A Predictable Aesthetic Rehabilitation of Deciduous Anterior Teeth in Early Childhood Caries

Abstract

Aesthetic dentistry plays a significant role not only in adults but also in pediatric patients. However, a pediatric dentist is faced with the dual problem of satisfying the aesthetic expectations of the patient and parents as well as managing the pediatric patient. In the present era, there are numerous restorative techniques that can be applied to different clinical scenarios. However, we have to choose the technique that best suits our patient, not only biologically but also aesthetically, psychologically, functionally, and financially. The following paper presents the clinical sequence of rehabilitation of severely carious maxillary anterior teeth from left to right lateral incisors in a child with early childhood caries. Severely carious anterior teeth were endodontically treated. The central incisors were restored with gamma loop posts which is mainly used for pediatric patients in endodontically treated teeth. Lateral incisors were treated with Ribbond polyethylene fibre posts. Following this, all the teeth were restored aesthetically with free-hand composite buildup after proper shade selection. The occlusion was restored, and the restorations were finished and polished.

Restoration of Primary Anterior Teeth with Glass Fiber-Reinforced Post and Core: 3-Year Follow-Up Case Report

“…Small crown size, caries pattern, and the behavior of the patient plays a big role in successful treatment for restoring the esthetic appearance for young patients. Destructed anterior primary teeth with root canal treatment need a retentive post to hold the coronal crown on the treated canal [ 1 , 2 , 12 , 13 ]. However, post selection is not an easy or successful procedure.…”

“…A glass fiber post is one of the posts used in some cases of primary anterior teeth [ 2 , 13 ]. With root canal treatment and coronal placements, it can be used as an alternative to other post types for root canals.…”

“…For conditions that represent poor retention and poor oral hygiene, there will be no benefit to proceeding with this challenge. The best treatment will be extraction and replacement with kiddie partial [2,7]. However, some parents' wish to keep the Case Reports in Dentistry affected teeth may play a big role in going through this challenge.…”

“…The thin enamel and dentin layer enhance caries extension and tooth destruction with or without pulp involvement. Child behavior affects the selection of the treatment options and the treatment setting: either in a local environment or in treatment under general anesthesia [ 2 ]. The age factor will put the shadow of selecting the treatment with longevity rather than the option for the short term.…”

Prevalence of Dental Caries in the Indian Population

“…Further, only a few systematic reviews on dental caries have been reported among Indian population. [ 17 18 19 20 ] However, each study has its own limitations such as the use of a limited number of articles, extraction of published reports from few electronic databases, lack of complete analysis, or unavailability of recently published articles. Few systematic reviews have focused on only children or the elder population.…”