Oral manifestations of congenital syphilis: a case report

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-03-14 DOI:10.1016/j.oooo.2025.01.043

Paula Joaquim Bratfisch Lins, Fabiana Martins e Martins de Oliveira, Marina Gallottini

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Abstract

A 4-year-old girl presented for a dental appointment at the Special Care Dentistry Center, brought by her paternal grandmother complaining of dental hypersensitivity. The patient was born prematurely, with low birth weight, and congenital syphilis. She presents with deafness, prominent frontal bossing, and so far, has shown normal neuro-motor development. She has primary dentition with generalized enamel structure alterations, characterized by yellowish teeth, hypoplastic teeth, enamel prominences, and anterior open bite. Radiographic images and dental history revealed the congenital absence of mandibular second premolars and notched incisors. Interstitial keratitis, which completes the Hutchinson's triad, has not been investigated yet. The treatment plan includes preventive care, photobiomodulation protocol for dentin hypersensitivity, molar sealings, direct resin restorations for aesthetic purposes, and occlusal follow-up of permanent dentition. Congenital syphilis is a preventable disease, and its presence reflects a failure of the prenatal care delivery system, as well as syphilis control programs.

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.