Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C
Objective. This case report describes the changes in caries risk and activity and dental treatment of a 9-year-old patient who presented with signs and symptoms of Niemann-Pick disease type C (NPC). Treatment. The preventive dental treatment included instructions to caregivers for oral hygiene and d...
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doaj-f3b9465904f143c584613a148a7c92452021-07-02T05:29:06ZengHindawi LimitedCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/571098571098Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type CKéssia Suênia Fidelis Mesquita-Guimarães0Andiara De Rossi1Aldevina Campos Freitas2Paulo Nelson-Filho3Raquel Assed da Silva4Alexandra Mussolino de Queiroz5Department of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilDepartment of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilDepartment of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilDepartment of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilDepartment of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilDepartment of Pediatric Clinics Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n, Monte Alegre, 14040-904 Ribeirão Preto, SP, BrazilObjective. This case report describes the changes in caries risk and activity and dental treatment of a 9-year-old patient who presented with signs and symptoms of Niemann-Pick disease type C (NPC). Treatment. The preventive dental treatment included instructions to caregivers for oral hygiene and diet. A calcium hydroxide pulpotomy and restorative dental treatments were performed in a dental office with desensitization techniques and behavioral management. The patient was attended every 3 months for the control of dental plaque biofilm, for topical fluoride application, and for observing the pulpotomized tooth. Results. The bacterial plaque biofilm was being adequately controlled by the caregiver. After 2 years, the clinical and radiographic examination of the pulpotomized tooth showed the absence of internal root resorption and bone rarefaction, and clinical examination showed tooth sensitivity, dental pain, and gingival swelling. Conclusion. The pulpotomy prevented clinical and radiographic success. Dentists must be aware of and be able to identify systemic and local aspects associated with caries risk of children with NPC disease. Furthermore, dentists must employ stringent preventive measures and provide instructions to caregivers to reduce caries risk.http://dx.doi.org/10.1155/2015/571098 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Késsia Suênia Fidelis Mesquita-Guimarães Andiara De Rossi Aldevina Campos Freitas Paulo Nelson-Filho Raquel Assed da Silva Alexandra Mussolino de Queiroz |
spellingShingle |
Késsia Suênia Fidelis Mesquita-Guimarães Andiara De Rossi Aldevina Campos Freitas Paulo Nelson-Filho Raquel Assed da Silva Alexandra Mussolino de Queiroz Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C Case Reports in Dentistry |
author_facet |
Késsia Suênia Fidelis Mesquita-Guimarães Andiara De Rossi Aldevina Campos Freitas Paulo Nelson-Filho Raquel Assed da Silva Alexandra Mussolino de Queiroz |
author_sort |
Késsia Suênia Fidelis Mesquita-Guimarães |
title |
Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C |
title_short |
Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C |
title_full |
Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C |
title_fullStr |
Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C |
title_full_unstemmed |
Changes in Caries Risk and Activity of a 9-Year-Old Patient with Niemann-Pick Disease Type C |
title_sort |
changes in caries risk and activity of a 9-year-old patient with niemann-pick disease type c |
publisher |
Hindawi Limited |
series |
Case Reports in Dentistry |
issn |
2090-6447 2090-6455 |
publishDate |
2015-01-01 |
description |
Objective. This case report describes the changes in caries risk and activity and dental treatment of a 9-year-old patient who presented with signs and symptoms of Niemann-Pick disease type C (NPC). Treatment. The preventive dental treatment included instructions to caregivers for oral hygiene and diet. A calcium hydroxide pulpotomy and restorative dental treatments were performed in a dental office with desensitization techniques and behavioral management. The patient was attended every 3 months for the control of dental plaque biofilm, for topical fluoride application, and for observing the pulpotomized tooth. Results. The bacterial plaque biofilm was being adequately controlled by the caregiver. After 2 years, the clinical and radiographic examination of the pulpotomized tooth showed the absence of internal root resorption and bone rarefaction, and clinical examination showed tooth sensitivity, dental pain, and gingival swelling. Conclusion. The pulpotomy prevented clinical and radiographic success. Dentists must be aware of and be able to identify systemic and local aspects associated with caries risk of children with NPC disease. Furthermore, dentists must employ stringent preventive measures and provide instructions to caregivers to reduce caries risk. |
url |
http://dx.doi.org/10.1155/2015/571098 |
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