A Complete Treatment Plan for a Pediatric Patient

8/3/2019 A Complete Treatment Plan for a Pediatric Patient

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Naputol ang ngipin nya habang naglalaro.



The child·s medical history is reviewed and

found to be significant for multiple instances

of acute otitis media. Patient has needed

multiple courses of antibiotics for thetreatment of ear infections.



As part of the initial examination, a caries

risk assessment is performed.

Oral hygiene consists of the parents brushing

the patients teeth once per day in themorning with non-fluoridated toothpaste.

They are not flossing her teeth. Patient lives

in a fluoridated community.

Dietary history is significant for 2-3 betweenmeal snacks of crackers and gummies and 2-3

cups of apple juice per day



The maxillary left incisor has an incisal facial

lingual dentin enamel fracture with carious

dentin.

The tooth erupted with a brown spot which

broke off at the time of injury² apparently

this tooth had a hypoplastic/hypocalcified

area.



Clinical examination found on the occlusal of

tooth #85 and decalcification on the occlusal

pit of tooth #75



Mild marginal gingivitis on the lingual of the

mandibular second molars.

Complete primary dentition

Mild calculus deposits on the lingual of themandibular incisors.



Fractured tooth #61

Normal PDL

Normal Pulp Space

Normal root shape

Normal development



Bitewing Radiographs

Occlusal caries on tooth #85



The patient is initially apprehensive but with

appropriate behavior guidance techniques,

she calms and is cooperative during the

appointment.

Techniques used: Tell, show, do and

distraction.



Uncomplicated crown fracture of central

incisor

Early childhood dental caries

High Caries Risk: This child is high risk foradditional carious lesions to develop due to

inadequate oral hygiene, suboptimal fluoride

exposure, and cariogenic dietary habits.



Radiographs

Prophylaxis (scaling)

Flouride Application



Parent is informed of the association

between frequency of carbohydrates and

cariogenic bacteria which produces acids

that can cause cavities, especially withinadequate oral hygiene practices.



The parent is instructed to brush the

patient·s teeth with a pea-sized amount of

fluoridated toothpaste at least twice per day.

Encouraged the drinking of fluoridated water.A three month recall is scheduled to assess

changes in diet, hygiene, and flouride use

and to apply fluoride varnish in this high risk

patient.



Informed consent is obtained for restorative

treatment with the use of local anesthesia as

well as behavior management/guidance.

The restorative plan includes the use if glassinomer in the cavitated molar, sealant on the

white spot lesion, and composite for the

incisor.

A Complete Treatment Plan for a Pediatric Patient

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