This paper reports the case of a 5-year-old patient with early childhood caries (ECC) and presents an alternative prosthetic treatment with a tooth-supported overdenture. Primary canines were endodontically treated and received intraradicular posts with ball-type attachments to attach a tooth-supported overdenture. The patient was followed for 18 months both clinically and radiographically. In addition to esthetic and functional oral rehabilitation, the prosthetic treatment had an important psychological impact on recovery of patient's self-esteem.