Advanced restorative management of severely damaged primary teeth

Abstract

Introduction: The restoration of severely damaged primary teeth represents a significant challenge in pediatric dental practice. Extensive structural loss due to caries requires an advanced clinical approach that combines preservation, functionality, and aesthetics. Topic development: This work explores advanced restorative strategies, such as the "no post" technique, which allow the maintenance of these teeth in the oral cavity, avoiding premature extractions that could compromise arch development, masticatory function, and the child’s emotional balance. Alternatives such as dual-cure resins, esthetic crowns, and adhesive techniques that enhance the retention and durability of restorations are discussed. Diagnostic criteria to determine restorative feasibility, behavior management as a key factor for treatment success, and the importance of periodic clinical follow-up are also addressed. The choice of restorative material should be based on the extent of the damage, the estimated time the tooth will remain in the mouth, and the patient’s functional and esthetic needs. The restorative management of severely compromised primary teeth requires a comprehensive, evidence-based, and case-specific approach. Conclusion: The rehabilitation of primary teeth with severe destruction of the clinical crown is a clinical procedure that has continued to improve to this day. Therapeutic success depends not only on the selection of an advanced technique, such as the use of esthetic crowns or dual-cure adhesive systems, but on a comprehensive and multifactorial approach.