Title: Case report: multidisciplinary management of a child with hyperinsulinism
Abstract: Background Childhood Hyperinsulinism (HI) has been recognized as a serious medical problem for the last 45 years. Even though it is a rare disease, it is one of the most frequent causes of severe, persistent hypoglycemia in children and newborn babies. The purpose of this paper is to report a rare case of full mouth dental rehabilitation under general anesthesia (GA) for a child diagnosed with hyperinsulinism (HI). Case report A 4-year-old girl with HI presented with pain related to her maxillary incisors. Like other patients with HI, she was on long-term medications and a high sugar diet to prevent hypoglycemia. Oral and dental examinations revealed severe early childhood caries (ECC) and poor oral hygiene status. A multi-disciplinary treatment plan was developed in conjunction with a paediatric endocrinologist and anaesthetist, and subsequently, the treatment plan was discussed with her parents. Full mouth rehabilitation was completed under GA and an intensive preventive program proposed. Conclusion Caring for families and children affected by HI can be extensive and elaborate. Management of these children usually requires a multidisciplinary approach in which a paediatric dentist plays a central role since the affected children usually have severe dental caries.