Atención odontológica humanizada a un paciente con neurofibromatosis tipo 1 atendido en una clínica de odontología de especialización infantil: reporte de Caso

Abstract

This work aims to report an individualized, inclusive and humanized dental approach, emphasizing the importance of treating a child of 4 years and three months, with a diagnosis of neurofibromatosis type 1, who was referred and treated at the clinic of the Specialization Course in Pediatric Dentistry of the Graduate School, Faculty of Dentistry, University of the Republic in the city of Montevideo, Uruguay. The clinical examination revealed scars from the surgical treatment of the plexiform neurofibroma affecting the child's neck and oral muscle hypotonicity. At intraoral clinical examination, fifteen deciduous teeth were absent and five with early childhood caries lesions as well as a generalized presence of microbial biofilm on the tooth surfaces and provoked gingival bleeding. A necessary dental treatment was carried out for the patient, with the pertinent care, and rehabilitative therapy with an upper and lower removable partial denture. We conclude that educational, preventive, restorative and rehabilitative dental treatment was satisfactory and empathy, as a dynamic process, involved cognitive, affective and behavioral mechanisms and was recognized for its positive effects in promoting the patient's oral health.