Teething symptoms in children with congenital Zika syndrome: A 2‐year follow‐up

Abstract

Background The eruption of primary teeth represents a stage of many challenges for parents. Aim To investigate the occurrence of signs and symptoms related to the eruption of the primary dentition in children with congenital Zika syndrome. Design Longitudinal study developed with 79 children followed up for a period of 24 months. Data on sex, gestational age, low birthweight, microcephaly, signs and symptoms related to the dental eruption phase, and use and type of medication were collected. Data were presented by descriptive and inferential statistics (chi‐square test). Results The majority (94.9%) exhibited simultaneously two or more signs and symptoms related to dental eruption. Increased salivation (91.1%), irritability (86.1%), and gingival itching (83.5%) were the most commonly reported signs and symptoms. Bivariate analysis showed association between elevation of body temperature and sex (P < 0.05). Almost two‐thirds of mothers (63.3%) reported using medication to relieve symptoms presented by the child; however, the use of topical medication prevailed (57.1%). Conclusion All children with congenital Zika syndrome presented manifestations related to the eruption of primary teeth, with increased salivation, irritability, and gingival pruritus. The use of ointments and gels was the option of mothers in the treatment of the oral discomfort presented by infants.

Breastfeeding Behavior in Brazilian Children with Congenital Zika Syndrome

“…e pacifier's offer was mainly motivated by the need to comfort and calm the child, similar to what occurs with typical children, since constant and difficult control crying is present in the first months of life. e extreme irritability of these children is possibly associated with muscle spasms and/or epilepsy, hyperexcitability to external stimuli [15], or as they develop, it may be one of the many signs and symptoms present in the phase of deciduous teeth eruption [34]. e prevalence of digital suction was low and may be due to the set of musculoskeletal alterations in most of the children under study.…”

Maternal-Fetal Interplay in Zika Virus Infection and Adverse Perinatal Outcomes

“…Other parameters were also evaluated, such as the eruption of primary teeth in 74 children with CZS for a period of 2 years, where 94.4% simultaneously exhibited two or more related signs and symptoms. Increased salivation, irritability, and gingival itching were the most commonly reported signs and symptoms (139).…”

Dental care for children with Congenital Zika Syndrome

“…In João Pessoa, Paraíba, 54 children with microcephaly potentially associated with CZS were evaluated and the following oral changes were observed: delayed eruption of deciduous teeth, changes in eruption sequence, peg-shaped teeth, fused teeth, enamel defects (opacity and hypoplasia), cleft lip and palate, bruxism, and related injuries (lip, tongue, and hand biting) [5]. In a study by Cavalcanti et al [16], 79 children with CZS were followed-up for 24 months for signs and symptoms related to deciduous tooth eruption. The authors observed that all children had some form of dental manifestation, of which the most common were increased salivation, irritability, and gingival pruritus.…”