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VOLUME 10 , ISSUE 2 ( March, 2009 ) > List of Articles

RESEARCH ARTICLE

Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report

Thaís Manzano Parisotto, Cíntia Maria de Souza-e-Silva, Carolina Steiner-Oliveira, Marinês Nobre-dos-Santos, Maria Beatriz Duarte Gavião

Citation Information : Parisotto TM, de Souza-e-Silva CM, Steiner-Oliveira C, Nobre-dos-Santos M, Gavião MB. Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report. J Contemp Dent Pract 2009; 10 (2):90-97.

DOI: 10.5005/jcdp-10-2-90

License: CC BY-NC 3.0

Published Online: 01-03-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The purpose of this case report was to describe the oral rehabilitation of a 4-year-old girl presenting early childhood caries (ECC).

Background

ECC is highly prevalent in developing countries and its severity increases with age. This disease implies serious consequences for the development of the stomatognathic system and for the child's quality of life. As young children are usually anxious about dental treatment, their level of co-operation is limited, leading to a challenging situation.

Case Report

A 4-year-old girl was brought by her mother for dental treatment with the complaint of pain. The clinical examination revealed extensive carious coronary destructions. After preventive and curative measures, the oral rehabilitation was performed; it included the use of stainless steel crowns, resin filled celluloid crowns with previous cementation of glass post pins when necessary, an amalgam restoration, orthodontic treatment, and a partial removable prosthesis. The child has been monitored in the Pediatric Dentistry Clinic at 4-monthly intervals.

Summary

The oral rehabilitation was able to reestablish the oral health in the primary arches mutilated by early childhood caries. This is important for the establishment of an adequate mixed and permanent dentition, for proper facial and maxillary growth, and to the child's psychological and social development.

Clinical Significance

The full management, including preventive, psychological, and curative measures of a young child with severe ECC was found successful after 8 months of follow up. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, resin filled celluloid crowns, and partial removable prosthesis to reestablish the oral functions and improve the child's psycho-social development.

Citation

Parisotto TM, Souza-e-Silva CM, Steiner-Oliveira C, Nobre-dos-Santos M, Gavião MBD. Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report. J Contemp Dent Pract 2009 March; (10)2:090-097.


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