Therapeutic guidance given at the Brazilian specialization courses on pedodontics for the severe early childhood caries

Autores/as

  • Soraya Coelho Leal Professora Doutora do Departamento de Odontologia da Universidade de Brasília.
  • Ana Cristina Barreto Bezerra Professora Doutora de Odontopediatria do Curso de Odontologia da Universidade Católica de Brasília
  • Orlando Ayrton de Toledo Professor Titular do Departamento de Odontologia da Universidade de Brasília

DOI:

https://doi.org/10.30979/rev.abeno.v4i1.1502

Palabras clave:

Pedodontics. Dental caries. Dentist’s pratice patterns. Dental materials.

Resumen

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.

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Citas

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.

Publicado

02-02-2004

Cómo citar

Leal, S. C., Barreto Bezerra, A. C., & de Toledo, O. A. (2004). Therapeutic guidance given at the Brazilian specialization courses on pedodontics for the severe early childhood caries. Revista Da ABENO, 4(1), 57–62. https://doi.org/10.30979/rev.abeno.v4i1.1502

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