Abstract
This case discusses a multi-disciplinary approach to oral functional and esthetic rehabilitation on a high-caries-risk child with prematurely lost primary teeth due to endodontic complications associated with wide-spread dental caries. The patient was diagnosed with an anterior open bite and atypical swallowing. He exhibited anxiety and low self-esteem due to esthetic impairment. A combination of targeted clinical procedures, a focus on oral home care and active parental involvement was integral to the treatment process. The patient was examined monthly by a pediatric dentist regarding dietary habits, fluoride exposure, biofilm presence, caries prevalence, and malocclusion. Improvement was evident in patient’s masticatory function, facial esthetics, and psychological behavior at a 12-month follow-up evaluation.KeywordsDeciduous; Dental Caries; Mouth Rehabilitation; Tooth.
Highlights
I n developed countries the dental caries prevalence has declined over recent decades[1]due to community water fluoridation, use of fluoride toothpaste, introduction of pit and fissure sealants, and expansion of oral health promotion strategies[2]
Population subgroups continue to experience a high incidence of dental caries[1]
It has been characterized by a high percentage of white spot lesions and untreated carious cavities, which can cause pain, functional limitations and adverse effects on general health, impacting body weight, growth and quality of life[3,4]
Summary
I n developed countries the dental caries prevalence has declined over recent decades[1]due to community water fluoridation, use of fluoride toothpaste, introduction of pit and fissure sealants, and expansion of oral health promotion strategies[2]. Population subgroups continue to experience a high incidence of dental caries[1] It has been characterized by a high percentage of white spot lesions and untreated carious cavities, which can cause pain, functional limitations and adverse effects on general health, impacting body weight, growth and quality of life[3,4]. Another issue associated with high carious conditions in children is premature loss of primary teeth. This can affect speech, decrease masticatory efficiency, produce abnormal tongue habits, and malocclusion[3]. Clinical parameters assessed were: biofilm index, oral hygiene practices, dietary habits, health care attitude, physical status, mental and social factors, systemic disease and medication
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