A 12-year-old male patient came with a complaint of yellow brown discoloration of his upper anterior teeth since 4-5 years. His parents were aware of discolored deciduous teeth. Family history was unremarkable. Patient had mixed dentition present with deciduous molar root pieces. On examination, brownish discoloration was present in 21, 11, 36, 46 and chalky white discoloration was present in relation with all other teeth. Incisal edges of 33, 34, 43, 44 were thin with dentin exposed. Enamel was softer in consistency with chipping of enamel on probing []. On the basis of clinical examination, provisional diagnosis of hypomaturation AI was made. Panoramic radiograph was advised which showed presence of a thin layer of enamel with radiodensity of enamel more than dentin and taurodontism of 16, 26 []. Final diagnosis of hypoplastic-hypomaturation-AI with taurodontism of 16, 26 was made.
A 4-year-old girl child reported to our clinic with the chief complaint of discolored and decayed teeth. Clinical and radiographic examination revealed roots of 51, 52, 61, 62, 71, 72, 73, 81, 82, 83 and carious 54, 55, 64, 65, 74, 75, 84, and 85. Along with management of carious teeth, complete preventive care was given to patient.\nAll retained roots and 84 were extracted. Pulpectomy was performed (as described for the previous case) in 74 and75 followed by stainless steel crown in 74 and composite restoration in 75. Prosthetic rehabilitation consisted of removable partial denture. Reconstruction of grossly decayed 73 and 83 was performed in the following steps:\nStep 1: Pulpectomy of 73 and 83 was performed as described for the previous case and coronal seal was established with GIC (GC Fuji II, Glass Ionomer Restorative, GC, USA) [].\nStep 2: Preparation of dentine post and core: These were prepared and sterilized in a similar way as described for the previous case. The only difference was in shape. For this case, the dentine part was trimmed so that it had approximately 2-3 mm length of post and similar length of core with wider buccolingual and mesiodistal dimensions when compared with post part [].\nStep 3: Removal of approximately 3 mm of coronal GIC to prepare post space.\nStep 4: Trial fit of prepared post and core unit. The mesiodistal and buccolingual dimensions of core were adjusted so that they allowed thickness of approximately ≥1-2 mm of composite material during final restoration.\nStep 5: Cementation of post and core unit was done in a similar way as described for the previous case [Figures and ].\nStep 6: Etching was done with 35% phosphoric acid (Scotchbond™ Etchant, 3M™/ESPE™ Dental Products, USA) for 15 s. Scotch bond multipurpose plus (3M™/ESPE™ Dental Products, USA) was applied following manufacturer's instruction.\nStep 7: Final buildup was done with Filtek™ Z350 XT supreme universal restorative (3M™/ESPE™ Dental Products, USA) composite material using incremental technique. Polishing and finishing was performed with composite finishing and polishing tips (CompoSite™ Finishing Kit, CompoSite™ Polishing Kit, Shofu, USA). Occlusion was checked in centric and eccentric positions.\nClinical examination [] at 1, 6 and 12 months showed these restorations to be functioning well with satisfied patient and parent.