Resumo

MIYATA, Larissa Bortoletto; BONINI, Gabriela Cunha; CALVO, Ana Flávia Bissoto  e  POLITANO, Gabriel Tilli. Esthetic and functional rehabilitation in patient with severe childhood caries: case report. Rev. Assoc. Paul. Cir. Dent. [online]. 2014, vol.68, n.1, pp. 22-29. ISSN 0004-5276.

The Early Childhood Caries (ECC) is a multifactorial disease that affects preschool children, being its most aggressive form known as Severe Childhood Caries (SCC). The present work aimed to describe the clinical case of aesthetic and functional rehabilitation of a female patient, 3 years and 6 months of age, affected by SCC. An initial step of adequacy of oral environment involved the draining of periapical abscess on the element 61, endodontic treatment of upper incisors, sealing of the cavities and realization of sealants with glass ionomer cement (GIC) of high viscosity, as well as guidelines about the importance of good eating habits and sanitation in the stoppage of caries, across motivational approaches and seeking family´s awareness about their responsibility in the management of dental caries. Aesthetic reconstruction of upper incisors came through the usage of intra-radicular posts and composite resin, with the aid of strip crowns. It was used the same resin for the restoration of lower molars. The proposed treatment allowed to re¬establishment of the masticatory function and smile's aesthetics, thus promoting the satisfaction with the result obtained, demonstrated by the child and her family. Rehabilitation treatment in children affected by SCC can be performed in dental office and with the use of direct restorative techniques, being possible to obtain satisfactory aesthetic result and promote the general health and well¬ being to the patient and the family.

Palavras-chave : child health; dental caries.