Celluloid crowns in primary molars: case report.

Abstract

Introduction. Celluloid crowns, traditionally used in anterior teeth for their favorable aesthetic results, have also begun to be employed in primary molars as an alternative to preformed metal and zirconia crowns. This option becomes particularly relevant in pediatric patients with extensive caries, where cost and aesthetics influence the therapeutic choice. Although zirconia crowns offer excellent aesthetic and functional results, their high cost and technical sensitivity limit their use. In contrast, celluloid crowns allow for aesthetic and functional rehabilitation with a more accessible and less complex clinical procedure, facilitating their use in daily practice. Case report. This is the case of a 6-year-and-10-month-old female patient who attended the Postgraduate Program in Pediatric Dentistry at the Universidad del Desarrollo with extensive caries in all primary molars. Due to the high aesthetic concern expressed by the mother, a mixed rehabilitation was chosen. Teeth 5.4 and 6.4 were restored with celluloid crowns loaded with composite resin, and teeth 5.5 and 6.5 with preformed metal crowns. After 14 days, good retention, adequate marginal adaptation, absence of inflammation, and high acceptance by the patient and her environment were observed. Conclusion. This clinical case shows that celluloid crowns are an aesthetic, functional, and viable alternative for the rehabilitation of primary molars with extensive caries, especially in patients with economic limitations and high aesthetic demands, positioning them as a practical option in pediatric dentistry.