Yuta Hirofuji, Itaru Komine, Saki Hirofuji, Fumiko Takayama, Mitsuki Chiba, Aya Yamada, Satoshi Fukumoto
{"title":"Non-plaque-induced gingivitis and oral complications in a pediatric patient on long-term mechanical ventilation – A case report","authors":"Yuta Hirofuji, Itaru Komine, Saki Hirofuji, Fumiko Takayama, Mitsuki Chiba, Aya Yamada, Satoshi Fukumoto","doi":"10.1016/j.pdj.2025.100358","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Oral care is essential for preventing ventilator-associated pneumonia (VAP) in intensive care units (ICUs) patients. Patients in pediatric ICUs (PICUs) require specialized oral management due to anatomical and developmental factors, yet detailed reports are limited.</div></div><div><h3>Case presentation</h3><div>We report a 9-year-old girl with chronic heart failure who developed ventilator-associated gingivitis (VAG) and other oral complications during long-term mechanical ventilation. Oral management was conducted collaboratively by pediatric dentists, dental hygienists, nurses, and physicians.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of early, continuous oral care and interdisciplinary collaboration in managing oral complications and supporting overall health in ventilated PICUs patients.</div></div>","PeriodicalId":19977,"journal":{"name":"Pediatric Dental Journal","volume":"35 3","pages":"Article 100358"},"PeriodicalIF":0.8000,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Dental Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0917239425000199","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Oral care is essential for preventing ventilator-associated pneumonia (VAP) in intensive care units (ICUs) patients. Patients in pediatric ICUs (PICUs) require specialized oral management due to anatomical and developmental factors, yet detailed reports are limited.
Case presentation
We report a 9-year-old girl with chronic heart failure who developed ventilator-associated gingivitis (VAG) and other oral complications during long-term mechanical ventilation. Oral management was conducted collaboratively by pediatric dentists, dental hygienists, nurses, and physicians.
Conclusion
This case underscores the importance of early, continuous oral care and interdisciplinary collaboration in managing oral complications and supporting overall health in ventilated PICUs patients.