Oral manifestations and stomatological management of pediatric patients with sequelae due to covid-19.

Abstract

Introduction: Since December 2019, the new strain of coronavirus 2, which causes severe acute respiratory syndrome (SARS-CoV-2), has caused a global pandemic. Infected children and adolescents are generally asymptomatic and experience only mild respiratory symptoms. However, an alarming new trend has been reported in pediatric COVID-19 infections, in which patients have even presented aggravating manifestations that have required hospitalization, leaving significant sequelae.

Objectives: To present the various oral manifestations associated with pediatric patients infected by SARS-CoV-2 and establish whether there is an association between these lesions and this virus as well as minimally invasive stomatological rehabilitation.

Case presentation: A 5-year-old male patient, with a history of COVID-19, who during his hospital stay presented refractory septic shock secondary to SARS-COV-2 and multiple organ failure, referred by Immunology Department to treat multiple carious lesions. He was rehabilitated with bioactive and conventional materials, establishing an excellent rapport with the patient, and achieving a successful oral rehabilitation.

Conclusions: It is the pediatric stomatologist's duty to know how to manage patients with sequelae due to COVID-19, since it produces multiple systemic alterations leaving various sequelae; as well as implementing an effective oral rehabilitation strategy and establishing prevention parameters. It is important to report the oral manifestations to establish the relationship they have with the symptoms of the infection and to recognize if there is an alteration inherent to this infection or if they are secondary to the systemic involvement of the patient and its pharmacological management.