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Oral manifestations in hospitalized children with COVID-19

Natália Maria Velozo Dos Santos1, Débora Heloísa Silva de Brito1, Thaysa Gomes Ferreira Tenório Dos Santos1

  • 1Universidade de Pernambuco - UPE, School of Dentistry, Department of Pediatric Dentistry, Recife, PE, Brazil.

Brazilian Oral Research
|December 8, 2022
PubMed

Insights

COVID-19 oral lesions were found in 20.2% of hospitalized children, with mucositis being most common. These oral manifestations correlated with longer hospital stays, suggesting a role for dentists in pediatric COVID-19 screening.

Area of Science:

  • Pediatric Infectious Diseases
  • Oral Medicine
  • Virology

Background:

  • The COVID-19 pandemic saw increased viral infections in children.
  • Oral lesions have been reported as a symptom in some pediatric COVID-19 cases.

Purpose of the Study:

  • To investigate the prevalence and types of oral lesions in hospitalized children with severe COVID-19.
  • To analyze the association between oral manifestations, comorbidities, and clinical outcomes.

Main Methods:

  • Retrospective analysis of medical records from pediatric Infectious Disease Unit patients (March-August 2020).
  • Inclusion criteria: children aged 0-12 years with severe COVID-19 symptoms.
  • Statistical analysis included chi-square tests to evaluate associations.

Main Results:

  • Of 89 children, 20.2% exhibited oral manifestations, with mucositis being the most frequent (12.4%).
  • Children with oral lesions experienced longer hospitalizations.
  • Associated conditions included multisystem inflammatory syndrome (7.9%) and Kawasaki disease (5.6%).

Conclusions:

  • Oral lesions are present in a significant percentage of hospitalized pediatric COVID-19 patients.
  • The findings highlight the importance of considering oral manifestations in severe pediatric COVID-19 cases.
  • Further research is needed to understand the link between oral lesions and COVID-19 in children, potentially involving dentists in screening.

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