Green deciduous teeth due to hyperbilirubinemia

Authors

DOI:

https://doi.org/10.47990/alop.v11i2.304

Keywords:

hyperbilirubinemia, Tooth, Bilirubin, sepsis, kid, Pediatric dentistry

Abstract

Defined as a serum bilirubin concentration, hyperbilirubinemia is a rare condition and can be caused by any factor that raises the bilirubin load to be metabolized by the liver. Thus, bilirubin distributes through body tissues and accumulates in hard tissues, including primary teeth. The objective of this work is to report a clinical case about the severe repercussion of hyperbilirubinemia in deciduous teeth, and its early childhood manifestations such as: greenish teeth. Male patient, 3 years and 8 months, sought dental clinic for evaluation of "green spots on teeth". In medical history it was observed that the child was born premature and had postpartum complications that evolved into sepsis, and due to the use of several drugs, developed hyperbilirubinemia. The dental clinical examination showed the presence of green spots on all 20 deciduous teeth, absence of carious lesion, healthy gums and good oral hygiene condition. We conclude that the high levels of bilirubin developed by the pre-maturation child associated with septicemia can lead to green pigmentation (intrinsic staining) in primary teeth and still affecting the permanent teeth. Therefore, knowledge of the medical history of the child from birth to the establishment of diagnosis and prognosis of dental changes is relevant.

Author Biographies

  • Ivana Aguiar Raposo, São Leopoldo Mandic Campinas

    Especialista em Odontopediatria pela São Leopoldo Mandic-Fortaleza

    Mestre em Odontopediatria pela São Leopoldo Mandic- Campinas SP

    Doutoranda em Odontopediatria pela São Leopoldo Mandic Campinas SP 

  • Ronilza Matos, Universidade Paulista

    Graduação em Odontologia pela Universidade Paulista - SP (2001), especialização em Odontopediatria pela Universidade Estadual de Feira de Santana - BA (UEFS), Mestrado e Doutorado em Odontologia, área de concentração em Odontopediatria

  • Marta Verônica Souto de Araujo, Universidade Federal de Pernambuco

    Especialista em Odontopediatria pela UFPE

    Especialista em Ortodontia pela FOR

    Mestre em Odontopediatria pela São Leopoldo Mandic

  • Tamara Kerber Tedesko, Universidade Federal de Santa Maria

    DDS, MSc Dental Sciences - Pediatric Dentistry - Federal University of
    Santa Maria (UFSM) - Santa Maria, Brazil
    PhD Sandwich in Academic Centre for Dentistry Amsterdam (ACTA) - Amsterdam,
    Netherlands.
    PhD Dental Sciences - Pediatric Dentistry - University of São Paulo (USP) -
    São Paulo, Brazil.
    Postdoctoral - Pediatric Dentistry - University of São Paulo (USP) - São
    Paulo, Brazil.
    Associate editor of BMC Oral Health and BMC Pediatrics
    Titular Professor of Pediatric Dentistry - Ibirapuera University (UNIB) -
    São Paulo, Brazil / UNIP - Campinas, Brazil
    Titular Professor of Graduate Program in Dentistry - Ibirapuera University (
    UNIB) - São Paulo, SP - Brazil

  • José Carlos Petorossi Imparato, Universidade São Paulo- USP

    Possui Graduação em Odontologia pela Universidade de Santo Amaro (1987), Mestrado em Ciências Odontológicas pela Universidade de São Paulo (1996), Doutorado em Ciências Odontológicas pela Universidade de São Paulo (1999), Especialista em Radiologia (1994) e Odontopediatria (1991) pela Unicastelo, Especialista em Arqueologia pela UNISA (2008). Professor Livre Docente da Disciplina de Odontopediatria da Universidade de São Paulo e Professor do Programa de Pós-Graduação da Faculdade São Leopoldo Mandic. Presidente da ABOPED no período de 2016 a 2019. Consultor Internacional e Presidente da Liga Nacional da ABOPE no período de 2020 a 2021. 

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Published

2021-07-01

Issue

Vol. 11 No. 2 (2021)

Section

Case report

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Copyright (c) 2021 Latin American Pediatric Dentistry Journal

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How to Cite

Green deciduous teeth due to hyperbilirubinemia. (2021). Latin American Pediatric Dentistry Journal, 11(2). https://doi.org/10.47990/alop.v11i2.304
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