Introduction: Esthetic rehabilitation of a young child with early childhood caries or dental trauma is one of the most important treatment modalities in pediatric dentistry. Parental motivation is a vital factor for the placement of an anterior esthetic appliance. Case Report: The present article discusses about a case report that highlights the fabrication of a modified Groper’s appliance in a 3-year-old child with severe early childhood caries (S-ECC). Its design included the placement of stainless-steel bands on primary second molars attached to a wire containing an acrylic flange bearing trimmed acrylic teeth anteriorly and a distal stop on the canine in order to prevent distal migration. Conclusion: The appliance was functional and fulfilled the esthetic demands.
Introduction: Rampant caries is the most common chronic childhood disease leading to decreased oral function, undesirable esthetics and consequent malocclusion and psychological problems. Oral rehabilitation under general anesthesia under certain circumstances is the only choice for the comprehensive treatment of extremely young, emotionally immature patients unable to cope with the same on a dental chair. Case Report: This case report describes the challenging task of the full mouth rehabilitation of a 2-year-old patient with rampant caries having severely mutilated maxillary teeth under general anesthesia. Conclusion: Treatment under general anesthesia provides the advantage of providing thorough oral rehabilitation in a limited period of time, allowing immediate pain relief, even with little or no patient cooperation.
Introduction: Occurrence of natal teeth are extremely rare and the commonly seen teeth are lower primary incisors, which generally occurs in pairs. The natal tooth seen is early eruption of deciduous incisors. The prevalence of natal and neonatal teeth reported ranges from 1:2,000 to 1:3,500. Case Report: A 32-day-old male infant was referred to the OPD of DY Patil Dental College and Hospital with a complaint of one tooth in the lower jaw at birth. Clinical evaluation showed presence of one tooth in the mandibular anterior region with Grade I mobility. Moons probe was used to relieve the gingival margin. Primary anterior mandibular forceps was used to extract the tooth. Patient was evaluated after one week, healing was uneventful. No difficulty in breast feeding was reported by the mother. No history of fever was reported by the mother one week after the day of extraction. Complete resolution of Riga-Fede on the ventral aspect of the tongue observed one week after the day of extraction. Conclusion: Follow-up is essential for treatment of natal teeth along with parent counselling to bring about awareness eliminating misconceptions surrounding natal teeth.
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