Atención estomatológica de niños con microcefalia y bajo peso al nacer (1000 g). Descripción de un caso.

Background: One of the neurodevelopmental disorders in children with <1500 g of birth weight is spastic cerebral palsy (SCP) that is associated with microcephaly, epilepsy, intellectual disability, and global developmental delay. Objective: To describe the dental management of a boy with spastic quadriparesis. Case description: To publish this case, authorization was obtained through informed consent signing. The patient was been seen by an multidisciplinary team since early age but was only sent to the Pediatric Dental Service of the Mercy Pediatric Hospital Foundation in Bogotá at 3 years 7 months of age. The boy had history of prematurity: 28 weeks; weight: 925 g; height: 34 cm: head circumference: 25 cm. Systemic diagnoses: SCP, microcephaly, epilepsy, severe intellectual disability, and overall developmental delay. Physical exam: 9 kg weight, 52 cm height and 34 cm head circumference. Extraoral examination: dolichocephalous, convex profile, mandibular micrognathism, oral opening 1.5 cm. Intraoral exam: early childhood caries. Comprehensive dental care was performed with removal of septic foci, motivation, and oral hygiene instruction. Conclusion: The multidisciplinary team for the care of premature children with neurodevelopmental disorders, microcephaly, and low birth weight must include a pediatric dentist to initiate personalized oral health promotion and prevention processes to avoid early childhood caries and improve quality of life. [ABSTRACT FROM AUTHOR]