West syndrome: medical considerations and stomatologic aspects

Objective: The West Syndrome (WS) is characterized by the triad of infantile spasms, hypsarrhythmia and cognitive impairment. The etiology is linked to organic brain disorders whose origins may be prenatal, postnatal or perinatal. The objective of this study is to help identify systemic changes, medical considerations, Stomatological aspects and additionally report two cases of patients with West syndrome. Case Report: The stomatological aspects found in both patients were the general wear of the teeth, due to tooth clenching and bruxism, gingival growth, sequence and chronology of altered dental eruptions, deep palate and atresia, presented lack of lip closure, upper and lower lips, cheeks and tongue with flaccid muscle tone and malocclusion. In one patient, multiple caries lesions were also observed, possibly associated with the behavior of the family, diet, oral hygiene and the continuous use of medications, with the presence of thick biofilm, stationary caries lesions showing cariostatic use, which prevented collaborative dental approach. Conclusion: The approach to dental care and treatment are discussed. West Syndrome patients have a great diversity of general and oral physical characteristics, difficulty in oral hygiene due to delayed neuropsychomotor development. It is important to provide early care, so that they do not need complex and invasive treatments due to systemic and cognitive impairment. The comprehensive approach and treatment must be carried out by a multidisciplinary team.