A 4-year-old male patient reported to the Department of Pedodontics and Preventive Dentistry with a chief complaint of decayed upper front teeth. Patient's medical history was noncontributory. Patient's mother gave a history of breast feeding for 1 year after which the child was bottle fed for 3 years. Intraoral examination revealed a complete set of deciduous dentition. It was observed that 55, 52, 51, 61, 62, 65, 71, 72, 73, 74, 75, 81, 82, 83, 84, and 85 were affected by dental caries (). Intraoral periapical radiographs revealed pulp involvement with 52, 51, 61, and 62 (). Diet analysis, counseling, and oral prophylaxis were done. 74 and 75 were grossly carious and were indicated for pulpectomy followed by a stainless steel crown (). 52, 51, 61, and 62 were indicated for pulpectomy, followed by glass fibre-reinforced composite resin posts and composite buildups. 55 and 65 presented with pit and fissure caries and were indicated for composite resin restorations.\nThe treatment plan was divided into 2 steps for 51, 52, 61, and 62.\nAn infraorbital block was administered for 61 and 62, and labial and palatal infiltration was carried out for 51 and 52. Gross carious lesions were removed with a no. 330 round carbide steel bur. Unsupported enamel was not removed so as to preserve as possible. The pulp chamber was opened and working length determination IOPA was taken with a no. 10 K-file.The pulp tissue was extirpated using no. 10–no. 35 K-files. After irrigation with copious amounts of 2.5% NaOCl and normal saline, the root canal was dried using paper points. A thick mix of Endofloss paste was then condensed with lentulo spiral into the canal. The obturated material was allowed to set for 10 minutes ().\nThe post space was prepared 1 week after the endodontic treatment was completed. The post space was created by removing approximately 4 mm of Endofloss material using a thin straight fissure bur. All visible Endofloss cement on the walls of the post space was removed.\nThe prepared post space was then cleaned with saline, air dried, and acid etched with 37% phosphoric acid for 15 seconds. This space was rinsed and air dried with oil-free compressed air. A light-cured bonding agent was brushed on the etched surface and uniformly dispersed by a compressed air blast. It was then light cured with for 20 seconds. The GFRC post was then cured for 20 seconds in order to gain rigidity, before insertion into the post space. Light cured flowable composite resin was then inserted into the canal chamber after which the GFRC post was inserted (). The fiber post and composite were then cured with together for 60 seconds. The coronal portion of the glass fibre-reinforced composite post was splayed to increase the surface area for the retention of the core.\nThe coronal enamel was then etched for 20 seconds, rinsed with water and air dried followed by application of bonding agent—which was then light cured. The coronal post was then covered with the flowable composite for core build up, followed by light curing it for 60 seconds, and finally teeth were restored with hybrid composite. The final finishing and polishing was done with finishing burs. Occlusal interferences in normal and paranormal mandibular movements were removed ().
A 4-year-old female patient attended a pediatric dental clinic at the Dental College of Ajman University on September 2016. The patient was complaining of dental pain in the anterior maxillary teeth. The parents asked for a treatment to relieve the dental pain and restore the esthetic appearance for the patient. A dental examination showed destructed anterior maxillary teeth and bad oral hygiene of the remaining teeth. The dental history explained the bad oral hygiene and destructed anterior teeth due to bottle-feeding for 3 years and parental neglect in addition to the expensive dental treatment, which the parents could not afford. The dental examination showed retained roots of 51, 52, 61, and 62. The 62nd root showed great mobility and a bad prognosis for any future restoration. The intraoral radiograph revealed pulp involvement of 51, 52, 61, and 62 and showed root resorption.