A four-and-a-half-year-old boy reported along with his parents to the Department of Pedodontics and Preventive Dentistry with the chief complaint of decayed teeth in the upper front region since many months. His medical history was not significant. On intraoral examination, he was found to have several carious lesions with grossly decayed 52, 51, 61, and 62 (Figures and ) and deep dental caries in 85. However, the radiographs of the maxillary anterior teeth revealed good root length of these teeth (). Hence, it was planned to restore the maxillary anterior teeth by performing pulpectomy followed by the post and core for these teeth. The parents were informed, and a written consent was obtained.
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.