RESUMO
Aim: the aim of this study is to report a case of a four-year-old male patient diagnosed with Osteogenesis Imperfecta (OI) type V and the dental care performed. Material and method: the patient has been monitored by a multidisciplinary team composed by Pediatric Dentistry, Nurse and Nutritionist at a Special Patients Center in Dentistry Hospital on the Federal University of Uberlândia since one month of life. It was reported that a child had already suffered several bone fractures and currently he has been using calcium carbonate, D vitamin and pamidronate. Results: the proposed intervention was dental preventive strategies by parental education, caries risk assessment and controlling the dental biofilm with professional prophylaxis. But, due to the uncooperative behavior, it was used the active protective stabilization technique and mouth opener. Conclusion: it was concluded that due to the bone fragility and the risk of fractures, it is important a careful placement of the patient on the dental chair. Also, the correct use of basic auxiliary devices and advanced techniques of behavior management were relevant.
Objetivo: relatar caso de paciente do sexo masculino, com quatro anos de idade, diagnosticado com Osteogênese Imperfeita (OI) tipo V e os cuidados odontológicos realizados. Material e método: O paciente foi acompanhado por equipe multidisciplinar composta por Odontopediatra, Enfermeira e Nutricionista de um Centro Especial de Pacientes do Hospital Odontológico da Universidade Federal de Uberlândia desde um mês de vida. Foi relatado que a criança já havia sofrido várias fraturas ósseas e atualmente está usando carbonato de cálcio, vitamina D e pamidronato. Resultado: a intervenção proposta foi de estratégias preventivas odontológicas por educação dos pais, avaliação do risco de cárie e controle do biofilme dental com profilaxia profissional. Porém, devido ao comportamento não cooperativo, utilizou-se a técnica de estabilização protetora ativa e o abridor de boca. Conclusão: concluiu-se que, devido à fragilidade óssea e ao risco de fraturas, é importante uma colocação cuidadosa do paciente na cadeira odontológica. Além disso, o uso correto de dispositivos auxiliares básicos e técnicas avançadas de gerenciamento de comportamento foram relevantes.
RESUMO
Objective: To assess the perception of mothers on the importance of deciduous teeth and correlate with eating habits, oral hygiene and infant oral health status (presence or absence of early childhood caries - ECC). Material and Methods: Study's participants were 80 mothers of children of both genders, from two to five years old, with and without severe ECC. The mothers were divided into two groups according to the child's oral health. A questionnaire at the form of an interview was applied to mothers with questions on sociodemographic characteristics, eating habits and oral hygiene, and the importance of primary teeth. Mothers were asked to respond according to a Likert scale modified "strongly agree", "partially agree", "partially disagree" and "strongly disagree". The data about oral health status of the child (absence or presence of ECC) were collected from dental records. Results: It was observed that in relation to scores of oral hygiene and eating habits and the importance of primary teeth, the predominance was observed of scores above 10 points, 56.3%, 93.8% e 92.5%, respectively. For the two groups there was no significant difference. Conclusion: The largest number of preschool children's mothers that have ECC do not know the importance of primary tooth and the important functions it performs. There was no correlation between eating habits, oral hygiene and infant oral health status.