sever early childhood caries and multiple extracted teeth

1. Pediatric
dentistry
(08612(

2. alamaminajma@yahoo.com
Benghazi / Libya

4. Patient name : Salma Abd Alsalam Mohamed
Age : 5years .
Sex : female
Birth date :20 / 8 / 2008
Phone : 01284298886
Address : Abohomes
Order among sibling : 1st
 Father occupation : own s worker
Mother occupation : housewife
Personal history

5. chief complain
multiple missing
teeth cause
difficulty in eating .
(mother’s own words).

6. Previous dental history
((Mother’s own words(Mother’s own words((

7. medical history
Does child have: Yes no
Rheumatic fever √
Diabetes √
Kidney disorder √
Heart disorders √
Seizures √
Hepatitis or AIDS √
Bleeding problem √
Breathing problems √

8. Examination of head and neck
and
extremities
normal abnormal
Facial swelling or asymmetry √
TMJ √
Eyes √
Nose √
Lymph nodes √
Fingers and nails √
bilateral submandibular lymph node ,
palpable and tender
Swelling in lower right side

9. Intra oral
examinatio
n
normal abnormal
Lips √
Labial & buccal mucosa √
gingiva √
tongue √
palate √
NO abnormality
mentioned

10. Assessment of oral hygiene
( plaque index - Silness and Loe index(
Tooth Surface score
55 Labial 3
72 Lingual 2
75 Lingual 2
Plaque index score:
)3+2+2(I 3= 2.33
poor

11. Extra oral
examination:
normal abnormal
gait √
Hair √
Weight √
Stature √
Hands & finger nails √
NO abnormalitymentioned

12. Frontalfacialprofile
(( Asymmetrical
((

13. Right
Lateral
facial profile
( straight
(

14. occlusion
 no midline deviation
 unrecordable Over jet
 unrecordable Overbite

15. Behavioral assessment
cooperative ..
according to Frankl’s
scale and Wright’s
modifications
Rating 3 >>>
(+ve)

16. Lef
t
Lef
t
righ
t
righ
t
occlusionocclusion
Class I
Class I
Flush terminal
Flush terminal

17. Dental examinationMultiple surfaces
caries
Class V
Badly
decayed
Class I
caries with
DAAMultiple
surfaces
caries
Class I caries
Multiple surfaces
caries
Class III caries

18. Dental examination
Dental Charting
47 46 45 44 43 42 41 31 32 33 34 35 36 37
5
5
54 53 52 5
1
6
1
62 63 6
4
6
5
8
5
84 83 82 8
1
7
1
72 73 7
4
7
5
17 16 15 14 13 12 11 21 22 23 24 25 26 27
class I
class I with DAA
Multiple
surfaces
caries
Multiple surfaces caries
Badly Decayed
with DAA

19. Investigation
Bite wing x-ray

20. Investigation
Study cast

21. Diagnosis
Salma Abd Alsalam Mohamed 5years old
girl is suffering from ( sever early
childhood caries and multiple
extracted teeth ) .

22. Proble
m List
Poor oral
hygiene(2.33)

24. 1st
Visit:
1) Medical and dental history.
2) Extra oral and Intra oral Examination.
3) Preoperative Radiographs ,Photographs
and study cast.
4) Bite wing x ray .
5) Diagnosis .
6) Oral hygiene instruction.
7) Topical fluoride .

26. 2)Restorative Phase
Composite
restoration Composite
restoration
Composite
restoration
SSC ON deep
caries
NANCE SM
with anterior
teeth

27. Pulpectomy
& SSC
Pulpectomy
& SSC
composite restoration
( slot mesially and distally
AND CLASS v(

28. 3)Maintenance Phase
Recall after one week to check the
appliances .
 Periodic follow up every 2weeks for
Reinforcement of OHI.
Topical fluoride application every 3 months
Follow up of restorations .
Detection & restoration of any carious lesions.
Band and loop SM post pounded until check the
integrity of pulpectomy and SSC >> BECAUSE
#75 ,#85 was very mobile due to infection .
Anticipatory guidance

29. Nance space maintainer was inserted to maintain
space for eruption of incisors ,canine and
premolar.
 Check integrity of all restorations.
Insert band and loop SM .
Check any new lesions or any defect in restoration.
Check space maintainer appliances.
Check occlusion development.

30.  SM will be removed
after eruption of
permanent first
molars, canine and
premolars.
Detect any abnormal
sequence of eruption
of all the permanent
dentition..

32. ‫الطفل‬ ‫اسنان‬ ‫صحة‬ ‫على‬ ‫للمحافظة‬ ‫تعليمات‬
1)‫جيدا‬ ‫بالفرشة‬ ‫المسافة‬ ‫حافظ‬ ‫مع‬ ‫كلها‬ ‫النسنان‬ ‫غسل‬
‫النسنان‬ ‫على‬ ‫الكل‬ ‫فضل ت‬ ‫ترك‬ ‫وعدم‬
2)‫ان‬ ‫إلى‬ ‫الفم‬ ‫في‬ ‫وجوده‬ ‫نسيستمر‬ ‫المسافة‬ ‫لحافظ‬ ‫بالنسبة‬
‫وتاخذ‬ ‫المامية‬ ‫والنسنان‬ ‫والينياب‬ ‫الضواحك‬ ‫تظهر‬
.. ‫إزالته‬ ‫نسيتم‬ ‫ذلك‬ ‫وبعد‬ ‫الصحيح‬ ‫مكاينها‬
3)‫من‬ ‫للتأكد‬ ‫انسبوع‬ ‫كل‬ ‫دورية‬ ‫زيارة‬ ‫هناك‬ ‫تكون‬ ‫نسوف‬
‫اللقصقة‬ ‫المادة‬ ‫لتفقد‬ ‫اشهر‬ ‫ةثلةثة‬ ‫وكل‬ ,‫النسنان‬ ‫غسل‬
‫السادا ت‬ ‫تواجد‬ ‫من‬ ‫للتأكد‬ ‫وكذلك‬ ‫و‬ ‫المسافا ت‬ ‫لحافظ‬
‫ظهر ت‬ ‫التى‬ ‫عالنسنان‬ ‫ووضعها‬ ‫النسنان‬ ‫على‬ ‫اللقصقة‬
‫مؤخرا‬
4)‫كل‬ ‫وتكرراها‬ ‫النسنان‬ ‫على‬ ‫فلوريد‬ ‫طبقة‬ ‫وضع‬3. ‫اشهر‬

33. Befor
e Afte
r
Afte
r

34. Before after 2 weeks
During
follow up

35. BeforeBefore after 2 weeks
During
follow up

36. Before
During
follow
up

37. Before after 2 week
During
follow
up

38. Post op x ray