Therapeutic guidance given at the Brazilian specialization courses on pedodontics for the severe early childhood caries
DOI:
https://doi.org/10.30979/rev.abeno.v4i1.1502Keywords:
Pedodontics. Dental caries. Dentist’s pratice patterns. Dental materials.Abstract
This study aimed to assess the different protocols drawn up at Brazilian specialization courses on pedodontics to treat severe early childhood caries (S-ECC). All courses registered in the Federal Council of Dentistry (46) by January 2003 received an eight-question questionnaire to be answered. This questionnaire regarded the clinical decisions in the treatment of SECC. Twenty-four questionnaires (52.17%) were answered. The data were analyzed and displayed in graphs. The results showed that physical restraint is indicated by 83.3% of the courses, and that 58.3% of the courses indicate the use of silver diamine fluoride as a cariostatic solution. Pulpotomy is indicated by 100% of the courses and diluted formocresol (62.5%) is the indicated material. Pulpectomy is indicated by 92% of the courses. The most used irrigation solution is 0.05% sodium hypochlorite (Dakin 62.5%), and a paste with corticosteroid, camphorated parachlorophenol and iodoform is indicated for use as filling material (45.8%). Fluoride is commonly indicated for prevention by 91.6% of the courses, although there is great variation concerning the vehicle and concentrations. Dietary counseling is performed based on dietary habits in 54.2% of the courses. It was concluded that the therapeutic procedures for S-ECC need to be better discussed by the faculty of all specialization courses on pedodontics in Brazil. Although the techniques were similar, there was a considerable diversity concerning the choice of materials. The study and creation of a standardized protocol is suggested to facilitate the use of suitable techniques for the treatment and prevention of S-ECC.Downloads
References
Azevedo TDP. Prevalência da cárie severa em pré-escolares de 36 a 71 meses de idade. Considerações alimentares [Dissertação de Mestrado]. Brasília; Universidade de Brasília; 2001.
Berkowitz RJ. Causes, treatment and prevention of early childhood caries: a microbiologic perspective. J Can Dent Assoc 2003;69(5):304-7.
Bezerra ACB. A adaptação do paciente e o tratamento restaurador traumático. In: Klatchoian DAS. Psicologia aplicada à Odontopediatria. São Paulo: Santos; 2002. p. 339-50.
Evans RW, Stamm JW. An epidemiologic estimate of the critical period during which human maxillary central incisors are most susceptible to fluorosis. J Public Health Dent 1991;51(4):251-9.
Frencken JE, Sogpaisan Y. An atraumatic restorative treatment (ART) technique: evaluation after one year. Int Dent J 1994;44(5):460-4.
Hale KJ. Oral health risk assessment timing and establishment of the dental home. Pediatrics 2003;111(5):1113-6.
Johnsen DC, Gerstenmaier JH, DiSantis TA, Berkowitz RJ. Susceptibility of nursing-caries children to future approximal molar decay. Pediatr Dent 1986;8(2):168-70.
Johnston T, Messer LB. Nursing caries: literature review and report of a case managed under local anesthesia. Aust Dent J 1994;39(6):373-81.
Massara MLA, Alves JB, Brandão PRG. Atraumatic restorative treatment: clinical, ultrastructural and chemical analysis. Caries Res 2002;36(6):430-6.
Peretz B, Ram D, Azo E, Efrat Y. Preeschool caries as an indicator of future caries: a longitudinal study. Pediatr Dent 2003;25(2):114-8.
Rozier RG, Sutton BK, Bawden JW, Haupt K, Slade GD, King RS. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ 2003;67(8):876-85.
Downloads
Published
How to Cite
Issue
Section
License
Autores que publicam nesta revista concordam com os seguintes termos:
a) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
b) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
c) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado (Veja O Efeito do Acesso Livre).