Introduction: Children who suffer multiple systemic diseases are more likely to have problems in their
oral cavity because of not being diagnosed and treated in a timely manner. In addition, health profes-
sionals and parents’ lack of knowledge about the repercussions of these oral problems can trigger even
more burdens in these patients’ health conditions and negatively affect the children’s quality of life.
Objective: To describe the comprehensive dental management of a child with endangered health due
to systemic disease and hospitalized in a surgical center.
Clinical case study: A female patient aged three years and five months, diagnosed with congenital heart
disease, chronic malnutrition and cutaneous leishmaniasis. In stomatological terms, she presents irre-
versible pulpitis and pulpal necrosis. Given the complexity of the case, she underwent comprehensive
dental treatment at the National Institute of Child Health surgical center, in Lima, Peru.
Conclusion: Comprehensive dental management, especially in children suffering from multiple and
complex diseases, must be carried out in a timely manner, in an appropriate environment and with the
support of a multidisciplinary health team.
Keywords:
tooth, heart disease, malnutrition, child, leishmaniasis, treatment