PIGMENTAÇÕES EXTRÍNSECAS EM DENTES DECÍDUOS: relato de caso clínico de paciente de cinco anos na cidade de Mato Verde – MG

Extrinsic pigmentations can be caused by food residues, medicinal substances and bacteria, forming deposits that overlap the enamel surface. Commonly, these black extrinsic pigmentations may be related to the presence of chromogenic bacteria in the nocturnal biofilm. The objective of this study was to report a case of pigmentation in primary teeth. This is a study with a qualitative approach and observational/descriptive objective. A survey was carried out in the municipality of Mato Verde-MG at Faculdade Verde Norte (FAVENORTE). A 5-year-old patient attended the FAVENORTE dental clinic accompanied by his guardian, complaining of “the appearance of dark spots on his teeth”. During the anamnesis, it can be seen that the patient did not present systemic changes. During the extraoral examination, no changes were observed and during the intraoral examination, dark pigmentations were observed in the cervical region distributed in the upper and lower regions, the presence of caries lesions was not observed and oral hygiene was satisfactory. The gingival tissue and alveolar mucosa appear normal, without the presence of inflammation. The patient did not use any iron-based supplements. The proposed treatment for this type of dental pigmentation was coronal polishing with a Robinson brush and fine-grained pumice paste with water and it was also necessary to use periodontal curettes to completely remove the stains. Periodic monitoring of this patient is essential for the success of the treatment of extrinsic dental pigmentation, as it aims to monitor the progression of the stains, evaluate the effectiveness of the interventions carried out and adjust strategies as necessary.