Aim: The purpose of this case report was to describe the oral rehabilitation of a 4-year-old girl presenting early
childhood caries (ECC).
Background: ECC is highly prevalent in developing countries and its severity increases with age. This disease
implies serious consequences for the development of the stomatognathic system and for the child’s quality of
life. As young children are usually anxious about dental treatment, their level of co-operation is limited, leading to
a challenging situation.
Case Report: A 4-year-old girl was brought by her mother for dental treatment with the complaint of pain. The
clinical examination revealed extensive carious coronary destructions. After preventive and curative measures,
the oral rehabilitation was performed; it included the use of stainless steel crowns, resin filled celluloid crowns
with previous cementation of glass post pins when necessary, an amalgam restoration, orthodontic treatment,
and a partial removable prosthesis. The child has been monitored in the Pediatric Dentistry Clinic at 4-monthly
Summary: The oral rehabilitation was able to reestablish the oral health in the primary arches mutilated by
early childhood caries. This is important for the establishment of an adequate mixed and permanent dentition, for
proper facial and maxillary growth, and to the child’s psychological and social development.
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