Interdisciplinary approach between dentistry and speech language pathology in treatment of children with early childhood caries/Atuacao interdisciplinar odontologia/fonoaudiologia no tratamento de paciente com carie precoce da infancia

• Published in: Revista CEFAC Vol. 17; no. 2; p. 595
• Main Authors: Inagaki, Luciana Tiemi, de Almeida Prado, Daniela Galvao, Iwamoto, Alexsandra Shizue, Neto, Joao Sarmento Pereira, Gaviao, Maria Beatriz Duarte, Puppin-Rontani, Regina Maria, Pascon, Fernanda Miori
• Format: Journal Article
• Language: Spanish
• Published: CEFAC - Associacao Institucional em Saude e Educacao 01.03.2015
• ISSN: 1516-1846
• DOI: 10.1590/1982-0216201510014

The interdisciplinary integration between dentistry and speech therapy can provide adequate treatment of dental and myofunctional alterations. This case report presented the dental treatment of children with three years old with early childhood caries, premature loss of the primary maxillary incisors due trauma, esthetic and functional rehabilitation and speech therapy. The dental care proceeding was oral hygienic instructions, dietary recommendations and dental restoration with resin composite due to caries lesions in teeth 64, 84, 85, 74 and 75 (occlusal surface) and 51, 61, 52 and 62 (smooth surface). After one year of follow-up, the teeth 51 and 61 were extracted (dental trauma history in first appointment), because the teeth presented extensive external reabsorption. Subsequently, esthetic and functional space maintainer was placed in the upper anterior region. Speech evaluation was performed using the MBGR protocol (orofacial myofunctional), where was analyzed the orofacial functions, mobility and muscular tone. The scores were attributed for each item available in the protocol. Thus, the difficult of lips and tongue were confirmed, the cheek tonus were reduced and alterations in the speech. The speech therapy was established during three month once a weekly and this improved of all aspects changed with confirmation of adequate scores of MBRG protocol. In the dentistry treatment was observed satisfactory clinical results for children and parents. It was concluded that interdisciplinary approach between dentistry and speech therapy provided adequate treatment for oral conditions presented by children providing oral health and favorable prognosis. KEYWORDS: Dental Caries; Tooth Avulsion; Tooth, Deciduous; Pediatric Dentistry; Speech, Language and Hearing Sciences; Myofunctional Therapy A integracao interdisciplinar entre odontologia e fonoaudiologia pode proporcionar tratamento adequado das alteracoes dentarias e miofuncionais. Este relato de caso clinico apresenta o tratamento odontologico em crianca com tres anos de idade com carie precoce da infancia leve, com consequente perda dos incisivos centrais superiores devido a trauma, a reabilitacao estetica e funcional e tratamento fonoaudiologico. Os procedimentos clinicos odontologicos foram instrucao de higiene bucal, aconselhamento dietetico e realizacao das restauracoes com resina composta devido ao acometimento por lesao cariosa dos dentes 64, 84, 85, 74, 75 (oclusal); e dentes 51,61, 52 e 62 (face vestibular). Apos um ano de preservacao foi realizada a exodontia dos dentes 51 e 61 (com historia de trauma anterior a primeira consulta), devido a reabsorcao externa avancada. Em seguida, mantenedor de espaco estetico-funcional removivel foi colocado na regiao anterior superior. Avaliacao fonoaudiologica foi realizada utilizando o protocolo Miofuncional Orofacial (MBGR), sendo verificadas as funcoes orofaciais, mobilidade e tonus muscular. Foram atribuidos escores para cada item avaliado no protocolo. Confirmou-se dificuldade de mobilidade dos labios e lingua com diminuicao do tonus da bochecha e alteracoes na fala. A terapia fonoaudiologica foi estabelecida durante tres meses com periodicidade semanal, havendo melhora em todos os aspectos alterados, confirmados pela adequacao dos escores do Protocolo MBGR. No tratamento odontologico foram observados resultados clinicamente satisfatorios para a crianca e responsaveis. Concluiu-se que o trabalho interdisciplinar entre a Odontologia e Fonoaudiologia proporcionou tratamento adequado para as condicoes bucais apresentadas pela crianca, proporcionando saude bucal e prognostico favoravel. DESCRITORES: Carie Dentaria; Avulsao Dentaria; Dente Deciduo; Odontopediatria; Fonoaudiologia; Terapia Miofuncional