Azmi Mohammad Shafae, Pankey Neha, Chandak Manoj, Yeluri Ramakrishna, Sontakke Priyanka D, Ravi Rahul
Department of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Sep 29;16(9):e70427. doi: 10.7759/cureus.70427. eCollection 2024 Sep.
This case report details the comprehensive management of a six-year-old child diagnosed with early childhood caries (ECC), a prevalent condition affecting young children. The patient presented with acute pain in the lower left quadrant of the jaw, specifically involving the deciduous mandibular first molar (tooth D), which exhibited Class II caries. A prompt intervention was necessary to prevent further decaying of the tooth and manage the child's discomfort. The treatment strategy focused on a minimally invasive approach, beginning with the application of silver diamine fluoride (SDF) to arrest the progression of dental caries. SDF is known for its efficacy in halting carious lesions and providing immediate pain relief, making it a suitable option for young patients. Following the stabilization of the carious lesion, a stainless steel crown (SSC) was placed over the affected tooth. This restoration not only preserved the structural integrity of the tooth but also restored the masticatory function and maintained an aesthetic appearance, which is crucial for the child's overall oral health and development. This case highlights the effectiveness of combining SDF treatment with SSC placement in managing ECC, thus providing a durable solution that offers both pain relief and long-term protection against further carious activity. The chosen method underscores the importance of early intervention and the use of child-friendly restorative techniques in pediatric dentistry.
本病例报告详细介绍了一名六岁儿童的综合治疗情况，该儿童被诊断患有幼儿龋齿（ECC），这是一种影响幼儿的常见病症。患者下颌左象限出现急性疼痛，具体涉及下颌第一乳磨牙（D 牙），该牙呈现 II 类龋齿。需要迅速干预以防止牙齿进一步龋坏并缓解患儿的不适。治疗策略侧重于微创方法，首先应用氟化银胺（SDF）来阻止龋齿进展。SDF 以其阻止龋损进展和立即缓解疼痛的功效而闻名，使其成为年轻患者的合适选择。在龋损稳定后，在患牙上放置了不锈钢冠（SSC）。这种修复不仅保留了牙齿结构的完整性，还恢复了咀嚼功能并保持了美观外观，这对儿童的整体口腔健康和发育至关重要。本病例突出了将 SDF 治疗与 SSC 放置相结合在管理 ECC 方面的有效性，从而提供了一种既能缓解疼痛又能长期防止进一步龋坏活动的持久解决方案。所选用的方法强调了早期干预以及在儿童牙科中使用对儿童友好的修复技术的重要性。
