Everyday Oral Surgery Kathleen Schultz: Pediatric Oral Pathology Review (By a Pediatric Oral Pathologist)
Welcome back to another episode of Every Day Oral Surgery! Today we talk to Dr. Kathleen Schultz, a specialist in pediatric dental medicine and oromaxillofacial pathology at Northwell Health. We start the discussion with an overview of Kathleen’s training and how her current practice is set up, followed by the two types of cases that she most frequently sees. Tune in to find out why asking patients questions about their general health can lead to the identification of the underlying systemic illnesses causing mouth ulcers, and the common symptoms Kathleen sees in children with Crohn’s disease. We learn why you should always be sending lesions for a biopsy, what to look out for to identify pediatric cancer patients, and how to approach cystic ameloblastomas. We also hear about several case studies from both Grant and Kathleen, how to tackle hemangiomas, and Kathleen’s tips and tricks to remember what questions to ask when trying to differentiate between dental diseases. Join us today for this fascinating episode with a pediatric expert!
Key Points From This Episode:
- Welcome to Dr. Kathleen Schultz, specialist in pediatric dental medicine and oromaxillofacial pathology at Northwell Health.
- How Kathleen ended up where she is today, and her current practice setup.
- The types of cases Kathleen sees: random things in kids’ mouths, and the complicated cases.
- Why aphthous ulcers in Crohn’s disease are common but complicated cases.
- The questions Kathleen asks when facing someone with recurrent oral aphthous ulcers.
- Why you should be doing biopsies on lesions that appear to be mucoceles: Grant and Kathleen’s experiences.
- The common lesions Kathleen sees, and why asking about an inflamed taste-bud can solve a confusing problem.
- When Kathleen recommends doing a biopsy on an ulcer, and an interesting pediatric case she saw.
- Why it’s so important to ask systemic questions when facing pediatric lesion cases.
- What to look out for to detect pediatric cancer patients, and two case studies Kathleen saw.
- The importance of thinking outside the mouth: Kathleen’s tips on planning specific questions that reveal systemic issues.
- How Kathleen approaches cystic ameloblastomas, and Grant's treatment methods.
- The challenges of getting patients to maintain hygiene when tubes are involved in therapy.
- Kathleen’s advice on dealing with haemangiomas and vascular anomalies, the differences between these pathologies, and how to approach management.
- Why MFOS should have a vascular anomalies team at hand.
- The most common causes of oral anomalies.
- Why dental diseases are confusing to most people, and Kathleen’s pearls of wisdom on how to differentiate them (from family history to tooth shape to the teeth affected).
- Grant’s experience with Dentinogenesis imperfecta.
- How Kathleen handles pediatric extractions when the tooth root cracks, and leaving the root tip behind.
- Why Kathleen lives by, “When in doubt, take it out,” and a wrap up of today’s episode.
Links Mentioned in Today’s Episode:
Dr. Kathleen Schultz Email — kschultz@northwell.edu
Dr. Kathleen Schultz on Instagram — @drkathleenschultz
Dr. Grant Stucki Email — grantstucki@gmail.com
Dr. Grant Stucki Phone — 720-441-6059