ORAL CHANGES IN CHILDREN WITH ZIKA VIRUS CONGENITAL SYNDROME
2020
Objective To describe oral alterations in children with Zika congenital syndrome (ZCS). Study Design A cross-sectional study, whose research instrument was a structured questionnaire, associated with the use of medical record data and extra and intraoral clinical examination. Results Thirty-two children were evaluated, the majority male (18/32, 56.3%) with a mean age in months ± SD of 22 ± 2.71. It was also observed that the majority of the patients (19/32, 59.4%) presented from low-income families. All the children had intracranial calcifications and a mean head circumference ± SD of 29.43 ± 1.42. As for functional difficulties, 12 children (37.5%) were unable to breast-feed and 24 (75%) had dysphagia. An ogival-shaped palate was observed in 14 children (43.7%) and their correlation with dysphagia was also not statistically significant (P = .09). Regarding the oral alterations, delayed chronology of eruption was observed in 15 children (46.9%), of whom 7 children (21.9%) did not present eruption of the upper left lateral incisor (P = .0002) and right (P = .002) until the moment of analysis. Enamel hypoplasia was identified in 9 children (28.1%) and only 1 child with ankyloglossia. Conclusions ZCS may present with oral alterations requiring dental follow-up care aimed at prevention, promotion, and rehabilitation of the health of these children.
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