Aesthetic management of mutilated primary anterior teeth

• Published in: Journal of Advanced Medical and Dental Sciences Research Vol. 11; no. 4; pp. 1 - 9
• Main Authors: Lisma, Koundal, Kumari, Priyanka, Kamal, Gupta K, Amit, Sharma K
• Format: Journal Article
• Language: English
• Published: Amritsar Journal of Advanced Medical and Dental Sciences Research (JAMDSR) 01.04.2023
• Subjects: Adhesives; Aesthetics; Bond strength; Children; Composite materials; Dental caries; Dental materials; Dentistry; Developmental stages; Mastication; Moisture control; Moisture effects; Patients; Pediatrics; Phonation; Retention; Stainless steel; Stainless steels; Teeth; Zirconium
• ISSN: 2321-9599
• DOI: 10.21276/jamdsr

Dental caries is most common childhood disease which affects children in their very early stages of development. This severe form of caries is also associated with the deleterious effects like difficulties in phonation, mastication and altered esthetics. Esthetic requirement of severely mutilated primary anterior teeth has been a challenge to pediatric dentists in the case of early childhood caries (ECC). ECC affects more than one out of seven pre-schoolers and is more prevalent in low income families, who generally have limited access to dental services. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. The technological advances in dental materials for use on children that have occurred in the past few decades make constant re-evaluation of our treatment philosophies and techniques a necessity because what was an acceptable treatment approach in the past may not necessarily be the best treatment option for our young patients today. The choice of restoration depends on various factors such as amount of tooth structure remaining, ability to obtain adequate moisture control, child's cooperating ability, esthetic demands, and cost factor. Depending upon the amount of tooth loss they are treated either intracoronally or full-coronally. Many options exist to repair carious teeth in pediatric patients from metal posts, stainless steel crowns to its various modifications to other esthetic options like fiber posts, strip crowns and zirconium crowns which are rising in their popularity.