Deciduous dental caries and risk of losing the young first permanent molar
A case report
Keywords:
Dental caries, Pediatric dentistry, Primary preventionAbstract
Risk assessment of dental caries can provide the dental clinician with important information that leads to the correct approach for taking care of the pediatric patient, especially when performed at an early age. Tooth decay is one of the most common chronic diseases in infants. The contemporary approach promotes management of dental caries based on biological and clinical evidence seeking to maintain health, preserve tooth structure, prevent appearance of new lesions and prevent progression of existing ones., In addition, this approach emphasizes non-operative management in the initial stages and a conservative operative one in more severe cases. All this in parallel with the control of risk factors. The objective of this work is to highlight the risk factors that influence early development of caries of the first permanent molar, to the point of considering invasive interventions as endodontic treatments, even in immature stages of its formation. This case report is about a seven years and one month of age female patient, who attended the School of Dentistry of the University of El Salvador, with multiple carious lesions in the deciduous dentition and a reported pain in teeth 2-6 and 3 -6 with a presumptive diagnosis of reversible and irreversible pulpitis, respectively. It is concluded that identifying risk factors for dental caries at an early age and educating children and their caregivers about oral health in the child’s first dental consultations is essential to prevent the installation of caries in the deciduous dentition, as well as in the permanent one
Downloads
References
Mira A, Simon-Soro A, Curtis MA. Role of microbial communities in the pathogenesis of periodontal diseases and caries. J Clin Periodontol [Internet]. 2017 Mar;44:S23–38. Available from: http://doi.wiley.com/10.1111/jcpe.12671 DOI: 10.1111/jcpe.1267
Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res [Internet]. 2020;54(1):7– 14. Available from: https://www.karger. com/Article/FullText/503309 DOI: 10.1159/000503309
MINSAL. Diagnóstico Nacional de Salud Bucal [Internet]. San Salvador: MINSAL; 2012. p. 45. Available from: http://www. salud.gob.sv/
Revision L. Caries-risk assessment and management for infants, children, and adolescents. Pediatr Dent [Internet]. 2019;40(6):205–12. Available from: https:// www.aapd.org/research/oral-healthpolicies-- recommendations/caries-riskassessment- and-management-forinfants- children-and-adolescents/ PMID: 32074889
K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nat Rev Dis Prim[Internet]. 2017 Dec 21;3(1):17030. Available from: http://www.nature.com/articles/ nrdp201730 DOI: 10.1038/nrdp.2017.30
Saber AM, Altoukhi DH, Horaib MF, El- Housseiny AA, Alamoudi NM, Sabbagh HJ. Consequences of early extraction of compromised first permanent molar: a systematic review. BMC Oral Health [Internet]. 2018 Dec 5;18(1):59. Available from: https://bmcoralhealth. biomedcentral.com/articles/10.1186/ s12903-018-0516-4 DOI: 10.1186/s12903- 018-0516-4
Cárdenas Mayorga MF, Gutiérrez Duran PK, Ramírez Báez LC. Analisis por evidencia de evaluacion de pruebas diasnosticas de caries en dientes deciduos y permanentes. [Internet]. Vol. 1, Repositorio de la Universidal El Bosque. Universidad El Bosque; 2018. Available from: http://hdl.handle. net/20.500.12495/2409
Montes GR, Bonotto DV, Ferreira FM, Menezes JVNB, Fraiz FC. Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children. Cien Saude Colet [Internet]. 2019 Jul;24(7):2737–44. Available from: http://www.scielo.br/ scielo.php?script=sci_arttext&pid=S1413- 81232019000702737&tlng=en DOI: 10.1590/1413-81232018247.18752017
Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol [Internet]. 2011 Apr;39(2):105–
FISDL. Mapa de pobreza: Tomo I, Política social y focalización, mapa de El Salvador por condición de extrema pobreza, San Salvador, El Salvador. [Internet]. San Salvador; 2005. 35 p. Available from: http: //www.f isdl.gob.sv/temas-543/ mapa-de-pobreza
FAGRELL TG, LINGSTRÖM P, OLSSON S, STEINIGER F, NORÉN JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralization. Int J Paediatr Dent [Internet]. 2008 Sep;18(5):333– 40. Available from: http://doi.wiley. com/10.1111/j.1365-263X.2007.00908.x DOI: 10.1111/j.1365-263X.2007.00908.x
Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent [Internet]. 2002 Feb 1 [cited 2020 Oct 1];12(1):24–32. Available from: http://doi.wiley.com/10.1046/j.0960- 7439.2001.00318.x DOI: 10.1046/j.0960- 7439.2001.00318.x
Ghanim A, Elfrink M, Weerheijm K, Mariño R, Manton D. A practical method for use in epidemiological studies on enamel hypomineralisation. Eur Arch Paediatr Dent [Internet]. 2015 Jun 28;16(3):235–46. Available from: http:// link.springer.com/10.1007/s40368-015- 0178-8 DOI: 10.1007/s40368-015-0178-8
Kratunova E, Silva D. Pulp therapy for primary and immature permanent teeth: An overview. Gen Dent [Internet]. 2018;66(6):30–8. Available from: https:// europepmc.org/article/med/30444704 PMID: 30444704
Fagrell TG, Dietz W, Jälevik B, Norén JG. Chemical, mechanical and morphological properties of hypomineralized enamel of permanent first molars. Acta Odontol Scand [Internet]. 2010 Jul 14;68(4):215–22. Available from: http://www.tandfonline. com/doi/full/10.3109/00016351003752395 DOI: 10.3109/00016351003752395
Gill DS, Lee RT, Tredwin CJ. Treatment Planning for the Loss of First Permanent Molars. Dent Update [Internet]. 2001 Jul 2;28(6):304–8. Available from: http://www. magonlinelibrary.com/doi/ 10.12968/ denu.2001.28.6.304 DOI: 10.12968/ denu.2001.28.6.304
Alicia Vallejos-Sánchez A, Eduardo Medina-Solís C, Fernando Casanova- Rosado J, Maupomé G, José Casanova- Rosado A, Minaya-Sánchez M. Defectos del esmalte, caries en dentición primaria, fuentes de fluoruro y su relación con caries en dientes permanentes. Gac Sanit [Internet]. 2007 May;21(3):227–34. Available from: https:// linkinghub.elsevier.com/retrieve/pii/ S0213911107720101 DOI: 10.1157/13106806
Ferreira FM, Gomes MC, Granville-Garcia AF, Santin GC, Pintarelli TP, Feltrin J, et al. How much does household food insecurity explain income inequalities in untreated dental caries? Int J Paediatr Dent [Internet]. 2019 May;29(3):325– 31. Available from: http://doi.wiley. com/10.1111/ipd.12471 DOI: 10.1111/ipd.12471
International Association of Paediatric Dentistry. Caries Risk Assessment and Care Pathways: Foundational Articles and Consensus Recommendations, 2020. 2020;2019–20. Available from: https: //iapdworld.org/wp - content/ u p l o a d s / 2 0 2 0 / 0 4 / 0 1 _C a r i e s - R i s k - Assessment-and-Care-Pathways.pdf
Moynihan P, Makino Y, Petersen PE, Ogawa H. Implications of WHO Guideline on Sugars for dental health professionals. Community Dent Oral Epidemiol [Internet]. 2018 Feb;46(1):1–7. Available from: http://doi.wiley.com/10.1111/ cdoe.12353 DOI: 10.1111/cdoe.12353
APD. Definition of Dental Neglect. Pediatr Dent [Internet]. 2016;38(6):13. Available from: https://www.aapd.org/research/ oral-health-policies--recommendations/ dental-neglect/#:~:text=Dental neglect is willful failure,freedom from pain and infection
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
