Rehabilitation in a Pediatric Patient with Early Childhood Caries: Case Report

Abstract

Introduction The treatment of dental caries remains a clinical challenge in pediatric patients, particularly in severe cases that lead to the premature loss of primary teeth, occlusal disturbances, and dysfunctional oral habits. Case Report This case describes a 5-year-old female patient diagnosed with severe early childhood caries. Clinical examination revealed multiple active cavitated carious lesions, fenestrations, posterior crossbite, and atypical swallowing. Treatment included extractions of non-restorable teeth, pulpectomies, and rehabilitation of molars with stainless steel crowns. Subsequently, an interceptive orthodontic appliance combining a space maintainer with a transverse palatal expander was installed to restore transverse maxillary width and guide proper growth. A fixed palatal crib was also placed to intercept the atypical swallowing habit. The patient was clinically monitored over five months, showing recovery of masticatory function, aesthetic improvement, and progressive reduction of the dysfunctional habit.Conclusions This case highlights the importance of early, comprehensive, and well-planned intervention to restore health, function, and esthetics in pediatric dentistry.