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Management Considerations for Pediatric Oral Surgery and Oral Pathology


The purpose of this guideline is to define, describe clinical presentation, and set forth general criteria and therapeutic goals for common pediatric oral surgery procedures and oral pathological conditions.

This guideline was originally developed by the Council on Clinical Affairs and adopted in 2005.

This document is a revision of the previous version, last revised in 2014.

It is based on a review of the current dental and medical literature related to pediatric oral surgery, including a systematic search of the PubMed®/MEDLINE database using the terms: pediatric, oral surgery, extraction, odontogenic infections, impacted canines, third molars, supernumerary teeth, mesiodens, mucocele, eruption cyst, eruption hematoma, attached frenum, ankyloglossia, gingival keratin cysts, Epstein pearls, Bohn’s nodules, congenital epulis of newborn, dental lamina cysts, natal teeth, and neonatal teeth; fields: all; limits: within the last 10 years, humans, English, clinical trials.

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Papers for review were chosen from the list of articles matching these criteria and from references with selected articles. When data did not appear sufficient or were inconclusive, recommendations were based upon expert and/or consensus opinion by experience researchers and clinicians.

In addition, the manual Parameters of Care: Clinical Practice Guidelines for Oral and Maxillofacial Surgery, developed by the American Association of Oral and Maxillofacial Surgeons (AAOMS), was consulted.

General considerations

Surgery performed on pediatric patients involves a number of special considerations unique to this population. Several critical issues deserve to be addressed.

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AMERICAN ACADEMY OF PEDIATRIC DENTISTRY