Oral manifestations of dengue virus infection: a scoping review for clinical dental practice

Abstract Background Dengue virus (DENV) infection, a mosquito-borne disease, presents a significant public health challenge globally, with diverse clinical manifestations. Although oral dengue manifestations are uncommon, they can serve as crucial diagnostic indicators and impact patient management...

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Main Authors: Lucas Peixoto de Araújo, Stefan Kickhofel Weisshahn, Eduarda Thome do Carmo, Bruna Cavalcante Chaves, Mateus de Azevedo Kinalski, Nícolas Kickhofel Weisshahn, Sarah Arangurem Karam
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05504-6
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author Lucas Peixoto de Araújo
Stefan Kickhofel Weisshahn
Eduarda Thome do Carmo
Bruna Cavalcante Chaves
Mateus de Azevedo Kinalski
Nícolas Kickhofel Weisshahn
Sarah Arangurem Karam
author_facet Lucas Peixoto de Araújo
Stefan Kickhofel Weisshahn
Eduarda Thome do Carmo
Bruna Cavalcante Chaves
Mateus de Azevedo Kinalski
Nícolas Kickhofel Weisshahn
Sarah Arangurem Karam
author_sort Lucas Peixoto de Araújo
collection DOAJ
description Abstract Background Dengue virus (DENV) infection, a mosquito-borne disease, presents a significant public health challenge globally, with diverse clinical manifestations. Although oral dengue manifestations are uncommon, they can serve as crucial diagnostic indicators and impact patient management in dental practice. This scoping review aims to map the evidence on the oral manifestations associated with DENV infection and their clinical implications for dental practice. Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was registered on PROSPERO (CRD42022337572). A comprehensive search was conducted across six electronic databases (MEDLINE, Web of Science, Scopus, Embase, Cochrane Library, and LILACS/BBO) up to June 2024. Eligible studies included case reports, case-control, cohort, and cross-sectional studies reporting oral manifestations in patients with DENV infection. Results A total of 41 studies were included, comprising 17 case reports, 15 retrospective cohort studies, 4 prospective cohort studies, and 5 cross-sectional studies. Gingival bleeding, oral ulceration, bilateral inflammatory increase in the parotid glands, and lingual hematoma were the most frequently reported oral manifestations. Less common manifestations included Ludwig’s angina, osteonecrosis of the jaw, and angular cheilitis. These findings suggest a broad spectrum of oral symptoms that could aid in the early identification and management of dengue patients. Conclusions This review highlights the importance of recognizing oral manifestations in dengue patients, which can facilitate early diagnosis and intervention, particularly in dengue-endemic regions. Dental professionals play a crucial role in identifying these symptoms and improving patient outcomes. Further research is needed to explore the pathophysiological mechanisms underlying these manifestations and to develop standardized protocols for clinical assessment and management. Clinical relevance This paper highlights the role of dental professionals in early dengue diagnosis, emphasizing oral manifestations like gingival bleeding. It promotes interdisciplinary care, improving patient outcomes and management in dengue-endemic regions.
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spelling doaj-art-f9b3c2638f72405dbf651d42e41641332025-01-26T12:55:06ZengBMCBMC Oral Health1472-68312025-01-0125111010.1186/s12903-025-05504-6Oral manifestations of dengue virus infection: a scoping review for clinical dental practiceLucas Peixoto de Araújo0Stefan Kickhofel Weisshahn1Eduarda Thome do Carmo2Bruna Cavalcante Chaves3Mateus de Azevedo Kinalski4Nícolas Kickhofel Weisshahn5Sarah Arangurem Karam6School of Dentistry, Catholic University of Pelotas (UCPel)School of Dentistry, Catholic University of Pelotas (UCPel)School of Dentistry, Catholic University of Pelotas (UCPel)Private practicePrivate practiceGraduate program in Rehabilitation Sciences, Department of Health Sciences, Federal University of Santa Catarina (UFSC)School of Dentistry, Catholic University of Pelotas (UCPel)Abstract Background Dengue virus (DENV) infection, a mosquito-borne disease, presents a significant public health challenge globally, with diverse clinical manifestations. Although oral dengue manifestations are uncommon, they can serve as crucial diagnostic indicators and impact patient management in dental practice. This scoping review aims to map the evidence on the oral manifestations associated with DENV infection and their clinical implications for dental practice. Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was registered on PROSPERO (CRD42022337572). A comprehensive search was conducted across six electronic databases (MEDLINE, Web of Science, Scopus, Embase, Cochrane Library, and LILACS/BBO) up to June 2024. Eligible studies included case reports, case-control, cohort, and cross-sectional studies reporting oral manifestations in patients with DENV infection. Results A total of 41 studies were included, comprising 17 case reports, 15 retrospective cohort studies, 4 prospective cohort studies, and 5 cross-sectional studies. Gingival bleeding, oral ulceration, bilateral inflammatory increase in the parotid glands, and lingual hematoma were the most frequently reported oral manifestations. Less common manifestations included Ludwig’s angina, osteonecrosis of the jaw, and angular cheilitis. These findings suggest a broad spectrum of oral symptoms that could aid in the early identification and management of dengue patients. Conclusions This review highlights the importance of recognizing oral manifestations in dengue patients, which can facilitate early diagnosis and intervention, particularly in dengue-endemic regions. Dental professionals play a crucial role in identifying these symptoms and improving patient outcomes. Further research is needed to explore the pathophysiological mechanisms underlying these manifestations and to develop standardized protocols for clinical assessment and management. Clinical relevance This paper highlights the role of dental professionals in early dengue diagnosis, emphasizing oral manifestations like gingival bleeding. It promotes interdisciplinary care, improving patient outcomes and management in dengue-endemic regions.https://doi.org/10.1186/s12903-025-05504-6Dengue virusOral manifestationsDentistryOral medicine
spellingShingle Lucas Peixoto de Araújo
Stefan Kickhofel Weisshahn
Eduarda Thome do Carmo
Bruna Cavalcante Chaves
Mateus de Azevedo Kinalski
Nícolas Kickhofel Weisshahn
Sarah Arangurem Karam
Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
BMC Oral Health
Dengue virus
Oral manifestations
Dentistry
Oral medicine
title Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
title_full Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
title_fullStr Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
title_full_unstemmed Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
title_short Oral manifestations of dengue virus infection: a scoping review for clinical dental practice
title_sort oral manifestations of dengue virus infection a scoping review for clinical dental practice
topic Dengue virus
Oral manifestations
Dentistry
Oral medicine
url https://doi.org/10.1186/s12903-025-05504-6
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