Fibrodysplasia ossificans progressiva (FOP) is an exceptionally atypical genetic disorder characterized by heterotopic bone formation within skeletal muscles, ligaments, tendons, and other connective tissues that affects one in 2 million people. A 4-year-old girl with FOP was referred to our practice with complaints of pain and discomfort in both sides of the lower jaw. Clinical examination revealed deep multiple caries and buccal gingival abscess in relation to multiple teeth. Endodontic care and conservative dental procedures were planned and performed chairside after a detailed discussion with FOP medical and dental experts. Very brief dental appointments were conducted with breaks to prevent muscle fatigue. No usage of regional anesthesia or dental dam clamps was done. The patient and her parents were counseled for oral hygiene maintenance, and periodic topical fluoride treatments were performed during successive follow-up appointments. The child is followed for 34 months post-treatment. The dental treatment modifications implemented for the present case were enough to institute good oral health and to prevent the creation of heterotopic ossifications in the maxillofacial region.
ABSTRACT:S-ECC describes dental caries in the primary dentition of young children that occur abruptly, spreading widely and rapidly and is burrowing in nature resulting in early involvement of the dental pulp. The case report presented here is of a 3.5 year old girl with severely decayed maxillary anterior teeth. After pulpectomy, the primary maxillary centrals were reinforced using polyethylene fiber-reinforced composite resin posts and restored using strip crowns and laterals biologically restored using tooth obtained from another patient. The combination of techniques described here offers a simple and effective method for restoring severely decayed primary anterior teeth that reestablishes function and esthetics.
Early childhood caries (ECC) is a prevalent disease worldwide and the major reason for the destruction and early loss of primary anterior teeth in children. It is paradigmatic to manage and treat this predicament in early childhood, as the affected teeth play a key role in aesthetics, phonetics, eating, and pronunciation. These teeth are influential to proprioceptive inputs of pre-maxilla and maintaining space for the timely eruption of permanent teeth. Aesthetic alternatives to preformed metal crowns have been developed in recent years. This paper describes the clinical considerations, protocol for the implementation, and maintenance for successful rehabilitation of anterior teeth affected by ECC restored with preformed zirconia crowns. Keywords: Aesthetics; Crown; Dental Caries, Primary Teeth, Zirconium
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