Pediatric Dentistry · patient case question

What is your conduct?

Patient case: Child with lower lip swelling the day after a stainless steel crown

Patient: Child, 7 years old

Chief complaint: Brought by his father with swelling of the lower lip.

Background: A stainless steel crown was placed the day before under local anaesthesia.

Current findings: Swelling of the lower lip at the level of the mandibular occlusal plane.

  1. Prescribe a systemic antibiotic
  2. Prescribe a corticosteroid cream
  3. Refer urgently to a paediatric hospital
  4. Reassure the father and ask him to monitor it at home
Show answer and explanation

Correct answer: D. Reassure the father and ask him to monitor it at home

  • A. There is no infection to treat; antibiotics are unnecessary.
  • B. Topical corticosteroid is not indicated for a traumatic ulcer and may impair healing.
  • C. This is a benign, self-limiting injury requiring no urgent referral.
  • D. CORRECT. A traumatic lip lesion of this kind heals spontaneously within one to two weeks. Management is reassurance, a soft diet, gentle cleaning, analgesia if needed and observation, with instructions to return if it worsens or shows signs of secondary infection.

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