Naputol

ang ngipin nya habang naglalaro.

 The

childs medical history is reviewed and found to be significant for multiple instances of acute otitis media. Patient has needed multiple courses of antibiotics for the treatment of ear infections.

part of the initial examination, a caries risk assessment is performed. Oral hygiene consists of the parents brushing the patients teeth once per day in the morning with non-fluoridated toothpaste. They are not flossing her teeth. Patient lives in a fluoridated community. Dietary history is significant for 2-3 between meal snacks of crackers and gummies and 2-3 cups of apple juice per day
As

 The

maxillary left incisor has an incisal facial lingual dentin enamel fracture with carious dentin.

The

tooth erupted with a brown spot which broke off at the time of injury apparently this tooth had a hypoplastic/hypocalcified area.

 Clinical

examination found on the occlusal of tooth #85 and decalcification on the occlusal pit of tooth #75

marginal gingivitis on the lingual of the mandibular second molars. Complete primary dentition Mild calculus deposits on the lingual of the mandibular incisors.
Mild

 Fractured

tooth #61

Normal

PDL Pulp Space root shape development

Normal

Normal

Normal

 Bitewing

Radiographs Occlusal caries on tooth #85

 The

patient is initially apprehensive but with appropriate behavior guidance techniques, she calms and is cooperative during the appointment. used: Tell, show, do and

Techniques

distraction.

 Uncomplicated

crown fracture of central

incisor Early childhood dental caries High Caries Risk: This child is high risk for additional carious lesions to develop due to inadequate oral hygiene, suboptimal fluoride exposure, and cariogenic dietary habits.

 Radiographs

Prophylaxis

(scaling)

Flouride Application

 Parent

is informed of the association between frequency of carbohydrates and cariogenic bacteria which produces acids that can cause cavities, especially with inadequate oral hygiene practices.

parent is instructed to brush the patients teeth with a pea-sized amount of fluoridated toothpaste at least twice per day. Encouraged the drinking of fluoridated water. A three month recall is scheduled to assess changes in diet, hygiene, and flouride use and to apply fluoride varnish in this high risk patient.
The

consent is obtained for restorative treatment with the use of local anesthesia as well as behavior management/guidance. The restorative plan includes the use if glass inomer in the cavitated molar, sealant on the white spot lesion, and composite for the incisor.
Informed