345 - Comprehensive Treatment in Patients with Early Childhood Caries. Case Report

Introduction: Early childhood caries (ECC) is defined as the presence of one or more decayed, missing, or filled teeth in the primary dentition in children up to 71 months of age. The International Association of Paedriatic Dentistry (IAPD) showed that the prevalence of ECC in 2018 was 17%, 36%, 43%, 55% and 63% in children aged 1, 2, 3, 4 and 5 years, respectively.

Case report: A 5-year-old female patient came to the pediatric dentistry  of CuALTOS UDG, due to pain at the level of the dental organ (OD) 75. Clinical examination revealed multiple caries lesions, ICDAS 5 caries lesion in OD 75 with sinus tract presence, absence of OD 74 (extracted due to caries), root remnant of OD 84, as well as open bite due to prolonged use of bottle and generalized dentobacterial plaque. The pulp treatment corresponding to OD 75 and placement of steel crown, pulp treatment in OD 85 and placement of steel crown, extraction of OD 84, filling with high viscosity glass ionomer reinforced with resin Riva light cure HV SDI in ODs 55, 54, 64 and 65 was performed, non-restorative management of the lesions of OD 61 and 51 was performed until exfoliation and at the end it was placed bottom space maintainer, thus taking a comprehensive approach in the case of this patient.

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