Rehabilitation with crowns in a two-year-old patient with enamel hypoplasia

Abstract

Introduction: Enamel hypoplasia is a quantitative alteration that occurs during the formative or secretory phase, characterized by irregularities and color changes in the enamel. The treatment, depending on the severity, consists of applications of fluoride remineralizer, ionomer fillings and complete crowns. Case presentation: The clinical case of a two-year-old female patient who attended the Pediatric Dentistry clinic of the Faculty of Dentistry of the Universidad Mayor de San Andrés is reported. A high-risk Frankl type II patient is identified. On clinical examination, the patient presented enamel defects compatible with hypoplasia, extensive coronary destruction in first molars, incisors and temporary canines, and no tooth had pulpal or periapical symptoms. As a treatment plan, comprehensive rehabilitation is carried out with applications of fluoride varnish, ionomeric fillings and complete crowns, both aesthetic and metallic. The patient was successfully rehabilitated thanks to behavior modification and protective stabilization techniques which evolved favorably over the course of the appointments. Conclusion: Although there are studies that indicate the usefulness of zirconium crowns for hypoplasia in both anterior and posterior teeth, it is evident that celluloid crowns and preformed metal crowns respectively are a favorable alternative for the restoration of teeth with this condition.