Abstract
Aesthetic requirement of severely mutilated primary anterior teeth in the case of early childhood caries has been a challenge to pediatric dentist. Among restorative treatment options, prefabricated crown and biological and resin composite restoration either by means of direct or indirect technique are mentioned in the literature. This paper presents the clinical sequence of rehabilitation of maxillary anterior primary teeth. Endodontic treatment was followed by the placement of a glass fibre-reinforced composite resin post. The crown reconstruction was done with composite restoration. Resin glass fibre post has best properties in elasticity, translucency, adaptability, tenaciousness, and resistance to traction and to impact. Along with ease of application, fiber can be used as an alternative to traditionally used materials in the management of early childhood caries.
Highlights
The healthy oral cavity is a primary requisite for beautiful looks
Caries in very young children known as early childhood caries may be defined according to the American Academy of Pediatric Dentistry “as the presence of one or more decayed, missing, or filled tooth surfaces in any primary tooth in a child 71 months of age or younger” [2]
The only treatment option for early childhood caries has been extraction of the affected primary anterior tooth, which resulted in severe coronal destruction
Summary
The healthy oral cavity is a primary requisite for beautiful looks. Despite the fact that it is largely preventable, dental caries is the most common chronic disease of childhood [1]. Caries in very young children known as early childhood caries may be defined according to the American Academy of Pediatric Dentistry “as 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” [2]. Clinical examination of this condition discloses a distinctive pattern, and the teeth most often involved are the maxillary central incisors, lateral incisors, and the maxillary and mandibular 1st primary molars. The lower flexural modulus of fiber-reinforced posts (between 1 and 4 × 106 psi) measures closer to that of dentin (2 × 106 psi) and can decrease the incidence of root fracture
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