Consideraciones en el manejo dental de un paciente con hiperinsulinismo congénito. Reporte de un caso.

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Bibliographic Details
Title:	Consideraciones en el manejo dental de un paciente con hiperinsulinismo congénito. Reporte de un caso.
Alternate Title:	Dental management considerations of a patient with congenital hyperinsulinism. Case report.
Authors:	Butrón-Téllez Girón, Claudia¹, Hernández-Pérez, Daniela², Pierdant-Pérez, Mauricio³
Source:	Odontología Pediátrica. ene-jun2022, Vol. 21 Issue 1, p46-53. 8p.
Abstract (English):	Introduction: Congenital hyperinsulinism is characterized by dysregulation of insulin secretion, causing severe hypoglycemia in newborns, infants and children. Excessive stress and anxiety that occurs in the dental practice may induce excessive production of cortisol increasing blood glucose production of compensatory insulin which can lead to hypoglycemia during treatment, likewise, the use of some drugs and high consumption of carbohydrates of these patients to maintain adequate levels of glucose, may cause alterations in the oral cavity. Case report: Case of a 5 year 4 months old male patient with medical history of congenital hyperinsulinism. During the anamnesis, parents tell that the child ingest from 5 to 6 meals per day and has a high carbohydrate intake between meals in order to keep blood glucose levels. Through the examination of the child's oral cavity were found carious lesions in several dental organs requiring different treatments. During dental care, the tell-show-do behavior management technique was used to avoid developing anxiety and stress in the child. Conclusion: Due to the multiple meals and high carbohydrate intake a strict regime regarding oral hygiene and, preventive measures, as well as regular visits to the dentist are necessary. In addition, it is essential to perform good behavioral management to avoid anxiety and stress during the treatment to prevent a hypoglycemic crisis. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: El Hiperinsulismo Congénito se caracteriza por una desregulación de la secreción de insulina, que causa hipoglucemia grave en los recién nacidos, lactantes y niños. El exceso de estrés y ansiedad que se produce en la consulta dental puede inducir a la excesiva producción del cortisol aumentando la glucosa sanguínea con mayor producción de insulina compensatoria la cual nos puede llevar a una hipoglucemia durante el tratamiento, asimismo, el uso de algunos medicamentos y el consumo alto de hidratos de carbono de estos pacientes para mantener niveles adecuados de glucosa, pueden causar alteraciones en la cavidad bucal. Presentación del caso: Se presenta el caso de paciente masculino de 5 años 4 meses de edad con historial médico de hiperinsulinismo congénito. Durante la anamnesis, los padres mencionan que el niño realiza de 5 a 6 comidas al día y alto consumo de hidratos de carbono entre estas, para mantener los niveles de glucemia en sangre. A la inspección de su cavidad oral del niño, presentó lesiones cariosas en varios órganos dentarios requiriendo distintos tratamientos. Durante la atención dental se utilizó la técnica de manejo de conducta decirmostrar- hacer para evitar desarrollar ansiedad y estrés en el niño. Conclusión: Debido a las múltiples comidas y alto consumo de carbohidratos, es necesario un régimen estricto en relación a higiene bucal y medidas preventivas, así como visitas periódicas al odontólogo, además, es importante realizar un buen manejo de conducta evitando la ansiedad y el estrés durante el tratamiento para prevenir una crisis hipoglucémica. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Congenital hyperinsulinism is characterized by dysregulation of insulin secretion, causing severe hypoglycemia in newborns, infants and children. Excessive stress and anxiety that occurs in the dental practice may induce excessive production of cortisol increasing blood glucose production of compensatory insulin which can lead to hypoglycemia during treatment, likewise, the use of some drugs and high consumption of carbohydrates of these patients to maintain adequate levels of glucose, may cause alterations in the oral cavity. Case report: Case of a 5 year 4 months old male patient with medical history of congenital hyperinsulinism. During the anamnesis, parents tell that the child ingest from 5 to 6 meals per day and has a high carbohydrate intake between meals in order to keep blood glucose levels. Through the examination of the child's oral cavity were found carious lesions in several dental organs requiring different treatments. During dental care, the tell-show-do behavior management technique was used to avoid developing anxiety and stress in the child. Conclusion: Due to the multiple meals and high carbohydrate intake a strict regime regarding oral hygiene and, preventive measures, as well as regular visits to the dentist are necessary. In addition, it is essential to perform good behavioral management to avoid anxiety and stress during the treatment to prevent a hypoglycemic crisis. [ABSTRACT FROM AUTHOR]
ISSN:	1814487X
DOI:	10.33738/spo.v21i1.208