Management of early childhood caries during the SARS-CoV-2 pandemic: Minimal intervention and conventional rehabilitation

Abstract

Introduction During the SARS-CoV-2 pandemic for the management of early childhood caries, minimal intervention dentistry has been an option for subsequent conventional rehabilitation. Minimal intervention dentistry has considered the application of silver diamine fluoride as an option for the management of early childhood caries, due to its antibacterial, bacteriostatic and remineralizing actions, however, in some patients, a subsequent conventional rehabilitation is required.  Objective Presentation of a case report of a patient with ICU management during the SARS-CoV-2 pandemic with minimal intervention dentistry and subsequent conventional rehabilitation. Case report Female patient of five years, with the reason for consultation "dental pain", presents multiple carious lesions with ICDAS from 2 to 5, biofilm index of 69%. In the anamnesis, the mother refers to the application of silver diamine fluoride in carious lesions in 2019, without follow-up appointments due to the SARS-CoV-2 pandemic. According to the symptoms and current pulpal diagnosis, oral rehabilitation is carried out with conventional operative management, performing pulp therapies, chrome steel crowns, resins and re-application of silver diamine fluoride in non-cavitated carious lesions, currently the patient is under follow-up, without complications in his treatment. Conclusions Under global conditions, the best treatment option with minimal intervention dentistry was offered to the patient, however, conventional rehabilitation was necessary to improve her oral condition.