Enfoque multidisciplinar de los defectos del esmalte en un paciente pediátrico: Reporte de Caso.

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Bibliographic Details
Title:	Enfoque multidisciplinar de los defectos del esmalte en un paciente pediátrico: Reporte de Caso.
Alternate Title:	Multidisciplinary approach to enamel defects in a pediatric patient: A case report.
Authors:	Del Carmen Peña-Barraza, Isabel¹ marine.ortiz@uaslp.mx, Garrocho-Rangel, Arturo², Pozos-Guillén, Amaury³, Gabriela Chuc-Gamboa, Martha³, Ortiz-Magdaleno, Marine¹
Source:	Odontología Pediátrica. jul-dic2023, Vol. 22 Issue 2, p14-24. 13p.
Abstract (English):	Objective: This case report with a multidisciplinary approach describes the clinical diagnosis and treatment of a male pediatric patient with yellowish-brown stains and pitted teeth associated with type IV hypoplastic amelogenesis imperfecta and dark brown irregular stain associated with dental fluorosis. Case report: The clinical manifestations of these disorders were a source of harassment and bullying by the child's classmates. The treatment plan involved a pediatric dentist, a restorative dentist and a child psychologist. The focus of the restorative dental treatment was to improve function and esthetics. The teeth affected by amelogenesis were restored with injectable composite resin and the microabrasion technique was used on the enamel affected by fluorosis. The patient and his parents were referred for therapy with a pediatric psychologist because of the bullying suffered. The results showed adequate restoration of the enamel affected by amelogenesis imperfecta; however, microabrasion was not able to eliminate dental fluorosis because of the depth of the lesions. Conclusion: The treatment eliminated tooth sensitivity of the affected teeth and improved his smile. Psychological therapy and parental support were key factors in improving his quality of life, with positive effects on his self-esteem. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Este reporte de caso con enfoque multidisciplinario describe el diagnóstico clínico y tratamiento de un paciente pediátrico masculino con manchas de color marrón amarillento en sus dientes por amelogénesis imperfecta hipoplásica tipo IV y manchas irregulares blanco-marrones calcáreas por fluorosis dental. Reporte de caso: Las características clínicas de estas afectaciones son motivo de acoso verbal por sus compañeros de clase. En el plan de tratamiento intervino el odontopediatra, odontólogo restaurador y el psicólogo infantil. El enfoque restaurador dental fue funcional y estético. Se colocaron resinas inyectadas en los dientes afectados por la amelogénesis y microabrasión en el esmalte afectado por la fluorosis. Se refirió al paciente y los padres a terapia con el psicólogo infantil. Los resultados obtenidos mostraron una biomimetización adecuada del esmalte afectado por la amelogénesis imperfecta; sin embargo, la microabrasión no logró eliminar por completo los efectos de la fluorosis, debido a la profundidad de las lesiones. Conclusión: El tratamiento realizado eliminó la sensibilidad dental de los dientes afectados y favoreció la apariencia estética de la sonrisa del paciente. La terapia psicológica y el apoyo de los papás fueron factores claves que favorecieron la calidad de vida y brindaron efectos positivos en la autoestima del paciente. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: This case report with a multidisciplinary approach describes the clinical diagnosis and treatment of a male pediatric patient with yellowish-brown stains and pitted teeth associated with type IV hypoplastic amelogenesis imperfecta and dark brown irregular stain associated with dental fluorosis. Case report: The clinical manifestations of these disorders were a source of harassment and bullying by the child's classmates. The treatment plan involved a pediatric dentist, a restorative dentist and a child psychologist. The focus of the restorative dental treatment was to improve function and esthetics. The teeth affected by amelogenesis were restored with injectable composite resin and the microabrasion technique was used on the enamel affected by fluorosis. The patient and his parents were referred for therapy with a pediatric psychologist because of the bullying suffered. The results showed adequate restoration of the enamel affected by amelogenesis imperfecta; however, microabrasion was not able to eliminate dental fluorosis because of the depth of the lesions. Conclusion: The treatment eliminated tooth sensitivity of the affected teeth and improved his smile. Psychological therapy and parental support were key factors in improving his quality of life, with positive effects on his self-esteem. [ABSTRACT FROM AUTHOR]
ISSN:	1814487X