Advances in pediatric medicine and medical technology have led to a spectacular reduction in morbidity and mortality among medically compromised children. As a result, dentists are facing the challenge of treating and managing more children with systemic conditions meeting affecting the dental treatment. Objective: To evaluate the medical profile of medically compromised children followed in the Pediatric Dentistry Department of the Casablanca Dental Consultation and Treatment Center and to assess their oral health. Materials and methods: This is a cross-sectional study conducted with 529 children treated in the pediatric dentistry department between 16 November 2016 and 16 January 2017. The general condition status, oral hygiene and dental condition were collected based on the anamnesis and oral examination. Results: From the 529 children included in the study, 1/3 of them have one or more systemic conditions. Patients with special needs represent 27.2% of the total of medically compromised children. The DMFT and dmft index ware respectively of 6.42 and 3.44. The average plaque index was 1.04. Conclusion: The oral status of medically compromised children is alarming with a large number of decayed teeth and few treated teeth. This is related to the quality of oral hygiene measures introduced by children and their parents, as well as the impact of the medical condition.
Objective: The objective of this study is to determine the causes, characteristics, treatment of dental pain that was the chief complaint and its evaluation in children aged 4 to 15 years old cared for at the dental consultation and treatment center of Casablanca. Materials and Methods:This is a descriptive cross-sectional study of 150 children aged between 4-and 15-years old consulting and/or being cared for in the departments of emergency and pediatric dentistry of the Dental Consultation and Treatment Center of Casablanca.Results: Dental pain was the chief complaint for 92.7% of the study population. 47.5% of the pain was of pulpal origin and 37.4% was related to an infectious complication. 83.8% of patients aged 4 to 6 years required management, while only 48% of patients aged 6 to 15 years had intense to very intense pain. In 61% of cases, this pain was managed by a dental procedure, compared with 35% who were managed by combining the dental procedure with a drug prescription and 4% by a drug prescription. Antibiotics alone or in combination were the most frequently prescribed medication in 35.8% of cases. Dental pain was managed by dental extractions in 46.8% of cases, pulp treatment in 30.2% of cases, and cavity curettage in 7.9% of cases. Conclusion:Dental pain is one of the most dreaded pains, seen, its intensity, frequency, complications and impact on the child's daily activities. This requires its diagnosis, evaluation, and relief to improve the quality of life of young patients.
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