Case Report: Treatment and management of a child at high risk of caries

Wen Fan; Qianjing Chen; Yushan Zhang; Jixian Feng; Yuankun Zhai; Baojie He

doi:10.3389/fped.2023.1103386

Case Report: Treatment and management of a child at high risk of caries

Front Pediatr. 2023 Oct 23:11:1103386. doi: 10.3389/fped.2023.1103386. eCollection 2023.

Authors

Wen Fan^{1

2}, Qianjing Chen^{1

2}, Yushan Zhang^{1

2

3}, Jixian Feng^{1

2

4}, Yuankun Zhai^{1

2

5}, Baojie He^{1

2}

Affiliations

¹ School of Stomatology, Henan University, Kaifeng, China.
² Henan University Seth Stomatological Hospital, Zhengzhou, China.
³ Department of Stomatology, Weinan Central Hospital, Weinan, China.
⁴ Department of Stomatology, the Second Affiliated Hospital of Shandong First Medical University, Tai'an, China.
⁵ Kaifeng Key Laboratory of Periodontal Tissue Engineering, Kaifeng, China.

Abstract

Introduction: Caries are at the forefront of childhood diseases. Although childhood caries is usually not life-threatening, it can affect children's dental-maxillofacial development and mental health and place significant financial and psychological burdens on parents. As the focus of childhood dental caries shifts to early diagnosis and prevention rather than restorative dentistry alone, screening children at a high risk of dental caries is urgent. Appropriate caries prevention measures and treatment sequences can effectively reduce the occurrence and development of dental caries in children.

Case: We report the case of a 7-year-old boy presenting with a high risk of dental caries involving multiple primary teeth and premature eruption of the permanent teeth. We shifted the caries status of the child from high to moderate likelihood. At the 9-month post-treatment follow-up, the patient had no new dental caries, and the length and width of the dental arch were effectively maintained.

Conclusion: Oral health education, dental plaque removal in a regular basis, and fluoride application contribute to caries management.

Keywords: caries management; caries risk assessment; case report; high caries risk; premature eruption.

Publication types

Case Reports

Grants and funding

This work was supported by grants from the Natural Science Foundation of Education Department of Henan Province, China (No. 21A320004), the Foundation of National Health Commission of Henan Province, China (No. Wjlx2020017), the Foundation of Educational Administration Department of Henan University, China (No. HDXJJG2020-83), the Foundation of Science & Technology Department of Luoyang City, Henan Province, China (No. 2101065A), and the Foundation of Science & Technology Department of Kaifeng City, Henan Province, China (No. 2203015).