Rehabilitación estética con coronas de resina en sector anterior de dientes primarios. Presentación de casos

Introduction: Dental decay may distress the overall development of the child, as in advanced cases it can produce pain, pulp death, periapical infections, or, in the worst scenarios, tooth loss, causing esthetic and functional problems. Thus, endodontic and rehabilitation treatment is essential. The objective is to present two clinical cases of complex rehabilitation in patients with severe early childhood caries, using endodontic and restorative techniques, with nano-hybrid composite crowns, celluloid preformed and stainless steel crowns. Case presentation: two girls ages 1 and 3 years old, with no relevant medical history, diagnosed with severe early childhood cavities, with the presence of active lesions, dentoalveolar abscesses, and destruction of the clinical crown presented for consultation. In both cases, treatment was performed under general anesthesia in a hospital environment. Oral rehabilitation included pulpectomies filled with iodoform calcium hydroxide paste, reconstruction with nano-hybrid composite crowns and celluloid shape for the incisors sector and molars were restored with stainless steel crowns, direct reinforced ionomeric glass restorations, composite resin, and fissure sealant. One and three-month follow-up of treatment showed correct function, appearance, and marginal adaptation of the crowns without gingival inflammation. Oral hygiene habits and diet recommendations were made. Conclusion: The reconstruction of severely destroyed primary teeth, by performing endodontic treatments and subsequent restoration including esthetic rehabilitation of primary incisors, showed positive outcomes in very young patients, preserving the primary dentition and restoring appearance and function.