Keywords
Hipotiroidismo; Necesidades especiales; Odontología pediátrica; Salud oral
How to Cite
Abstract
Congenital hypothyroidism is a metabolic disorder that requires special health care interventions. It has influence in overall growth and oral conditions in pediatric patients, and also can affect child cooperation during dental treatment because this metabolic condition is the most common preventable cause of mental retardation. The aim of this paper is to report the dental treatment of a child with congenital hypothyroidism who is four years and five months old, with many facial and oral characteristics of the metabolic condition, including severe early childhood caries and malocclusion. At first, it was observed a lack of cooperation of the patient with speech and learning impairment, but with the help of the Pedagogy team at the Pediatric Dental Clinic Playroom, he developed confidence and diminished anxiety every appointment. We present the follow-up during 15 months, where we could observe favorable outcomes in oral health and compliance of the child.
References
Council on Clinical Affairs. Guideline on Management of Dental Patients with Special Health Care Needs. Pediatr Dent. 2016 Oct; 38 (6): 171-176.
Ayala C., Lemus O., Frías M. Oral and systemic manifestations of congenital hypothyroidism in children. A case report. Journal Of Oral Research 2015; 4 (5): 329-334.
LaFranchi S.H. Approach to the diagnosis and treatment of neonatal hypothyroidism. J Clin Endocrinol Metab. 2011 Oct; 96 (10): 2959-67.
Nagar K., Sujatha G.P., Shubha C., Lingappa A. Oral physician: A portal to systemic health through oral health – A case of hypothyroidism and review of literature. IJOHS. 2018; 8 (1): 39-46.
Chaker L., Bianco A.C., Jonklaas J., Peeters R.P. Hypothyroidism. Lancet 2017; 390 (10101): 1550-1562.
Vucic S., Korevaar TIM, Dhamo B. et al. Thyroid Function during Early Life and Dental Development. J Dent Res. 2017 Aug; 96 (9): 1020-1026.
Suma G.N., Lakhanpal M., Dhillon M., Srivastava S. Orofacial manifestations of congenital hypothyroidism: Clinicoradiological case report. J Indian Acad Oral Med Radiol 2014; 26: 111-4.
Singh G., Gupta N., Mythri P., Prakash A., Gupta R., Rishi R. Dental Management of Patients with Thyroid Dysfunction. J Res Adv Dent 2015; 4: 1s: 190-196.
Peshkova E. Mineral composition of enamel and dentin of intact teeth in patients with thyroid gland pathology in Belgorod Region, Russian Federation. Dental Students’ Research. 2014; (3): 16-18.
Venkatesh-Babu N. S., Patel P. B. Oral health status of children suffering from thyroid disorders. J Indian Soc Pedod Prev Dent. 2016 Apr-Jun; 34 (2): 139-44.
Vitalle M.S.S., Weiler R.M.E., Niskier S.R., Braga J.A.P. Delayed tooth eruption in an adolescent with hypothyroidism. Rev. paul. pediatr. 2012 Dec; 30 (4): 613-616.
Chandna S., Bathla M. Oral manifestations of thyroid disorders and its management. Indian J Endocrinol Metab. 2011 Jul; 15 (Suppl2): S113-S116.
Briones-Gonzalez M.J., Esquivel-Hernandez R., Ruiz-Rodriguez M.S., Moncada-Mendoza M.T., Pozos-Guillen A.J., Garrocho-Rangel J.A. The playroom: A complement of the University Pediatric Dental Clinic. Revista ADM 2016; 73 (1): 44-48.
Sexton T., Croll T.P. Anterior crossbite correction in the primary dentition using reversed stainless steel crowns. ASDC J Dent Child. 1983 Mar-Apr; 50 (2): 117-20.
Sivaharini S., Rakshagan V., Dhanraj S., Jain A.R. Knowledge, attitude, and practice on oral hygiene status in cretinism patients. Drug Intervention Today. 2018; 10 (11): 2215-2218.