Comprehensive Treatment for Children 6 Years Old With Early Childhood Caries

Abstract

Background : Dental caries is still one of the most common problems in Indonesia, not only in adults but also in children. The prevalence of dental caries in Indonesian primary schools is almost 60-80%. Caries is a multifactorial disease caused by host (teeth), microorganism, carbohydrates, and time. Early childhood caries (ECC) is one of the most prevalent diseases in children worldwide. ECC driven by oral microorganism which is mainly caused by sugar rich-foods. In addition, poor oral hygiene and removal of dental plaque leads to the rapid development of ECC.The goal of this treatment is to prevent malocclusion of the teeth and maintain the growth and development of the child. Case report : A6-year-old girl with ECC and poor oral hygiene is given comperhensive treatment, such as restoration, endodontic treatment, extraction and space management. Conclusion: Comperhensive treatment was successful and both patient and parent were satisfied with the treatment.This can be seen from the plaque control of the child before and after the toothbrush during the visit and the space available for replacement teeth is sufficient. The pre-toothbrush control at the February 2020 visit was 25% and then the toothbrush 19%, which were 75% and 35.5% previously.

Management of Primary Tooth in Agenesis of Lateral Incisor of Upper Jaw

“…Karies gigi melibatkan proses kompleks dari demineralisasi dan remineralisasi struktur gigi yang dapat terjadi akibat adanya produksi asam dari mikroorganisme plak gigi. [11][12][13] Perawatan yang dapat dilakukan pada kasus ini yaitu mempertahankan gigi persistensi dengan melakukan restorasi pada karies yaitu dengan perawatan preventif dan resto-ratif. Perawatan restoratif meliputi tindakan restoratif pada gigi yang mengalami karies dengan tujuan untuk memperbaiki kerusakan akibat karies, melindungi, dan mencegah kerusakan pada pulpa dan struktur gigi, mengurangi gejala dan nyeri, mengembalikan fungsi, memperbaiki estetik, mendukung oral hygiene yang baik serta mempertahankan ruang dan lengkung gigi.…”

“…Manajemen yang berhasil dari masalah karies membutuhkan informasi riwayat dental dan medis yang cermat dan lengkap, program pencegahan yang komprehensif, penerapan prinsip-prinsip yang baik dari kedokteran gigi restoratif, dan penetapan jadwal kunjungan secara teratur untuk meningkatkan pemeliharaan karies gigi dan penekanan kembali prosedur pencegahan. 11,[17][18][19][20]…”