scholarly journals Oral rehabilitation in a child with early childhood caries: a case report

Author(s):  
Fernanda Miori PASCON ◽  
Carolina STEINER-OLIVEIRA ◽  
Priscila Alves GIOVANI ◽  
Regina Maria PUPPIN-RONTANI ◽  
Kamila Rosamilia KANTOVITZ

ABSTRACT The aim of the current study is to present a treatment approach in a case of severe early childhood caries (ECC). A 5-year-old girl was referred to the Pediatric Dentistry Division with multiple premature tooth loss, masticatory difficulties, prolonged breast-feeding, and low quality of life, who was diagnosed with severe ECC. A three-phased treatment plan was implemented: 1. Disease control – consisting of behavioral changes in oral hygiene habits, diet guidance, professional biofilm removal followed by fluoride application and temporary restorations; 2. Infection control – teeth extractions and pulpotomy; and 3. Functional rehabilitation – direct and semi-indirect resin restorations, a removable partial and total prostheses in the lower and upper jaws, respectively. In conclusion, the proposed multidisciplinary approach resulted in a positive impact on the patient’s nutrition and growth, speech production, communication, self-image, and social functioning leading to an improved quality of life.

2020 ◽  
Vol 16 (2) ◽  
pp. 57-60
Author(s):  
ES. Yuni Astuti ◽  

Early childhood caries (ECC) is one of the most prevalent diseases in children worldwide. Streptococcus Mutans is the main bacteria that have a strong association with ECC, and these bacteria can be transmitted from mother to child. ECC does not only affect children’s oral health but also the general health of the children and the end affects their quality of life. The impacts of ECC such as problems with sleeping, speaking eating, premature loss of primary dentition, and this condition often leads to orthodontic problems in adult life. Management of ECC has begun preventive strategies, curative and rehabilitative treatment also. As we know the etiology and management of ECC, the impact can be avoided, and the children still have a good quality of life.


2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Vlamir Oliveira da Silva ◽  
Marcelle Danelon ◽  
Marília Andrade Figueiredo de Oliveira ◽  
Nathalia Cristina Tavella e Silva ◽  
Eliana Mendes de Souza Teixeira Roque

Objetivo: O objetivo deste estudo foi compreender a percepção materna sobre a qualidade de vida de crianças, portadoras de cárie na primeira infância (CPI). Material e Método: O objeto de estudo foram seis mães de crianças em tratamento na Clínica de Odontologia da Universidade de Ribeirão Preto. Realizou-se entrevista semi-estruturada gravada. Os dados foram analisados segundo a técnica de Análise de Conteúdo proposta por Bardin e utilizando-se os conceitos teóricos oriundos de Bronfembrenner para avaliar aspectos da CPI que interferem no pleno desenvolvimento da pessoa desde a infância. Depreendeu-se dos dados, 03 categorias empíricas: 1ª - “o dente natural é tudo”; 2ª - “ Procura o dentista quando tem dor” e 3ª - “A mãe tem responsabilidade no aparecimento da cárie porque não limpa a boca da criança”. Resultados: Os resultados demonstraram que a influência dos aspectos sócio-econômicos e educacionais das mães tornam as crianças mais vulneráveis à CPI. As mães compreendem a importância dos dentes na saúde bucal, porém, não atribuem a presença da CPI a predispor as crianças ao desenvolvimento de problemas sistêmicos e afetar o desenvolvimento biopsicossocial. As mães apontaram falhas no atendimento das crianças e de acesso ao serviço público, assim como, o despreparo dos profissionais do serviço público e privado. Conclusão: Conclui-se que que existe necessidade de ampliação de medidas socioeducativas tanto para mães quanto crianças, assim como estratégias que visem formar e ampliar o conhecimento coletivo em saúde bucal e melhoria da Política Nacional da Saúde Bucal.Descritores: Comportamento Materno; Qualidade de Vida, Cárie Dentária; Saúde da Criança.ReferênciasCalcagnile F, Pietrunti D, Pranno N, Di Giorgio G, Ottolenghi L, Vozza I. Oral health knowledge in pre-school children: A survey among parents in central Italy. J Clin Exp Dent. 2019:11:e327-33.Chase I, Berkowitz RJ, Proskin HM, Weinstein P BR. Clinical outcomes for Early Childhood Caries (ECC): the influence of health locus of control. Eur J Paediatr Dent. 2004;2:76-80.Brasil Ministério da Saúde. Projeto SB Brasil 2003 Condições de saúde bucal da população brasileira2002-2003.http://cfo.org.br/wp-content/uploads /2009/10/04_0347_M.pdf. Published 2004. Accessed October 4, 2009.Brasil Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal. http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Published 2012. Accessed October 4, 2009.Guedes-Pinto AC. Odontopediatria. 9th ed. (Santos, ed.); 2016.Macedo LZ, Ammari MM. Cárie da primeira infância: conhecer para prevenir. Rev Rede Cuid em Saúde.2014;8:1-14.Minayo MC de S. O Desafio Do Conhecimento: Pesquisa Qualitativa Em Saúde. 1st ed. (Hucitec, ed.); 2012.Bardin L. Análise de Conteúdo. 70th ed. (France PU de, ed.). Lisboa; 1977.Alves PB. A ecologia do desenvolvimento humano: experimentos naturais e planejados. Psicol Reflexão e Crítica. 1997;10:369-73.Bronfenbrenner, U., Morris PA. The ecology of developmental processes. In: Inc. JW S, ed. Handbook of Child Psychology: Theoretical Models of Human Development. v. 1. New York; 1998:993-1028.Jiang M, Wong MCM, Chu CH, Dai L, Lo ECM. Effects of restoring SDF-treated and untreated dentine caries lesions on parental satisfaction and oral health related quality of life of preschool children. J Dent. 2019;88:103171.Vollú AL, da Costa M da EPR, Maia LC, Fonseca-Gonçalves A. Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study. J Clin Pediatr Dent.2018;42:37-44.Lai SHF, Wong MLW, Wong HM, McGrath CPJ, Yiu CKY. Factors influencing the oral health‐related quality of life among children with severe early childhood caries in Hong Kong.Int J Dent Hyg.2019;17:350-58.Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39:105-14.American Academy of Pediatric Dentistry. Guidelines for Policy on Social Determinants of Children’s Oral Health and Health Disparities. Am Acad Pediatr Dent. 40:23-26.BaniHani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health-related quality of life of children and carers. Int J Paediatr Dent. 2018;28:266-76.Knorst JK, Menegazzo GR, Emmanuelli B, Mendes FM, Ardenghi TM. Effect of neighborhood and individual social capital in early childhood on oral health-related quality of life: a 7-year cohort study. Qual Life Res.2019;28:1773-82.Marshman Z, Knapp R. Child oral health-related quality of life following treatment under dental general anaesthetic (DGA). Evid Based Dent. 2019;20:46-7.Phantumvanit P, Makino Y, Ogawa H, et al. WHO Global Consultation on Public Health Intervention against Early Childhood Caries. Community Dent Oral Epidemiol.2018;46:280-87.Zaror C, Atala-Acevedo C, Espinoza-Espinoza G, et al. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in chilean population. Health Qual Life Outcomes. 2018;16:232.Kidd E, Fejerskov O. Changing concepts in cariology: forty years on. Dent Update. 2013;40:277-86.Ferreira JMS, Silva FS, Aragão AKR, Duarte RC, Menezes VA. Conhecimento de pais sobre saúde bucal na primeira infância. Pediatr Mod.2010;46:224-30.Novaes TF, Pontes LRA, Freitas JG, et al. Responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) is related to dental treatment complexity. Health Qual Life Outcomes.2017;15:182.Mansoori S, Mehta A, Ansari MI. Factors associated with Oral Health Related Quality of Life of children with severe -Early Childhood Caries. 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2020 ◽  
pp. 20-25
Author(s):  
Maria MTALSI

Objective: The aim of the present study was to assess the prevalence of the early childhood caries (S-ECC) and its impact on preschool children’s life (aged 4-6), as well as on their parents, in one of the most popular prefectures in Casablanca, Morocco. Materials and Methods: Parents of 546 children attending 11 randomly selected preschools (7 private and 4 public institutions) were invited to complete 13 items of an oral health questionnaire and had their children undergo a dental examination. The quality of life was evaluated using the Early Childhood Oral Health Impact Scale (ECOHIS). Statistical analysis: The data collected were analyzed using the SPSS (Statistical Package for the Social Sciences). To find the comparison between groups, Chi-square test was used. Results: The prevalence of the ECC and the S-ECC were 74.2% and 47.3% respectively. The negative effect of S-ECC on children’s quality of life has many aspects: 59.3% of them have experienced tooth pain, 41.5% have reported eating difficulties, and 41.3% have had drinking difficulties. Moreover, 40% of parents expressed feelings of guilt and 10.6% had to take time off work due to their children’s oral health status. On another note, the financial impact of the S-ECC was also significant. Conclusion: The S-ECC negatively impacts the life quality of children aged between 4 and 6 years old in addition to their parents’. This suggests a need for further strategic planning and preventive program adapted to such a public health problem.


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