Title : An update on functional and esthetic rehabilitation in paediatric Dentistry
Children are frequently exposed to dental caries and various dental anomalies that cause primary or/ and permanent teeth decay. This results in several problems like tooth sensitivity, chewing deficiency, psychological complications, esthetic problems, the development of parafunctional habits, and even tooth loss. Treatment outcomes are not only to restore masticatory and phonatory functions but also to restore the esthetic aspect of teeth. Treatment of these decayed teeth remains a challenge for the dentist. Especially, young preschool patients who present commonly lack cognitive abilities and show uncooperative behavior during treatment. Generally, patient behavior, age, and the extent of restorative treatment required are major determinants in selecting the mode of management. For decayed anterior primary teeth, the treatment includes the following: restorations, bonded resin composite strip crowns, full coverage prefabricated crowns as zirconia crowns, or extractions followed by partial dentures. For primary molars, the treatment includes restorations, stainless steel crowns, pre-veneered stainless steel crowns, zirconia crowns, or extractions followed by partial dentures. Our aim is to present those different procedures using clinical illustrations. The first case concerns a 4 year-old-girl with amelogenesis imperfecta. The treatment plan included stainless steel crowns on the primary molars and rehabilitation with resin-filled strip crowns for upper and lower primary incisors and canines. The second case is about the management of Enamel renal syndrome. The treatment plan includes gingivectomy, stainless steel crowns on permanent molars, and polycarbonate crowns on permanent incisors, canines, and premolars. The third patient presented Molar-incisor hypomineralisation. The treatment plan includes restorations of decayed teeth, stainless steel crowns on permanent molars, and the use of air abrasion for anterior discolored teeth.
Audience Takes Away Notes:
- This presentation will give dentists in general and especially Pedodontics a detailed lecture on the different procedures used to treat the most frequent dental problems that affected children.
- Also, it’s an update on the recent procedures used to restore the functions and the esthetic of decayed primary and permanent teeth.
- Many dentists reported that they have difficulties in dealing with children’s dental issues. For this reason, this presentation includes clinical cases to explain how to give children a complete restoration of decayed teeth on the practical side with various diagnoses and different treatment options depending on the clinical situation.