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Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2021, Number 2

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Rev Odotopediatr Latinoam 2021; 11 (2)

Green deciduous teeth due to hyperbilirubinemia

Raposo IA, Matos RM, Souto de Araujo MV, Tedesko TK, Imparato, JCPI

Language: Spanish
References: 22
Page: 315-325
PDF size: 514.03 Kb.


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 is distributed throughout the body’s tissues and accumulates in hard tissues, including primary teeth. The aim of this work is to report a clinical case about the severe repercussion of hyperbilirubinemia in primary teeth, and its early childhood manifestations, such as greenish teeth. A male patient, 3 years and 8 months old, attended the dental clinic for evaluation of “green spots on teeth”. Medical history revealed that the child had premature birth and 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 lesions, healthy gums and good oral hygiene conditions. We conclude that the high levels of bilirubin developed by the premature child, associated with septicemia can lead to green pigmentation (intrinsic staining) in primary teeth and affect the permanent teeth. Therefore, knowledge of the medical history of the child from birth is relevant to the establishment of diagnoses and prognoses of dental changes.


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