Abstract
Early childhood caries commonly affects the primary maxillary anterior teeth, in which extensive post- endodontic rehabilitation has always been a challenge. This is due to the small size of the crown, relatively large pulp chambers, and the age of the child. The remaining inadequate sound tooth structure renders restorations more prone to fractures. Among the available treatment modalities which include extraction of the grossly destructed tooth structure, use of semipermanent crowns and intracanal posts, the posts can be used effectively, to restore the lost function and anatomy. They also enhance the quality of the final coronal restoration by providing additional support for retention. The available methods for intracanal reinforcement for anterior teeth include the metal posts fabricated using orthodontic wires, short composite posts fabricated directed in the primary root canal, prefabricated glass fiber posts and posts utilising polyethylene fibers (Ribbond). Recently certain advanced techniques such as the biologic dentin and zirconia have also come into use. The various advantages and disadvantages for these have been summarised in this review along with the standardised clinical protocol for their placement in the primary root canals. Various in-vivo and in-vitro studies have concluded that the glass-fiber short intracanal posts provide the most suitable esthetics, strength, elastic modulus, and resilience. However, further qualitative research is required to certify it as a standard treatment modality.
Highlights
One of the most common diseases seen in children worldwide is dental caries [1]
Owing to the large population base, and lack of knowledge pertaining to oral health care, [3] these lesions are often left untreated. This leads to pain and extensive loss of tooth structure, eventually resulting in the breakdown of the oral and physical functionality of the child [4]
Childhood caries is one of the most debilitating conditions seen in young children and it commonly affects the primary maxillary anterior teeth, in which extensive post- endodontic rehabilitation has always been a challenge
Summary
One of the most common diseases seen in children worldwide is dental caries [1]. High sugar and starch consumption, irregular and improper maintenance of oral hygiene and feeding practices, genetic predilection and salivary composition are some of its predisposing factors [2]. Owing to the large population base, and lack of knowledge pertaining to oral health care, [3] these lesions are often left untreated This leads to pain and extensive loss of tooth structure, eventually resulting in the breakdown of the oral and physical functionality of the child [4]. Childhood caries is one of the most debilitating conditions seen in young children and it commonly affects the primary maxillary anterior teeth, in which extensive post- endodontic rehabilitation has always been a challenge. This is due to the small size of the crown, relatively large pulp chambers, and the age of the child.
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