Prosthetic rehabilitation in pediatric dentistry. Clinical case

Abstract

Early childhood caries (ECC) is a multifactorial condition affecting millions of children worldwide, especially in developing countries. It is associated with a high-sugar diet, poor oral hygiene, and limited access to dental care. Premature loss of primary teeth can lead to significant functional, aesthetic, and psychological consequences in children. This case report presents a 4-year and 3-month-old male patient with severe carious lesions, an atretic palate, and withdrawn behavior. A comprehensive rehabilitation was performed: stainless steel crowns using the Hall technique were placed on the lower molars, while, due to the advanced deterioration of the upper teeth, extractions were carried out and a removable upper complete denture with an expansion screw was installed. This approach restored the lost vertical dimension, improved mastication and facial aesthetics, and had a positive impact on the patient's emotional well-being. Clinical experience shows that, despite potential challenges, removable prostheses are a viable option in pediatric patients. Their design can accommodate growth, supporting the natural eruption of permanent teeth and the proper development of the stomatognathic system.