Minimally invasive oral rehabilitation in a patient with bronchopulmonary dystrophy, follow-up at two and a half years.

Abstract

Introduction. Premature births take place before 37 weeks of gestation and have disadvantages because the internal organs are immature with a higher risk of developing complications. Bronchopulmonary dysplasia (BPD) is the most common sequela related to premature newborns of very low weight, derived from lung immaturity, leading to limitation in respiratory function. Tracheal intubation, prolonged mechanical ventilation, parenteral nutrition as well as low gestational age are associated with a greater presence of enamel defects and they can classically present as enamel hypoplasia or opacities, being more common in the primary dentition. Case Report. A 36-month-old male patient, premature at 28 weeks of gestation, attends the Pediatric Dentistry specialty of the CUCS, UDG, with a pathological medical history of BPD, hypertension and strabismus. Intraoral inspection reveals generalized enamel hypoplasia and caries in the anterior-superior and posterior segments. The initial treatment consisted of conditioning the oral environment through prophylaxis and topical application of duraphat, for 1 month. Subsequently, preforms were made with EQUIA Forte from GC, to rehabilitate the upper anterior sector as well as the posterior sector, under the concept of minimal invasion, the present case has been under control for two and a half years. Conclusion. In patients with Bronchopulmonary Dystrophy, the adequacy of the oral environment, the technique and material with which it will be restored is important, seeking to be minimally invasive, with materials that contribute in favor of the oral environment, as well as its aesthetics.