Cheekteeth

An 8-year-old boy went in my private dental practice for a
control of a deciduous tooth. The child is in good general health
and the parents did not report any health problems. The deciduous
element in the right jawbone was extremely compromised and
with sharp edges that was creating small wounds in the patient’s
mouth. It was decided to carry out the avulsion of the element.
A mepivacaine anesthesia with 1: 100,000 adrenalines, in vials
of 1.8 cl was administrated. The local anesthesia was injected on
the alveolar mucosa near the deciduous element. The extraction
was performed with a straight lever within a few minutes. The
post-surgical wound was medicated with cotton rolls and after
15 minutes the patient was discharged. 12 hours later the parents
of the child called back to see the child who had a lesion on the
right cheek, the same where the avulsion was performed. The
patient showed an area of about 4.5 cm of larger diameter, abraded
and brown. The child reported a burning sensation. The alveolar
mucosa in the site of avulsion was in good condition, there were
no lymph node swelling, the post-extraction site was not painful.
The patient was not an allergic subject. A more detailed anamnestic
investigation showed that the child did not feel the right cheek
after anesthesia and had rubbed the back of his hand several
times on the cheek and without knowing it, had caused the skin
lesion. Application of Aloe vera gel 2 times a day for 7 days was
prescribed to reduce burning sensation and to improve the healing.