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4.4 Pain from Other Causes
Herpes Virus A common cause of pain in the oral cavity in young children is first-time exposure to the herpes virus leading to an acute stomatitis. These children present as lethargic and feverish, with bad breath—an uncommon finding in children this age. Fortunately, most cases are resolving by the time the child visits the dentist. Dentists should work with the child’s primary care health professional to ensure adequate fluid intake. Occasionally, topical pain relievers such as local anesthetics may be used to minimize the symptoms of herpes, but even without pain relievers, children can drink non-acidic liquids and cool water with little pain. Antibiotics are of no use and may allow the introduction of opportunistic organisms such as candidiasis. Dehydration Dehydration among young children is a serious concern. The dentist should obtain information from the parents to assess the child’s hydration status. Ask about the child’s last urination or diaper change, and check pulse and respiration. If the child is dehydrated, both will be elevated. Any signs of dehydration should lead to a referral to a primary care health professional. |
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