Complex oral rehabilitation in a 4-year-old patient with severe early childhood caries
Rehabilitación oral compleja en paciente de 4 años con caries temprana de la infancia severa
| dc.creator | Montecino Valdes, Montserrat | |
| dc.creator | Arambarri Vásquez, Francisca | |
| dc.creator | García Abbott, Cristóbal | |
| dc.date | 2021-01-18 | |
| dc.date.accessioned | 2022-04-28T14:26:18Z | |
| dc.date.available | 2022-04-28T14:26:18Z | |
| dc.identifier | https://revistas.uv.cl/index.php/asid/article/view/2645 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/181792 | |
| dc.description | Background: Early childhood caries (ECC) is the presence of one or more cavities, tooth decay, or smooth surfaces filled with caries in children up to 71 months. ECC has a negative impact on the quality of life and general health, being associated with functional limitation, pain, and infection, which leads to alterations such as discomfort, malocclusions, psychological and social affectation, among others, preventing the adequate growth and development of the patient. The objective is to present the complete handling and resolution of a case. Clinical Presentation: 4-year-old female patient, cooperative, in condiction of social risk, adolescent mother, ECC, poor oral hygiene, with high cariogenic risk and activity. She presented multiple caries lesions with great coronary destruction. In the preventive phase, risk factors were modified regarding diet, oral hygiene, fluorotherapy, and the mother's education and motivation. Subsequently, direct and indirect pulp therapies were performed. The rehabilitation was performed using glass ionomer, composite resin, metal crowns for molars, and celluloid crowns filled with resin anchored to fiberglass posts in the anterior superior sector. Clinical Relevance: Early detection and prevention are essential to control the disease. Rehabilitation is complex, expensive, depending on the availability of therapeutic resources, the caregiver's interest, skills of the dentist, behavior, and patient's age. Pulp therapies are treatments that allow the preservation of teeth. Fiberglass posts provide retention to the restoration of teeth with insufficient tooth remnants. The preformed celluloid crowns filled with resin are indicated to reconstruct teeth with great destruction and aesthetic needs. Conclusions. There was an improvement in social relationships and the self-image of the patient. The success of ECC treatment depends mainly on the interest and collaboration of the caregiver and patient. Attention should be focused on prevention, education, and motivation, making personalized recommendations focused on the family. It is important to carry out periodic controls, which allow to maintain the patient's health. | en-US |
| dc.description | Antecedentes: La caries temprana de la infancia (CTI) es la presencia de una o más caries, pérdidas o superficies lisas obturadas por caries en niños hasta los 71 meses. La CTI tiene un impacto negativo en la calidad de vida y salud, asociándose a limitación funcional, dolor e infección, conllevando disconfort, maloclusiones, afectación psicológica y social, entre otros, impidiendo el crecimiento y desarrollo adecuado del paciente.Presentación Clínica: Paciente sexo femenino 4 años, cooperador, riesgo social, madre adolescente, CTI, mala higiene oral, actividad de caries con alto riesgo cariogénico. Múltiples lesiones de caries con gran destrucción coronaria. Preventivamente se modifican factores de riesgo sobre dieta, higiene oral, fluorterapia, y sobre educación y motivación en la madre. Posteriormente se realizan terapias pulpares, la rehabilitación realizada con vidrio ionómero, resina compuesta, coronas metálicas para molares y coronas de celuloide rellenas con resina ancladas a postes de fibra de vidrio para el sector anterosuperior.Relevancia Clínica: La detección y prevención temprana son indispensables para el control de la enfermedad. La rehabilitación es compleja, costosa, acorde a disponibilidad de recursos terapéuticos, interés del cuidador, aptitudes del tratante, comportamiento y edad del paciente. Las terapias pulpares son tratamientos que permiten la conservación de los dientes. Los postes de fibra de vidrio otorgan retención a la restauración de dientes con insuficiente remanente dentario. Las coronas preformadas de celuloide rellenas con resina están indicadas para la reconstrucción de dientes con gran destrucción y necesidades estéticas.Conclusiones. Hubo mejora en relaciones sociales y autoimagen del paciente. El éxito del tratamiento de la CTI depende principalmente del interés y colaboración del cuidador y paciente. La atención debe estar enfocada en la prevención, educación y motivación, realizando recomendaciones personalizadas centradas en la familia. Es importante realizar controles periódicos, que permitan mantener la salud del paciente. | es-ES |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Universidad de Valparaíso | es-ES |
| dc.relation | https://revistas.uv.cl/index.php/asid/article/view/2645/2575 | |
| dc.rights | Derechos de autor 2020 Applied Sciences in Dentistry | es-ES |
| dc.source | Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1 | en-US |
| dc.source | Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1 | es-ES |
| dc.source | 0719-5761 | |
| dc.source | 0719-5761 | |
| dc.subject | Early childhood caries | en-US |
| dc.subject | dental caries | en-US |
| dc.subject | treatment | en-US |
| dc.subject | Caries temprana de la infancia | es-ES |
| dc.subject | caries | es-ES |
| dc.subject | tratamiento | es-ES |
| dc.title | Complex oral rehabilitation in a 4-year-old patient with severe early childhood caries | en-US |
| dc.title | Rehabilitación oral compleja en paciente de 4 años con caries temprana de la infancia severa | es-ES |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion |
This item appears in the following Collection(s)
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Applied Sciences in Dentistry
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