Gomes, Mônica Fernandes [UNESP]Martins, Luana Galvão [UNESP]Alves, Mônica Ghislaine Oliveira [UNESP]De Morais Gouvêa Lima, Gabriela [UNESP]De Cássia Araújo Rocha, RitaDas Graças Vilela Goulart, Maria [UNESP]2014-05-272014-05-272012-11-01Special Care in Dentistry, v. 32, n. 6, p. 265-269, 2012.0275-18791754-4505http://hdl.handle.net/11449/73710Ewing sarcoma is a common primary bone malignancy occurring in childhood and adolescence. This case report describes a 4-year-old female patient who had Ewing sarcoma in the left clavicular region. The patient underwent total excision of the left clavicle and subsequently developed periodontitis and multiple carious lesions after chemotherapy. Caries risk and salivary flow rate tests were performed, followed by periodontal treatment, topical fluoride application, restoration of caries, and oral hygiene instruction. The care of this patient demonstrates that an interdisciplinary approach is essential to eliminate all foci of infection, minimize morbidity, and improve the patient's general health before, during, and after oncological treatment. © 2012 Special Care Dentistry Association and Wiley Periodicals, Inc.265-269engcaries risk testchemotherapyEwing sarcomainterdisciplinary approachsalivary flow rateanticaries agentantineoplastic agentfluoride varnishbacterial loadbone tumorcase reportclavicledental carieseducationfemalefollow uphumanisolation and purificationLactobacillusmetastasismethodologymicrobiologymouth hygienepatient carepatient educationperiodontitisphysiologypreschool childrisk assessmentsalivasecretion (process)secretion rateStreptococcus mutanstooth plaquexerostomiaAntineoplastic AgentsBacterial LoadBone NeoplasmsCariostatic AgentsChild, PreschoolClavicleDental CariesDental Caries SusceptibilityDental PlaqueFemaleFluorides, TopicalFollow-Up StudiesHumansOral HygienePatient Care TeamPatient Education as TopicPeriodontitisRisk AssessmentSalivaSarcoma, EwingSecretory RateXerostomiaArtigo10.1111/j.1754-4505.2012.00282.xAcesso restrito2-s2.0-848679711771274225455678400