use of fruit juices or the use of honey-dipped pacifiers can also cause "nursing bottle caries." "Nursing bottle caries" can be prevented through a timely educational program to new parents. Prevention is particularly applicable in young children, since a healthy oral condition promotes good nutrition, a healthy state and normal growth. Both the American Dental Association and the American Society of Dentistry for Children have pamphlets explaining "nursing bottle caries," which are available for distribution to the public.

Animals↗

Jaw fractures in the county of Stockholm (1978-1980). Jaw fractures in children and adolescents.

Jaw fractures are less frequent in children than in adults. Very few studies exclusively on jaw fractures in children have been reported. From an investigation earlier published about jaw fractures in the country of Stockholm during the years 1978, 1979 and 1980 the authors have selected all cases of jaw fractures in children and adolescents below the age of 20. One hundred and seventy-one patients were studied, 128 boys and 43 girls. The ratio between boys and girls was 3:1. The material was separated into 4 age groups: 0-5, 6-10, 11-15 and 16-20 years. Sixty percent of the fractures were found in the older age groups. The majority of the injuries (62%) occurred during the period May-September, mostly on Fridays and Saturdays, in the younger groups in day time, in the older group during the evening. Fractures due to falling and playing dominated in the younger age groups, but decreased with age. Even if all bicycle traffic accidents were excluded, this vehicle caused 31% of all play and sporting accidents. The relatively percentage of traffic accidents increased steadily from 17 to 42% in the age groups. In the oldest age group violence exceeded traffic as the dominating cause. Le Fort fractures were not found in the younger groups, were fractures of the mandibular condyle and maxillary alveolar process dominated. An erupted tooth in the fracture line was registered in 43% of the cases. Most patients received outpatient treatment.

Accidents↗

[Disturbances in development of the maxilla following interstitial radium therapy for a facial rhabdomyosarcoma at the age of 3 years (author's transl)].

Radium therapy at the age of 3 years for an embryonic rhabdomyosarcoma of the paranasal fold resulted in severe cutaneous lesions but also relatively limited disturbances of growth of the corresponding maxilla: inclusion of the underlying canine and version of neighbouring teeth, very incomplete development of the nearest dental roots, absence of air filling of the maxillary sinus. The relatively slight nature of these developmental disturbances is certainly related to the techniques of interstitial radium therapy developed and used at the Gustave Roussy Institute. Routine orthodontic study of the cases of children surviving after treatment of a malignant tumor of the face would undoubtedly offer even more precise information concerning therapeutic indications.

Child↗