Early aesthetic and functional clinical approach in children: a case series.

Abstract

Introduction: Early childhood tooth decay primarily affects children under 6 years of age, causing pain and abscess development . The objective of this research is to determine the effectiveness of using pulpectomies, intraradicular posts, and celluloid crowns in rehabilitation, benefiting parents and professionals by learning about these therapeutic options. Pulpectomy is considered an alternative option when there is significant pulp compromise, as long as it meets the diagnostic criteria and the tooth could be restorable. Can we place posts and restore them in primary dentition? They are indicated when the remaining crown wall is less than one-third of the original height, only when the root canal has been filled with a resorbable paste and there is enough root length to maintain a 1 mm free apical space to ease physiological resorption. Dual-curing systems are excellent for core buildup and root canal posts. There are one-step post systems that can be excellent for use in pediatric dentistry. Case report: We present a 2- to 6-month-old patient with early childhood tooth decay who underwent anterior restoration with pulpectomies, dual-material posts, and high-load ionomers, followed by restoration with celluloid crowns. Conclusion: The effectiveness of intraradicular posts with high-load resin and celluloid caps with composite resin represents an effective and aesthetic alternative. Early aesthetic and functional rehabilitation in children not only seeks to restore teeth but also to preserve the patient's emotional, phonetic, and nutritional health.