Stomatologic care in an adolescent with ventricular septal defect. Case Report

Abstract

Introduction: Ventricular septal defect is a congenital, acyanotic heart disease of multifactorial etiology with genetic and environmental predisposition. It is classified as perimembranous, muscular, infundibular and inflow septal. The American Heart Association recommends antibiotic prophylaxis before dental treatment for the prevention of systemic bacterial infections. Objective: To present a clinical case of dental care in an adolescent
with ventricular septal defect. Case report: A 13-year-old female patient attended the Pediatric Dentistry Specialty Clinic of the Autonomous University of the State of Mexico, with a diagnosis of perimembranous ventricular septal defect (medium grade), referred from the Cardiology service, medicated with captopril 25 mg, spironolactone 25 mg and furosemide 40 mg. Upon clinical examination a moderate caries lesion was observed in the 46 dental organ, without pulp involvement corroborated radiographically. Oral antibiotic prophylaxis was prescribed with 2 g of Amoxicillin in a single dose, 1 hour before the next consultation.
Then proceed to the anesthesia of the right inferior dental nerve with lidocaine 2% and epinephrine 1:100000, isolating with staple and rubber dam, to restore the dental organ 46, with VitrebondTM and resin increments, for later polishing. Sealants were placed in dental organs 14, 15, 24, 25 and occlusion was verified. Conclusion: The stomatological management of adolescent patients with heart disease should be part of the pediatric dentist's knowledge in order to integrate the interdisciplinary work with the cardiologist and achieve risk-free care during the stomatological consultation.