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

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.