Indirect Composite Shell Crown: An Esthetic Restorative Option for Mutilated Primary Anterior Teeth

Abstract

Rehabilitation of the mutilated primary anterior teeth in management of early childhood caries poses a major challenge to the Paediatric dentists. The article describes a novel technique of custom made indirect composite shell crowns along with a silicone positioner for easier, faster and accurate rehabilitation of such teeth. The custom made silicone positioner provided accurate clinical repositioning of the shell crowns indirectly prepared. The prepared restorations can be cemented with the resin luting cement. Not only is the explained technique faster, it also helps in restoring teeth with accuracy as the anatomic form and occlusion could be checked from the lingual aspect which is never possible clinically. This technique of restoration is mainly advantageous in rehabilitation of teeth in very young children. Apart from the advantages of indirect composite restoration technique over the direct composite restorations, the custom made positioner helps in simultaneous restoration of multiple teeth.