Restorative handling with celluloid crowns and opaque resin

Abstract

Introduction:Dental caries is a multifactorial, non-communicable, and dynamic disease. One management technique involves the use of silver diamine fluoride, which stops the lesion without requiring removal of infected dentin. In cases where this component was applied to primary incisors, they can be rehabilitated with celluloid crowns, and the use of opaque resins is very useful for masking residual dark pigmentation.Case Report:A 5-year-old patient came to the clinic accompanied by her mother. Her medical history included the absence of tooth number 54 and restorations on all deciduous molars. Teeth 51, 52, 61, and 62 presented carious lesions, previously treated with silver diamine fluoride.The restorative protocol was initiated on teeth 51 and 61. They were completely isolated, the celluloid Strip Crowns were measured and shaped, the bonding protocol was performed, Pink Opaquer resin was placed, and the celluloid crowns were bonded, followed by trimming and polishing. The same process was performed on teeth 52 and 62.Conclusion:The use of silver diamine fluoride represents an effective and minimally invasive alternative, but it represents an aesthetic compromise. Subsequent restoration with celluloid crowns is an option that allows for the restoration of aesthetics and function.