Abordaje odontológico integral atraumático en paciente pediátrico en los centros de especialidades odontológicas de la Universidad Católica de Cuenca-campus Azogues. Reporte de caso.

Abstract

This clinical case addresses a 6-year-old pediatric patient diagnosed with multiple carious lesions in primary teeth. The patient exhibited negative behavior towards treatment, which led to the use of minimally invasive (MI) techniques such as the Atraumatic Restorative Technique (ART), the Hall Technique with preformed stainless steel crowns, and resin restorations with preformed celluloid crowns. These techniques not only reduced chair time but also improved the patient's clinical experience by minimizing the use of general anesthesia and invasive procedures. The treatment focused on restoring the patient's oral health using high-viscosity glass ionomer as the restorative material known for its fluoride release and protective properties for teeth. Silver diamine fluoride (a cariostatic agent) was also applied to halt the progression of active caries. The results were highly satisfactory, restoring the affected teeth' physical, aesthetic, and functional properties, thereby improv-ing the patient's quality of life and oral health. In this case, MI techniques demonstrated high effectiveness, reducing stress for both the patient and the clinical staff.

Keywords: Minimally invasive, ART, pediatric dentistry, fluorides