Rehabilitation of carious mutilated teeth under chairside general anesthesia in an attention deficit child

Abstract

Caries is the single most common chronic childhood disease. If caries occurs before a child is 71 months old, it is referred to as early childhood caries. In rampant caries, there is early pulp involvement and gross destruction of the maxillary anterior teeth as well as posterior teeth. This leads to decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits, and subsequent malocclusion and psychological problems. The restoration of severely decayed primary teeth is often a procedure that presents a special challenge to dentists, particularly in an uncooperative child. The purpose of this case report is to provide a few management strategies when providing full mouth rehabilitation under anesthesia and replacement therapies that are available.