INTERVENÇÃO CLÍNICA, CIRÚRGICA E REABILITADORA EM PACIENTE COM CÁRIE NA PRIMEIRA INFÂNCIA: RELATO DE CASO

Abstract

Introduction: the premature loss and severe destruction of primary teeth due to caries in children under 6 years of age is known as Early Childhood Caries (ECC), due to young age and large dental destruction making treatment challenging. Objective: To demonstrate aesthetic rehabilitation techniques for a patient with ECC treated at the Pediatric Dentistry Clinic of the Institute of Dentistry of the Americas (IOA) Belém, Brazil. Case report: the 4-year-old male patient presented all of his primary teeth with carious lesions, with severe destruction of the upper and lower incisors, loss of tooth structure in the lower molars. Treatment began with instructions on oral hygiene, diet and use of fluorides. Indirect restorations were made with composite resin made in the laboratory for the posterior teeth, and cemented with flow resin on the teeth; removal of the lower incisors with the aid of closing and manufacture of a model for direct restoration in composite resin and in the upper arch, extraction of the incisors and installation of the modified Nance Arch. Results: the treatment lasted a period of 60 days, clinical, surgical and prosthetic intervention was carried out for total rehabilitation and patient safety. Conclusion: it was found that the patient’s young age brought great difficulties, however, the proposal of indirect restorations and the modified Nance Arch allowed rehabilitation in a safe way, but to maintain the longevity of the treatment, hygiene and eating habits suitable to be modified.