scholarly journals Model for Taking Care of Patients with Early Childhood Caries during the SARS-Cov-2 Pandemic

2020 ◽  
Vol 17 (11) ◽  
pp. 3751 ◽  
Author(s):  
Stefano Cianetti ◽  
Stefano Pagano ◽  
Michele Nardone ◽  
Guido Lombardo
Keyword(s):  
Early Childhood ◽  
High Speed ◽  
Early Childhood Caries ◽  
Primary Teeth ◽  
Bias Assessment ◽  
Randomized Controlled ◽  
Caries Management ◽  
Caries Removal ◽  
High Level ◽  
Childhood Caries

Pending the availability of vaccines to contain the SARS-CoV-2 pandemic, the current solution is “social distancing” with a reduction of dental treatments to those assessed as urgent and emergency cases. These treatments also involve Early Childhood Caries (ECC) due to the fact that this disease affects preschool children (a vulnerable population) and, in addition, shows a propensity to evolve into more serious complications (dental pain, infections). A narrative review was carried out to support a protocol for treating ECC with efficacious and safe (in terms of SARS-CoV-2 transmission) procedures. Protocol involves criteria for patients’ selection remotely (telemedicine), and well-detailed criteria/equipment and hygiene procedures to combat against SARS-CoV-2 transmission. Moreover, the protocol proposes innovative caries treatments, named Minimally Invasive Treatments (MITs), well known in pedodontics for their high level of children’s acceptance during dental care. MITs allow for caries removal (particularly in primary teeth) without any high-speed rotating instrument cooled with nebulized air-water spray (with high risk of virus environmental diffusion), usually adopted during traditional treatments. For evaluating MITs effectiveness in caries management, only Systematic Review and Randomized Controlled Trials (RCTs) were included in our study, without any risk of bias assessment. The indications proposed in this protocol could support clinicians for the temporary management of ECC until the SARS-CoV-2 pandemic ends.

scholarly journals Penatalaksanaan early childhood caries Management of early childhood caries

2011 ◽  
Vol 10 (3) ◽  
pp. 179
Author(s):  
Fajriani Fajriani ◽  
Hendrastuty Handayani
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Dental Hygiene ◽  
Treatment Plan ◽  
High Rate ◽  
Tooth Decay ◽  
Inappropriate Use ◽  
Caries Management ◽  
Dental Diseases ◽  
Childhood Caries

Early childhood caries (ECC), also known as milk bottle caries is a syndrome of severe tooth decay, occurs ininfants and children, is an infectious disease that develops rapidly and lead to health problems in children. Thissyndrome can be caused by inappropriate use of bottles. Most cases of untreated ECC to children aged 20 months.At this stage many children need serious treatment, because this will result in trauma to both the children andparents. The most common treatment ECC and other dental diseases have been included in each treatment ofdisease. Efforts to educate families about dental hygiene and practice start a diet, the high rate of recurrence of anyevidence of disease ranging from tooth decay to the failure of the treatment plan resulted in the need for specialattention to this disease. This paper is expected to be a good input for a dentist in the treatment of ECC

Apexification of primary teeth: a treatment option

2002 ◽  
Vol 26 (4) ◽  
pp. 351-355
Author(s):  
Marta Lua Pimentel Winz Almeida ◽  
Licinia Maria Damasceno ◽  
Laura Guimaraes Primo ◽  
Maristela Barbosa Portela
Keyword(s):  
Early Childhood ◽  
Calcium Hydroxide ◽  
Treatment Option ◽  
Early Childhood Caries ◽  
Primary Teeth ◽  
Deciduous Teeth ◽  
Feasible Option ◽  
Childhood Caries

This article reports a case of apexification in a child aged 20 months, with early childhood caries, using calcium hydroxide paste in two primary upper central incisors. This method is a feasible option for treating immature deciduous teeth showing pulpal necrosis.

Parents’ Views on Silver Diamine Fluoride to Manage Early Childhood Caries

2020 ◽  
pp. 238008442093069
Author(s):  
G. Kyoon-Achan ◽  
R.J. Schroth ◽  
H. Martin ◽  
M. Bertone ◽  
B.A. Mittermuller ◽  
...  
Keyword(s):  
Early Childhood ◽  
Informed Consent ◽  
Qualitative Study ◽  
Early Childhood Caries ◽  
Study Data ◽  
Silver Diamine Fluoride ◽  
Anterior Teeth ◽  
Caries Management ◽  
Caries Lesions ◽  
Childhood Caries

Background: The use of silver diamine fluoride (SDF) as a nonsurgical caries management product is growing. Evidence suggests that SDF is very successful in arresting caries. However, a common concern with SDF treatment is the unaesthetic black staining. The purpose of this qualitative study was to determine parents’ views following their children’s treatment with SDF to manage severe early childhood caries (ECC). Method: Parents were interviewed as part of a mixed-method study of SDF to arrest severe ECC. Children with caries lesions in primary teeth were treated with 2 applications of 38% SDF, followed by fluoride varnish. Semistructured in-person and phone interviews were conducted with 19 parents of children in the study. Data were transcribed verbatim and manually coded and uploaded to NVivo 12 for further coding analysis. Results: None of the parents had previously heard about SDF, and they learned about it from the study dentist. Although parents trusted the dentist’s information on SDF, they welcomed additional evidence, especially relating to product safety and effectiveness. Some parents were minimally concerned with the black staining caused by SDF treatment. It was more important that SDF arrested caries progression, minimized pain and sensitivity, and prevented dental infection. However, some parents expressed concerns related to the unaesthetic black staining. Interestingly, many parents indicated that their children were not overly concerned with the black staining. A majority of parents said that they would recommend the treatment to others. Conclusion: This is the first qualitative study involving parents of children who were treated with SDF. Most parents were accepting of SDF as a nonsurgical treatment to arrest caries and minimize dentinal sensitivity secondary to caries, although some expressed concern about the black staining in anterior teeth. It is important to adequately inform parents of the negative aesthetic consequences and obtain informed consent before treatment. Knowledge Transfer Statement: This qualitative study revealed that many parents of children with severe ECC are accepting of SDF as a nonrestorative caries management option, despite the black staining of caries lesions. Dental professionals need to be aware of these parental concerns and obtain written informed consent prior to treatment. Parents also requested more information and resources on SDF on its benefits, effectiveness, and any associated risks.

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