Esthetic Rehabilitation for Primary Incisors: Case Reports

Abstract

Dental decay may distress the child’s integral development, in advanced cases can produce pain, pulp death, periapical infections, or tooth loss, causing appearance and functional problems. At that point endodontic and rehabilitation treatment is essential. The objective is to present two clinical cases of complex rehabilitation in patients with severe early childhood caries, using endodontic and restorative techniques, with nano-hybrid resin crowns, strip form and stainless steel crown. Cases presentation:Describe two clinical cases of 21 and 36 months preschool children with no relevant medical history, diagnosed with severe early childhood, with caries active lesions, dentoalveolar abscesses,  clinical crown destruction. Under general anesthesia, in a hospital environment, oral rehabilitation included pulpectomies filled with iodoform calcium hydroxide paste, intraradicular post,  nano-hybrid resin crowns, and strip form crown for the anterior sector and stainless steel crowns for posterior sector, direct reinforced ionomeric glass restorations, composite resins, and fissure sealants. One, and three-month follow-up,  shows correct function, appearance, and marginal adaptation of the crowns without gingival inflammation. Oral hygiene habits, and diet recommendations were made. Conclusion:The reconstruction of severely destroyed primary teeth, by performing endodontic treatments, and subsequent restoration including rehabilitation of primary incisors, showed a positive result in young patients, preserving the primary dentition and restoring appearance and function.