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Specialists warn about buccal conditions in children suffering from hepatic diseases.

“The preoccupation of parents in relation to buccal health and aesthetics due to the greenish dental pigmentation is noticeable.”

Sometimes we think that only adults can have some diseases, such as those of the liver, called hepatic diseases: viral hepatitis, hepatic cirrhosis, and others. However, they can affect children too. In addition, when affected, there may be consequences for their dentition. For that reason, a group of specialists addresses the issue.

Evelyn Alvarez Vidigal, dentist, specialist in Odontopediatrics at UNICAMP and doctorate student at the College of Odontology of the University of São Paulo, says that children suffering from hepatic diseases may show dental alterations such as hypoplasia of the enamel, pigmentation due to the accumulation of bilirubin (greenish teeth) and possible susceptibility to the development of cavities. Those children, when recommended to a hepatic transplant, need to undergo clinical evaluation and dental treatment before the surgery to eliminate and prevent the appearance of infections focuses that may cause systemic complications.

According to Fabio de Abreu Alves, Associate Professor of Clinical Stomatology at the College of Odontology of the University of São Paulo and Director of the Stomatology/Odontology Department at AC Camargo Cancer Center, the follow up after hepatic transplant should be done periodically to evaluate the maintenance of buccal health. The reason for that is that there may be alterations in the oral cavity due to medication. Those could be gingival augmentation, oral ulcers and/or oral fissures in the tongue or mucosa, among others.

According to Marcelo Bönecker, Professor of the Discipline of Odontopediatrics at the College of Odontology of the University of São Paulo, the preoccupation shown by parents in relation to buccal health and aesthetics due to the greenish dental pigmentation is noticeable. However, there are no studies that report if those alterations may cause any impact in the quality of life related to the buccal health of those children. Therefore, actions to promote buccal health should be emphasized, like the adoption of healthy habits in relation to diet and dental hygiene.  “The orientation for teeth to be brushed twice a day with tooth paste containing fluorine with at least 1000 ppm from the first tooth that breaks out. The amount of toothpaste with fluorine applied during brushing should be small, and, for children between 0 and 6 years of age, brushing should always be supervised by an adult. According to the Brazilian Association of Odontopediatrics, it is recommended that the amount of toothpaste with fluorine for children between 0 and 6 years of age should be between 0.1 and 0.3 grams, which corresponds to the size of a grain of rice or a pea. The amount may be even smaller for children going through the eruption of deciduous teeth. In that case, the amount should be compatible to the surface of teeth present in the mouth.

Jenny Abanto, specialist in Odontopediatrics by APCD, MsC, PhD and Post-Doctorate in Odontopediatrics from the College of Odontology of the University of São Paulo warns: the information to parents in relation to the probable buccal alterations due to hepatic diseases and immunosuppression medication after hepatic transplant should be given at each clinical evaluation.

Source: CFO Communication

Published by Pablo Henrique Asenjo de Macedo

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