Reabilitação estética e funcional na primeira infância: relato de caso

A perda precoce dos dentes deciduos pode ocorrer pela falta de diagnostico e tratamento na fase inicial da carie dentaria. O objetivo foi relatar o tratamento reabilitador estetico e funcional de uma crianca de 4 anos e 5 meses de idade, do genero feminino, com carie precoce da infância severa. Durante a anamnese, alem da queixa de dor nos dentes, notou-se apatia da crianca e constrangimento da mesma ao falar e sorrir. Ao exame clinico inicial, a paciente apresentou ausencia dos dentes 55, 54, 75, 84 e 85; lesoes de carie ativa do 73 ao 83; lesoes cariosas ativas extensas (53, 52, 51, 61, 62, 63, 64, 65, 74) e presenca de fistula na regiao dos dentes 51 e 52. Apos o exame radiografico, o tratamento proposto foi a realizacao da exodontia dos elementos dentarios nao passiveis de receber tratamento restaurador (53, 52, 51, 61, 62, 63, 64, 65, 74); restauracao com resina composta do 73 ao 83; e posterior colocacao de protese total superior e protese parcial inferior. Orientacoes sobre higiene bucal e dieta nao-cariogenica foram realizadas em todas as etapas do tratamento para incentivar a crianca e familiares a pratica de habitos saudaveis. Diante do tratamento realizado, concluiu-se que a reabilitacao estetica-funcional recuperou as funcoes esteticas, foneticas e mastigatorias da paciente; colaborando para a melhora da autoestima da crianca o que gerou satisfacao dos familiares. O trabalho educativo em estimular a crianca e os cuidadores foi essencial para o sucesso do tratamento e manutencao da saude bucal... Dental caries is a disease related with sucrose rich diet and poor oral hygiene. During childhood, if caries disease is misdiagnosed, it can lead to early loss of primary teeth. This study aimed to report the aesthetic and functional rehabilitation treatment in a female child aged 4 years and 5 months, with severe early childhood caries. In the case history, as well as complaints of toothache, the child showed apathy and embarrassment to talk and smile. In initial clinical examination, it was noticed lack of teeth 55, 54, 85, 84 and 75; active caries lesion on teeth 71, 73, 81, 82 and 83; the dental elements 51, 52, 53, 61, 62, 63, 64, 65 and 74 presented with extensive coronary destruction bellow the gingival margins, and the teeth 51 and 52 with the presence of fistula. After radiographic evaluation, the treatment proposed was comprised by destroyed teeth extraction, resin composite restoration of all cavities and subsequent placement of upper denture and lower partial denture. Oral hygiene and non-cariogenic diet orientations were accomplished since the initial treatment to encourage the child and her family to practice healthy habits. After accomplished the treatment, it could be concluded that aesthetic and functional rehabilitation recovered the patient aesthetic, phonetic and mastication functions. This fact contributed to improve the child's self-esteem and it promoted satisfaction of her family. The dentist educational work and the stimulus of child and her caregivers were essential for treatment successful and for patient oral health maintenance...