DENTAL CARIES MANAGEMENT IN YOUNG CHILDREN WITH INTERIM THERAPEUTIC RESTORATION

Caries are the most common case in every individual, including children who are still at an early age. Caries in primary teeth can occur in the early period of tooth eruption, which begins with the presence of white spot lesions. Dental caries are known as Early Childhood Caries (ECC) at an early age. ECC is used for caries in primary teeth up to 71 months. Many factors trigger the occurrence of ECC. Early treatment is very important to prevent comprehensive damage. Usually, the operator will face conditions that are not conducive to treatment. Young children generally will behave uncooperatively, have very high mobility, cry, and have difficulty opening their mouths, so it will be difficult for the operator to give treatment. One of the most therapy is dental restoration. The treatment approach will depend on the severity of the case; treatment can be in the form of non-operative therapy, dental restoration,


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or the last stage extraction if the teeth cannot be maintained. This case report will discuss the treatment of primary tooth cavity lesions without pulp involvement in young children through Interim therapeutic Restoration (ITR) and strategies that need to be implemented to support the success of treatment and prevent the damage from worsening. The result showed that ITR wa successfully performed in young children with cooperative behavior to prevent more extensive tooth decay. Brushing without supervision, children eating too long without chewing, and does not get used to flossing is the cause most related to dental caries. [4][5][6] The treatment of dental caries in young children is very complex. Children at an early age are generally very uncooperative because it is related to their psychological condition. Dentists who treat the patient's young children are strangers to them, so during treatment, they tend to be very uncooperative, cry, and do not want to open their mouths. Treatment must also be fast, and dentists must be friendly and give a pleasant impression, especially at the beginning of treatment. The limitation of the child's mouth opening and the shortest possible visit time must be a concern for the operator.   with ITR at an early age was 93% successful for single-surface lesions and 63% for multiple-surface molar lesions. 9,12,13,16 In this case, the restoration procedure uses a hand instrument to remove gross decay without local anasthetic and is suitable for young children who may not cooperate during treatment.
Dental restoration is one of young Thermal expansion, similar to the tooth structure, can protect an underlying base and dentin and binds strongly to enamel and dentin. 17,18 The common complication, in this case, relates to the difficult procedure. It can be due to excessive movement and poor isolation. At the end of the visit, the parents are informed that the patient has to be disciplined to control oral hygiene and eliminate bad habits; parents know this is not definitive treatment and will require close follow-up and possible re-treatment.
The description above provides an overview of the success of dental caries treatment in young children with ITR. This process must be balanced with parental discipline in implementing home-care principles and the operator's efforts to assess caries risk factors in making good treatment plans to prevent worse conditions and recurrent infections.

CONCLUSION
Dental caries in young children is multifactorial. Parents' role in preventing early caries is very important through good habits. Dental caries will greatly interfere with the quality of life because oral dental Health is closely related to the function of mastication, speech, aesthetics, and the function of primary teeth as natural space maintainers, which are very important at the next dentition. ITR can be an option for operators for early-stage lesions because it prevents further damage as a temporary restoration before a definitive one.

CONFLICT OF INTEREST
We declare no potential conflict of interest in the scientific articles we write.

ACKNOWLEDGEMENT
Our thanks go to the professionals who assisted in the research and preparation of the paper.