Oral findings and dental care in a patient with myelomeningocele: case report of a 3-year-old child

Queiroz, Alexandra Mussolino de; Saiani, Regina Aparecida Segatto; Rossi, Cristhiane Ristum Bagatin; Gomes-Silva, Jaciara Miranda; Filho, Paulo Nelson

doi:10.1590/s0103-64402009000500014

Cited by 5 publications

(22 citation statements)

References 11 publications

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“…They involve the primary structure that forms the brain and the spinal cord (encephalocele) and cause deficiencies that affect the spinal structure (spina bifida). [1][2][3][4] NTDs have a multifactorial etiology including environmental and genetic factors. Genetic predisposition is caused by an autosomal recessive pattern, having a high risk of recurrence.…”

Section: Introductionmentioning

confidence: 99%

“…Other causes include exposure to teratogens (drugs and environmental pollution), gestational diabetes, hyperthermia and obesity. [1][2][3][5][6][7] Spina bifida (SB) is a congenital malformation of the spinal cord associated with several vertebral abnormalities caused by incomplete neural tube closure. It is one of the most common malformations of the central nervous system, with an incidence of 1:800 live births.…”

Section: Introductionmentioning

confidence: 99%

“…In aperta, the defect is clearly identified at birth, in occulta, the abnormality is not apparent and has no clinical significance at birth. 2,3,5,6,9 There are two types of SB aperta depending on their onset time: meningocele (MC), onset occurring after the fourth week of pregnancy, and myelomeningocele (MMC), with an earlier onset time. 2,3,6,9 Patients with SB may have cognitive deficits, lung function abnormalities, scoliosis, deformed hips, feet and legs, short stature and bladder dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,5,6,9 There are two types of SB aperta depending on their onset time: meningocele (MC), onset occurring after the fourth week of pregnancy, and myelomeningocele (MMC), with an earlier onset time. 2,3,6,9 Patients with SB may have cognitive deficits, lung function abnormalities, scoliosis, deformed hips, feet and legs, short stature and bladder dysfunction. 10,11 Sensorimotor alterations are variable, but 90% of patients must use wheelchairs.…”

Section: Introductionmentioning

confidence: 99%

“…Hydrocephalus is usually treated with an implanted valve, and antibiotic prophylaxis should be indicated in case of high-risk dental procedures. 1,2,6 Children with SB are more prone to dental caries and periodontal disease because of multiple factors such as poor diet, lack of oral hygiene and prolonged use of oral medications that contain sugar. 1,2,6 Despite the special care these patients need, there are no recent reports describing their oral health status.…”

Section: Introductionmentioning

confidence: 99%

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Oral health status of a sample of Venezuelan patients with spina bifida. A cross-sectional

Morales-Chávez

Sousa

Calderón-Gorrochotegui

2016

J Oral Res

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Spina bifida (SB) is a congenital malformation of the spinal cord associated with several vertebral abnormalities caused by incomplete neural tube closure. The aim of this study is to report on the oral health status of a sample of Venezuelan patients with SB. Materials and Methods: An observational crosssectional study was performed in 30 patients with SB to determine their oral health status and other variables of interest. Results: A 46.7% of the patients had a history of caries: 22% in the 1-4 year group, 71.4% in the 5-7 year group, and 100% in the 8-16 year group. The dmft and DMFT indices were 1.55 and 3.50, respectively. A 46.7% of the patients had gingivitis, 30% had dental calculus, with an OHI-S of 2. The 83% had Angle Class II and 17%, Angle Class I. A 40% had parafunctional habits such as digital suction, use of pacifiers and onicophagia. The 70% had deep palate. Conclusion: Patients with SB have specific oral characteristics and risk factors that must be taken into account in dental treatments to provide adequate care and improve their quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Oral health status of a sample of Venezuelan patients with spina bifida. A cross-sectional

Morales-Chávez

Sousa

Calderón-Gorrochotegui

2016

J Oral Res

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Myelomeningocele: Medical Considerations and Stomatologic Aspects in the Dental Treatment

Amaral¹,

Nardeli²,

Saito³

et al. 2019

Journal of Craniofacial Surgery

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The aim was to analyze systemic and oral aspects of patients with myelomeningocele (MMC), relevant for their dental treatment. Dental treatment of these individuals requires the dentist's extensive knowledge and careful information to determine the dental treatment plan. Thirty participants aged 3 to 16 years were divided into 2 groups: study group (15 MMC individuals) and control group (15 healthy subjects). All patients were evaluated for: systemic conditions, use of medications, sequela of the underlying pathology, oral hygiene, diseases, convulsion, cerebrospinal fluid (CSF), allergy, behavior, learning, and mouth physical examination to assess the oral conditions. The study group presented: higher percentage using drugs (P < 0.05), 40% had convulsions (P < 0.05), 86.67% using CSF shunt, 53.33% presented latex allergies (P < 0.05), 53.33% were classified as anxious and with cognitive deficit (P < 0.05), showed more gingivitis (P < 0.05). The MMC individuals, in the majority, have shown cognitive impairment and anxious behavior, use of controlled drugs, convulsion, CSF shunt use, and latex allergy. The presence of periodontal tissue damage was higher in patients with MMC.

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Strategies and dental care in the treatment of patients with myelomeningocele

Bignardi

Prates

Rossi

et al. 2018

Special Care in Dentistry

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Myelomeningocele (MMC) is a congenital malformation that occurs in the embryonic period, characterized by failure in closure of the caudal portion of the neural tube during central nervous system formation. Alterations and complications can be associated with this condition, such as hydrocephalus, neurogenic bladder, orthopedic problems, and motor and cognitive impairment. This patients with MMC also have predisposition to develop latex allergy and high caries risk and activity due to deficient oral hygiene, fermentable carbon hydrate-rich diet and prolonged use of sugar-containing oral medications. This paper reports the oral findings and dental treatment in a 15-year-old female patient diagnosed with MMC and describes the strategies used to improve dental treatment conditions and reduce the impact of associated risks to her health. The measures and precautions adopted in this case could be useful to reduce the barriers for patients with the same condition to access oral health care: regular visits to the dentist, initiating as early as possible; frequent reinforcement of oral homecare instructions and diet counseling; minor adaptions to the dental chair and dental office to improve ease of access due to patients' mobility problems; prevention of latex-related allergic reactions; reduction of gag reflex during dental procedures.

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Oral findings and dental care in a patient with myelomeningocele: case report of a 3-year-old child

Cited by 5 publications

References 11 publications

Oral health status of a sample of Venezuelan patients with spina bifida. A cross-sectional

Oral health status of a sample of Venezuelan patients with spina bifida. A cross-sectional

Myelomeningocele: Medical Considerations and Stomatologic Aspects in the Dental Treatment

Strategies and dental care in the treatment of patients with myelomeningocele

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