The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 10 , ISSUE 2 ( March, 2009 ) > List of Articles


Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report

Thaís Manzano Parisotto, Cíntia Maria de Souza-e-Silva, Carolina Steiner-Oliveira, Marinês Nobre-dos-Santos, Maria Beatriz Duarte Gavião

Citation Information : Parisotto TM, de Souza-e-Silva CM, Steiner-Oliveira C, Nobre-dos-Santos M, Gavião MB. Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report. J Contemp Dent Pract 2009; 10 (2):90-97.

DOI: 10.5005/jcdp-10-2-90

License: CC BY-NC 3.0

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2009; The Author(s).



The purpose of this case report was to describe the oral rehabilitation of a 4-year-old girl presenting early childhood caries (ECC).


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 intervals.


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.

Clinical Significance

The full management, including preventive, psychological, and curative measures of a young child with severe ECC was found successful after 8 months of follow up. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, resin filled celluloid crowns, and partial removable prosthesis to reestablish the oral functions and improve the child's psycho-social development.


Parisotto TM, Souza-e-Silva CM, Steiner-Oliveira C, Nobre-dos-Santos M, Gavião MBD. Prosthetic Rehabilitation in a Four-year-old Child with Severe Early Childhood Caries: A Case Report. J Contemp Dent Pract 2009 March; (10)2:090-097.

PDF Share
  1. Diagnosing and reporting early childhood caries for research purposes. A report of a workshop sponsored by the National Institute of Dental and Craniofacial Research, the Health Resources and Services Administration, and the Health Care Financing Administration. J Public Health Dent 1999; 59:192-197.
  2. Dental caries. Lancet 2007; 369:51-59.
  3. Dental caries and prolonged breast-feeding in 18-month-old Swedish children. Int J Paediatr Dent 1995; 5:149-155.
  4. Early childhood caries in northern Philippines. Community Dent Oral Epidemiol 2003; 31:81-89.
  5. Future caries development in children with nursing bottle caries. J Pedod 1988; 13:1-10.
  6. Handbook of Orthodontics. Chicago, Year-book Publishers, 1988.
  7. An esthetic point of view in very young children. J Clin Pediatr Dent 2005; 30:99-103.
  8. Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent 2003; 25:431-440.
  9. Changes in incremental weight and well-being of children with rampant caries following complete dental rehabilitation. Pediatr Dent 2002; 24:109-113.
  10. Preschool caries as an indicator of future caries: a longitudinal study. Pediatr Dent 2003; 25:114-118.
  11. Dental services, costs, and factors associated with hospitalization for Medicaid-eligible children, Louisiana 1996-97. J Public Health Dent 2000; 60:21-27.
  12. The effect of nursing or rampant caries on height, body weight and head circumference. J Clin Pediatr Dent 1996; 20:209-212.
  13. The social impact of dental problems and visits. Am J Public Health 1992; 82:1663-1668.
  14. Restoring primary anterior teeth. Pediatr Dent 2002; 24:511-516.
  15. Reasons for dental extractions in children. Pediatr Dent 2001; 23:109-112.
  16. Assessing the effect of fluoride varnish on early enamel carious lesions in the primary dentition. J Am Dent Assoc 2001; 132:1247-1253.
  17. Fluoride varnish efficacy in preventing early childhood caries. J Dent Res 2006; 85:172-176.
  18. Preformed posterior stainless steel crowns: an update. Compend Contin Educ Dent 1999; 20:89-104.
  19. A study of plaque accumulation and gingival health surrounding stainless steel crowns. ASDC J Dent Child 1982; 49:343-346.
  20. Stainless steel crown versus multisurface amalgam restorations: an 8-year longitudinal clinical study. Quintessence Int 1996; 27:321-323.
  21. A two-year clinical study of light-cured composite and amalgam restorations in primary molars. Dent Mater 1991; 7:230-233.
  22. Amalgam, composite resin and glass ionomer cement in Class II restorations in primary molars--a three year clinical evaluation. Swed Dent J 1992; 16:81-86.
  23. Composite crown-form crowns for severely decayed primary molars: a technique for restoring function and esthetics. J Clin Pediatr Dent 2000; 24:257-260.
  24. Removable prostheses for preschool children: report of two cases. Quintessence Int 2004; 35:397-400.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.