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      A Predictable Aesthetic Rehabilitation of Deciduous Anterior Teeth in Early Childhood Caries

      case-report
      , ,
      Case Reports in Dentistry
      Hindawi

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          Abstract

          Aesthetic dentistry plays a significant role not only in adults but also in pediatric patients. However, a pediatric dentist is faced with the dual problem of satisfying the aesthetic expectations of the patient and parents as well as managing the pediatric patient. In the present era, there are numerous restorative techniques that can be applied to different clinical scenarios. However, we have to choose the technique that best suits our patient, not only biologically but also aesthetically, psychologically, functionally, and financially. The following paper presents the clinical sequence of rehabilitation of severely carious maxillary anterior teeth from left to right lateral incisors in a child with early childhood caries. Severely carious anterior teeth were endodontically treated. The central incisors were restored with gamma loop posts which is mainly used for pediatric patients in endodontically treated teeth. Lateral incisors were treated with Ribbond polyethylene fibre posts. Following this, all the teeth were restored aesthetically with free-hand composite buildup after proper shade selection. The occlusion was restored, and the restorations were finished and polished.

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          Most cited references15

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          Post placement and restoration of endodontically treated teeth: a literature review.

          The restoration of endodontically treated teeth is a topic that is extensively studied and yet remains controversial from many perspectives. This article reviews the major pertinent literature on this topic, with an emphasis on major decision-making elements in post placement and restoration of endodontically treated teeth. Recommendations are made for treatment planning, materials, and clinical practices from restorative and endodontic perspectives.
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            Early Childhood Caries

            Dental caries is one of the most common childhood diseases, and people continue to be susceptible to it throughout their lives. Although dental caries can be arrested and potentially even reversed in its early stages, it is often not self-limiting and progresses without proper care until the tooth is destroyed. Early childhood caries (ECC) is often complicated by inappropriate feeding practices and heavy infection with mutans streptococci. Such children should be targeted with a professional preventive program that includes oral hygiene instructions for mothers or caregivers, along with fluoride and diet counseling. However, these strategies alone are not sufficient to prevent dental caries in high-risk children; prevention of ECC also requires addressing the socioeconomic factors that face many families in which ECC is endemic. The aim of this paper is to systematically review information about ECC and to describe why many children are suffering from dental caries.
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              Restoration of primary anterior teeth using intracanal polyethylene fibers and composite: an in vivo study.

              To evaluate the clinical performance of polyethylene fiber for anterior primary teeth restorations in children after 2.5 years, according to modified Ryge criteria. Fifty-five maxillary incisors with extensive caries in 24 Iranian patients (mean age 4.2 years) were restored. All teeth were treated endodontically. First, 4-mm layer of paste at the entrance of canal was removed, and a thin base layer of polycarboxylate cement was placed at the bottom of the prepared canal. All tooth surfaces were etched, rinsed and dried, and the dentin adhesive Single Bond (3M ESPE, St Paul, MN, USA) was applied. The teeth received intracanal fiber-reinforced resin (Ribbond Triaxial, Seattle, WA, USA) fixed with a flowable composite and the crowns were reconstructed with microhybrid composite resin (Z250, 3M). All restorations were evaluated every 6 months for 30 months by 2 independent evaluators. Statistical analysis was done with McNemar's test. The surface textures for most of the restorations were judged as excellent. There was no evidence of significant changes in marginal integrity. Most restored incisors (81%) received an Alpha rating for retention. The baseline and recall retention scores differed significantly (p=0.002). Polyethylene fiber posts associated with extensive composite restoration showed excellent clinical performance after 2.5 years in primary anterior teeth after pulp therapy.
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                Author and article information

                Contributors
                Journal
                Case Rep Dent
                Case Rep Dent
                CRID
                Case Reports in Dentistry
                Hindawi
                2090-6447
                2090-6455
                2018
                3 April 2018
                : 2018
                : 1742529
                Affiliations
                Department of Pedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Manipal 576104, Karnataka, India
                Author notes

                Academic Editor: Andrea Scribante

                Author information
                http://orcid.org/0000-0003-1389-7075
                Article
                10.1155/2018/1742529
                5903201
                29850275
                b4e59924-f1ec-4f9b-b327-008ec1edc6af
                Copyright © 2018 Priyanka Agarwal et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 November 2017
                : 16 February 2018
                : 18 February 2018
                Categories
                Case Report

                Dentistry
                Dentistry

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