先天性梅毒口腔表现1例

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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引用次数: 0

摘要

一名四岁女孩在特殊护理牙科中心就诊，由她的祖母带来，抱怨牙齿过敏。患者早产，低出生体重，先天性梅毒。她的症状是耳聋，前额突出，到目前为止，神经运动发育正常。她有初级牙列，牙釉质结构普遍改变，特征为牙齿发黄，牙齿发育不全，牙釉质突出，前牙开咬。x线影像及牙史显示先天性下颌第二前磨牙及切牙缺失。间质性角膜炎，完成了哈钦森三合一，尚未被调查。治疗计划包括预防性护理，牙本质过敏的光生物调节方案，磨牙密封，美学目的的直接树脂修复，以及恒牙列的咬合随访。先天性梅毒是一种可预防的疾病，它的存在反映了产前护理系统的失败，以及梅毒控制计划。

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Oral manifestations of congenital syphilis: a case report

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.