Abstract
Extensive carious lesions accompanied by oedema and fistula are one of the reasons for reporting children to dental offices. A 4-year-old girl was reported to a private dental practice for oral sanation. The child required extensive treatment. However, active fistulas in teeth 74, 75, 84, and 85 were the main reason for the appointment. Teeth 74, 75, 84 and 85 were extracted. The parents were informed about orthodontic consequences and recommended regular follow-up visits. The child remained under constant dental and orthodontic monitoring. Two years after extraction of primary mandibular molars, eruptive cysts developed in the region of teeth 84, 85, 74 and 75, followed by eruption of teeth 34 and 44, which showed complete hypoplasia and significant mobility. Demirjian system was used for dental age estimation (evaluation of the level of dental mineralisation based on radiographic images), indicating stage E for first mandibular molars. After orthodontic consultation, a decision was made to extract these teeth.
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