Diagnosis and Dental Treatment Management in a Case of Late Latent Syphilis: A Case Report

Introduction: Syphilis is a systemic disease, typically transmitted sexually and diagnosed via serological tests. Clinical findings within dental health include notched incisors, often referred to as Hutchinson incisors, and what are described as mulberryshaped molars or Mulberry molars. Syphilis progresses through four phases: primary, secondary, latent, and tertiary, and it can be treated. Case Report: An 11-year-old male patient presented to the clinic with a toothache. Clinical and radiographic examinations revealed incompletely erupted permanent molars, notched appearance incisors, and canines lacking a normal tubercle structure and enamel tissue. Serological testing led to the diagnosis of late latent syphilis in the patient and his family. Consequently, treatment with benzathine penicillin G commenced. Dental treatment encompassed oral hygiene training, extraction of molars with severe material loss, and restoration with anterior strip crowns. This case report outlines the process of diagnosing late latent syphilis and the dental treatment of a boy whose oral findings suggested a pre-diagnosis of syphilis. Conclusion: Dentists must accurately diagnose the oral manifestations of systemic diseases like syphilis. Early diagnosis and treatment can halt the disease’s progression and prevent its spread.