Resin Infiltration Treatment of Developmental Enamel Defects in a Patient With Hydrocephalus and Cerebral Palsy: A Case Report on the Impact on the Maternal Caregiver.

AIMS: Developmental defects of enamel (DDEs) can negatively affect both the esthetics and function of teeth, especially in children with neurological impairments. The impact of dental treatments on caregivers' emotional well-being is an important but often overlooked aspect. Herein, we describe the esthetic and functional management of DDEs in a child with hydrocephalus and cerebral palsy (CP), using a minimally invasive resin infiltration technique, and the impact of the treatment on the maternal caregiver.

METHODS

A 10-year-old male patient presented to the dental clinic accompanied by his mother, who reported concern regarding the presence of whitish stains on the anterior teeth. Clinical examination identified DDEs consistent with molar-incisor hypomineralization (MIH) and fluorosis. Lesion characteristics were assessed by transillumination. A minimally invasive resin infiltration protocol (Icon) was performed, resulting in immediate esthetic improvement and effective masking of enamel opacities. Caregiver-reported outcomes, assessed through a qualitative interview, revealed a significant emotional impact, including enhanced satisfaction and improved quality of life.

CONCLUSION

This case highlights the potential of resin infiltration as a minimally invasive treatment for enamel defects in patients with disabilities, improving esthetics, psychosocial well-being, and reinforcing the importance of a family-centered approach in dental care.