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[Unsolved dental problems in children with congenital hyperinsulin]
I Yu Pestryakova1, A V Bolmasova2, O G Avraamova3
1Dental polyclinic, Rostov-on-Don, Russia.
Stomatologiia
|December 17, 2025
Summary
Congenital hyperinsulinism in children presents unique dental challenges. This review highlights the need for specialized dental care and risk factor analysis to improve oral health and quality of life for affected children.
Area of Science:
- Pediatric Endocrinology
- Pediatric Dentistry
Background:
- Congenital hyperinsulinism (CHI) is a rare metabolic disorder affecting glucose regulation in children.
- Existing literature on CHI focuses on clinical course, nutrition, and monitoring, with limited attention to dental health.
- Dental issues in children with CHI are often overlooked due to the severity of their general condition.
Purpose of the Study:
- To review and highlight the specific dental problems associated with congenital hyperinsulinism in children.
- To identify risk factors for dental caries and other oral diseases in this population.
- To explore the specifics of dental care and strategies for improving the quality of life for children with CHI.
Main Methods:
- Comprehensive literature review of modern publications on congenital hyperinsulinism.
- Analysis of existing data regarding clinical manifestations and treatment of CHI.
- Identification of gaps in research concerning dental health in children with CHI.
Main Results:
- Few publications hypothesize about dental problems in children with CHI, lacking specific details.
- Risk factors for dental caries, oral mucosa diseases, and chronic oral sepsis in CHI patients are not well-defined.
- The importance of addressing dental care and improving quality of life for these children is currently underserved.
Conclusions:
- There is a critical need to study dental disease risk factors, prevention, and treatment in children with congenital hyperinsulinism.
- Specialized dental support and routing of children based on expected behavioral risk factors are essential.
- Integrating dental care into the overall management plan can significantly improve the well-being of children with CHI.
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