Oral rehabilitation of patient with severe early childhood caries: a case report

Resumo

Severe early childhood caries (S-ECC) is very common
in pre-school children and shows a pattern of development which is
defined and symmetrical, beginning on the cervical third of labial
surface of maxillary anterior teeth. Accordingly, it can damage speech,
swallowing, feeding, development, esthetics and self-esteem of the
child. Objective: To report a case of a 5-year-old female patient with
S-ECC on teeth #51, #52, #61 and #62. Case report: The patient
came to dental clinic of the university with her mother for dental care.
During the interview, the mother reported that her daughter used
to drink milk in baby bottle at day and night with sugar content.
Moreover, oral hygiene was not performed after bottle feeding at night.
On clinical examination, the teeth #51, #52, #61 and #62 presented
coronal destruction, and the mucosa associated at these teeth was
very inflamed. Radiographically, it was found that carious lesions were
limited to inner dentin. The treatment plan included education on oral
hygiene and diet guidance. Rehabilitation with acetate matrixes was
the treatment chosen for teeth destroyed by caries. Conclusion: This
study demonstrated that the use of acetate matrixes is an effective
alternative to return aesthetics and functionality to teeth of patients
with severe early childhood caries.