Hypohidrotic ectodermal dysplasia: a clinical case with a longitudinal approach.

AIM: This paper describes a clinical case of a male with hypohidrotic ectodermal dysplasia submitted to rehabilitation and occlusal dental interventions with follow-up from 3 to 14 years of age. BACKGROUND: Due to the severe effects on function and esthetics, the clinical manifestations of ectodermal dysplasia exert a negative impact on quality of life. However, oral rehabilitation in childhood poses a challenge due to growth and development. CASE DESCRIPTION: A male with hypohidrotic ectodermal dysplasia began dental intervention at the age of 3 years. The clinical and radiographic exams revealed the absence of several primary and permanent teeth and abnormal shape of the primary maxillary incisors. The facial characteristics were compatible with hypohidrotic ectodermal dysplasia, such as a prominent brow, everted lips, fattened bridge of the nose and small vertical facial height. The treatment proposed involved rehabilitation through successive temporary partial dentures, functional orthopedics of the jaws, esthetic reconstruction of the anterior teeth, timely occlusal intervention and preventive actions for the control of dental caries and plaque. CONCLUSION: The present case demonstrates that early care plays a fundamental role in minimizing the biopsychosocial consequences of hypohidrotic ectodermal dysplasia and preparing the patient for future oral rehabilitation. CLINICAL SIGNIFICANCE: Although, the literature offers a number of papers describing dental treatment for ectodermal dysplasia, few cases include long-term follow-up and the use of a functional orthopedic appliance in combination with removable dentures in such patients.

Utilização da sala de espera como um elemento complementar de condicionamento da criança / The use of the waiting-room as a complementary element of the child's behavior management

Neste artigo é discutida a importância do planejamento da sala de espera em consultório de Odontopediatria, sendo proposta a organização estratégica deste espaço físico, a fim de transformá-lo em um importante elemento complementar de condicionamento da criança, com evidente impacto positivo em seu comportamento. É proposta a divisão do espaço físico em ambientes direcionados à criança e aos pais, com características próprias e objetivando estimular na criança um comportamento independente dos pais, ampliando sua confiança e integração com o consultório odontopediátrico