Therapeutic guidance given at the Brazilian specialization courses on pedodontics for the severe early childhood caries

• Autor(a) principal: Leal, Soraya Coelho
• Data de Publicação: 2004
• Outros Autores: Barreto Bezerra, Ana Cristina, de Toledo, Orlando Ayrton
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista da ABENO (Online)
• Texto Completo: https://revabeno.emnuvens.com.br/revabeno/article/view/1502
• topic: Pedodontics. Dental caries. Dentist’s pratice patterns. Dental materials.; Odontopediatria. Cárie dentária. Condutas na prática dos dentistas. Materiais dentários

This study aimed to assess the different protocols drawn up at Brazilian specialization courses on pedodontics to treat severe early childhood caries (S-ECC). All courses registered in the Federal Council of Dentistry (46) by January 2003 received an eight-question questionnaire to be answered. This questionnaire regarded the clinical decisions in the treatment of SECC. Twenty-four questionnaires (52.17%) were answered. The data were analyzed and displayed in graphs. The results showed that physical restraint is indicated by 83.3% of the courses, and that 58.3% of the courses indicate the use of silver diamine fluoride as a cariostatic solution. Pulpotomy is indicated by 100% of the courses and diluted formocresol (62.5%) is the indicated material. Pulpectomy is indicated by 92% of the courses. The most used irrigation solution is 0.05% sodium hypochlorite (Dakin 62.5%), and a paste with corticosteroid, camphorated parachlorophenol and iodoform is indicated for use as filling material (45.8%). Fluoride is commonly indicated for prevention by 91.6% of the courses, although there is great variation concerning the vehicle and concentrations. Dietary counseling is performed based on dietary habits in 54.2% of the courses. It was concluded that the therapeutic procedures for S-ECC need to be better discussed by the faculty of all specialization courses on pedodontics in Brazil. Although the techniques were similar, there was a considerable diversity concerning the choice of materials. The study and creation of a standardized protocol is suggested to facilitate the use of suitable techniques for the treatment and prevention of S-ECC.