Abstract
Early childhood caries is the most common chronic childhood disease. It usually begin on labial surfaces of all anteriors and advance rapidly as a turgid demineralization causing gross destruction of all anterior primary teeth. This case presents the clinical sequence of rehabilitation of maxillary anterior primary teeth. Endodontic treatment was followed by the placement of a new fibre post; glass fibre reinforced composite resin post. The crown reconstruction was done with strip crowns.
 Keywords: Early childhood caries, Glass fibre post, Strip crowns
Highlights
Childhood caries (ECC) is a serious public health problem, common in both underdeveloped and industrialized population
We report the case of a 4-year-old boy with severely decayed maxillary anterior teeth that were restored using fibre post and strip crowns
There is a high rate of failure because of the absence of tooth structure, poor adhesion of bonding agent to primary teeth, limited availability of materials and techniques, and because the children who require such restorations are among youngest and least manageable group of patients
Summary
Childhood caries (ECC) is a serious public health problem, common in both underdeveloped and industrialized population. According to the American Academy of Pediatric Dentistry, ECC is the presence of one or more decayed, missing (due to caries), or filled tooth surfaces in any primary tooth in a child 71 months of age or younger.[1] During sleep, the infant may be fed with a nursing bottle containing a high amount of fermentable carbohydrates, which pools around the maxillary anteriors or in extreme cases leading to total loss of the crown structure. The patient is on follow-up. [figures 1-7]
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