scholarly journals Prosthetic Rehabilitation of a Patient with Severe Early Childhood Caries: A Case Report

Author(s):  
Vanessa Simas Braga ◽  
Paulo Floriani Kramer ◽  
Carla Jotz Ceccato ◽  
Simone Helena Ferreira

Early Childhood Caries (ECC) continues to be one of the most common chronic diseases in children throughout the world, exerting a negative impact on quality of life. This condition can cause pain, infection, and tooth loss as well as problems with speaking, chewing, and nutrition. The aetiology of ECC is complex and involves socioeconomic, biological, and behavioural factors. Rehabilitation in very young patients is challenging due to difficulties inherent to the age of the child, which limits cooperation, the extent of tooth decay, and the motivation of family members, especially in patients with the early loss of primary teeth. Therefore, paediatric dentists need to plan and implement individualised approaches on a case-by-case basis. This paper reports a case of a three-year-old boy diagnosed with ECC involving extensive carious lesions, root remnants, and multiple abscesses. The treatment plan involved prosthetic rehabilitation with complete dentures. Regular check ups were important to the functional adaptations and proper hygiene counselling. The child adapted extremely well to the dentures. Improvements in appearance, speech, and chewing function enhanced the child’s self-confidence and assisted in establishing proper dietary patterns.

2011 ◽  
Vol 10 (3) ◽  
pp. 179
Author(s):  
Fajriani Fajriani ◽  
Hendrastuty Handayani

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


2010 ◽  
Vol 21 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Yang Li ◽  
Ye Zhang ◽  
Ran Yang ◽  
Qiong Zhang ◽  
Jing Zou ◽  
...  

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.


2007 ◽  
Vol 31 (3) ◽  
pp. 171-174 ◽  
Author(s):  
Letícia Grando Mattuella ◽  
Luis Carlos da Fontoura Frasca ◽  
Leoni Bernardi ◽  
Gisele Pedroso Moi ◽  
Anna Christina Medeiros Fossati ◽  
...  

This paper reports the case of a 5-year-old patient with early childhood caries (ECC) and presents an alternative prosthetic treatment with a tooth-supported overdenture. Primary canines were endodontically treated and received intraradicular posts with ball-type attachments to attach a tooth-supported overdenture. The patient was followed for 18 months both clinically and radiographically. In addition to esthetic and functional oral rehabilitation, the prosthetic treatment had an important psychological impact on recovery of patient's self-esteem.


2012 ◽  
Vol 69 (12) ◽  
pp. 1046-1051 ◽  
Author(s):  
Ivan Tusek ◽  
Momir Carevic ◽  
Jasmina Tusek

Background/Aim. Early childhood caries (ECC) is a special form of caries in primary dentition that affect teeth after eruption, with rapid progression, later symptomatology and numerous complications. The aim of this study was to investigate the frequency of ECC among different ethnic groups of preschool children in the South Backa District. Methods. The survey was performed as a crosssectional analytical study on the sample of preschool children of both sexes and different ethnic groups in the South Backa District. The diagnosis and the clinical form of ECC was defined by dental check-ups according to the modified Wyne's criteria: the initial form (type 1) shows carious lesions without disturbing the surface structure of the tooth enamel, the moderate form (type 2) shows carious lesions affecting one or two teeth or their surfaces, the middle form (type 3) shows carious lesions affecting more than two teeth or their surfaces, the severe form (type 4) shows the presence of two and more gangrenous roots in the maxilla intercanini sector, and the severe form with complications (type 5) shows the presence of two and more gangrenous roots in the maxilla intercanini sector with the presence of fistula and/or abscess of tooth root apex. Epidemiological data on the different ethnic groups were obtained by interviewing the parents of the examined children. The tests on significant statistical differences was performed by the variance analysis and ?2 test. Results. The prevalence of ECC in children oped 41.32 ? 8.57 months, of the South Backa District was 30.5%. The highest disease frequency was found in Roma children (50.0%) as well as in children of Ruthenian nationality (43.8%), than in children of Slovakia nationality (37.8%), Serbian (26.1%), Hungerian (25.4%) and other nationalities (27.4%). The frequency of types 1, 3, 4, and 5 ECC was twice as high as in children who do not speak Serbian language. Conclusion. The frequency of ECC occurrence is different among ethnic groups. The highest frequency of ECC is present among the members of ethnic groups whose native language is not Serbian.


2021 ◽  
Vol 13 (1) ◽  
pp. 1964277
Author(s):  
Kausar Sadia Fakhruddin ◽  
Lakshman Perera Samaranayake ◽  
Hiroshi Egusa ◽  
Hien Chi Ngo ◽  
Siripen Pesee

2009 ◽  
Vol 33 (3) ◽  
pp. 241-246 ◽  
Author(s):  
Ma. Esther Irigoyen Camacho ◽  
Leonor Sánchez Pérez ◽  
Álvaro García Pérez ◽  
Marco Antonio Zepeda Zepeda

The relationship between dental caries and mutans streptococci (ms) in children and their mothers is a key factor in the prevention of early childhood caries. Changes in early childhood caries over time in Mexican children have not been well documented. Objective: to compare the dental caries indices and presence of ms in 3- to 5-year-old children and their mothers in two surveys, the first one carried out in 1996 and the second one in 2007. Study design: cross-sectional study. Results: The first survey included 102 mother-child dyads and the second 103. Dental caries index dmfs was 7.17 (± 10.9) and 4.58 (± 7.1) in the first and second survey, respectively (p<0.05). Ms levels were higher in 1996 than in 2007 (p<0.001). The prevalence of Severe Early Childhood Caries (SECC) was 42.2% and 34.95% in first and second surveys, respectively,(p>0.05). Children with SECC showed higher counts of ms than children without this condition. A high caries index in mothers was associated with higher caries experience in their children. Conclusion: the compassions of the surveys indicated a decline in dental caries indices over an 11-year period. High caries experience in the mother had a negative impact on the oral condition of the child.


2016 ◽  
Vol 50 (3) ◽  
pp. 279-287 ◽  
Author(s):  
Daniela S. Bezerra ◽  
Rafael N. Stipp ◽  
Beatriz G. Neves ◽  
Sarah F.F. Guedes ◽  
Marcelle M. Nascimento ◽  
...  

Streptococcus mutans is an oral bacterium considered to play a major role in the development of dental caries. This study aimed to investigate the prevalence of S. mutans in active and arrested dentine carious lesions of children with early childhood caries and to examine the expression profile of selected S. mutans genes associated with survival and virulence, within the same carious lesions. Dentine samples were collected from 29 active and 16 arrested carious lesions that were diagnosed in preschool children aged 2-5 years. Total RNA was extracted from the dentine samples, and reverse transcription quantitative real-time PCR analyses were performed for the quantification of S. mutans and for analyses of the expression of S. mutans genes associated with bacterial survival (atpD, nox, pdhA) and virulence (fabM and aguD). There was no statistically significant difference in the prevalence of S. mutans between active and arrested carious lesions. Expression of the tested genes was detected in both types of carious dentine. The pdhA (p = 0.04) and aguD (p = 0.05) genes were expressed at higher levels in arrested as compared to active lesions. Our findings revealed that S. mutans is part of the viable microbial community in active and arrested dentine carious lesions. The increase in expression of the pdhA and aguD genes in arrested lesions is likely due to the unfavourable environmental conditions for microbial growth, inherent to this type of lesions.


Author(s):  
Niharika Gahlod ◽  
Arun Sajjanar ◽  
Suryakant Kumar ◽  
Milind Wasnik ◽  
Sneha Khekade

Early Childhood Caries (ECC) can be defined as the presence of one or more carious lesions, may or may not be cavitated, and missing teeth due to caries in children up to five years of age. It is multifactorial involving the presence of bacterial plaque, poor oral hygiene, frequency and time of consumption of beverages containing sugar. It has several deleterious effects like it can damage speech, swallowing, feeding, development, esthetics and self-esteem of the child. Therefore, complete oral rehabilitation in such patients is utmost important for their normal growth and development. The current case report involves the oral rehabilitation using different treatment options.


2019 ◽  
Vol 7 (4) ◽  
pp. 95 ◽  
Author(s):  
Ningthoujam Sharna ◽  
Mahesh Ramakrishnan ◽  
Victor Samuel ◽  
Dhanalakshmi Ravikumar ◽  
Khangembam Cheenglembi ◽  
...  

Early Childhood Caries (ECC) are one of the major oral diseases affecting children. ECC adversely affects the children’s as well as their parent/caregivers quality of life. The present study aims to assess the quality of life in children with Early Childhood Caries aged 6–72 months using the Early Childhood Oral Health Impact Scale. It also aims to compare the quality of life between children with pufa scores of > 0 and a pufa score = 0. A total of 238 children aged 6 months to 72 months with ECC and their parent/caregiver were included in the present study. Oral examinations of the children were performed by the principal examiner using the defs and pufa index, which was followed by a personal interview of the 13 items in the Early Childhood Oral Health Impact scale among the 238 parents/caregivers. The results showed that, overall, Early Childhood Caries have a negative impact on children’s quality of life, as assessed by the parent/caregiver. The overall Early Childhood Oral Health Impact scale score ranged from 0–32 (mean ± SD, 14.12 ± 6.72). Children with a pufa score > 0 (mean ± SD, 16.14 ± 6.27, p < 0.001) have significantly lower quality of life than children with pufa score = 0 (mean ± SD, 9.07 ± 4.94, p < 0.001). Early Childhood Caries had a negative impact on the quality of life of children aged 6–72 months. Children with a pufa score of “0” had better oral health-related quality of life than children with a pufa score > 0.


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