DENTAL MANAGEMENT OF A PEDIATRIC PATIENT WITH NEPHROTIC SYNDROME- A REVIEW

Abstract

Nephrotic syndrome is one of the chronic glomerular diseases in the pediatric population. It presents clinical symptoms and biochemical symptoms which results from proteinuria, hypoproteinemia, hyperlipoproteinemia and hypoalbuminemia. Here, we present the case of a 5-year-old male child who came with pain in his lower left and right back tooth region. He was diagnosed with nephrotic syndrome 4.5 years back and undergoing treatment and taking medications for the same. Extractions were done instead of pulp therapy to eliminate any dental sepsis including any teeth which were considered doubtful. All the extractions were performed under suitable antibiotic coverage and with the consultation of physician in charge. Our case report emphasizes on treatment which could reduce the morbidity and potential mortality associated with bacteremia which can be caused by any oral disease or dental procedures in child patients with nephrotic syndrome.