Oral manifestations and dental management in pediatric patients with Cystic Fibrosis. Literature review.

Abstract

Introduction: Cystic Fibrosis is an ill genetic, chronic, hereditary and degenerative disease, it is characterized by the alteration of the CFRT protein (cystic fibrosis transmembrane regulator), whose function is to regulate the exchange of ions and water through cell membranes. In Chile, an approximate incidence between 1/6.000 to 1/8.000 of new-borns is estimated, which means approximately 40-50 new cases per year. Since 2003, a national Cystic Fibrosis program was created, and it has continued during these days. Although the main manifestations are of a respiratory and digestive, it is multisystemic problem that makes it necessary to know the different aspects involved in it is management, to optimize the results of the treatment and the resources invested, both in the public and private sectors. Objectives: To know which are the most frequent oral manifestations in patients with cystic fibrosis and to investigate the appropriate dental treatment for them. Literature review: Literature up to 5 years old was reviewed using MeSH/DeCS terms: Cystic Fibrosis, pediatric dentistry, oral manifestations and treatment in Medline and EBSCO PubMed search engines, obtaining 16 publications that they have an inclusion criterion of studies in patients under 12 years of age. Conclusions and recommendations: Cystic Fibrosis is a systemic disease that has an impact on the oral cavity with the appearance of caries and other manifestations, especially in children, so that implementing preventive measures will be essential, as well as motivation and instruction in oral hygiene and the periodic controls with the pediatric dentist.