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Aesthetic Rehabilitation of Maxillary Primary Anterior Teeth with Early Child Hood Caries – Report of Three Different Cases

Oral Rehabilitation

It is a great challenge for Pediatric Dentists to restore and to aesthetically rehabilitate a pre-schooler, who has lost their anterior teeth subsequent to early childhood caries or extensive dental trauma.

This paper discusses case reports of anterior aesthetic rehabilitation of upper primary incisors in three different methods taking into account the different aspects of the treatment modalities.

The different methods employed were post and core restoration with direct resin composite build up, restoration with strip crowns and rehabilitation with fixed functional space maintainers replacing the crowns of upper primary central and lateral incisors.


1. Introduction : Dental caries has been reported since prehistoric times and the present dietary course has contributed substantially to the increased prevalence of this disease worldwide.

The most common cause of the structural damage of the anterior teeth is the early childhood caries and dental trauma. ECC is defined as “the presence of one or more decayed (non-cavitated or cavitated lesions), missing teeth (due to caries), or filled tooth surfaces in any primary tooth in a child 72 of months age or younger.

Read Also: EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

In the initial phase it is found on either the labial or lingual surfaces of the teeth and the primary maxillary incisors are generally affected earlier.

ECC starts as a dull, white demineralized enamel that quickly advances to obvious decay along the gingival margin. S. mutans and Streptococcus sobrinus are the main cariogenic micro-organisms responsible for the ECC.

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° pubs.sciepub.com
° Rena Ephraim, Rajamani. T, Ambili Ayilliath, Arifa. M.K
° International Journal of Dental Sciences and Research. 2017, 5(6), 159-162. DOI: 10.12691/ijdsr-5-6-5 Published online: January 05, 2018

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