Rehabilitation of Mutilated Primary Anterior Teeth with Monoblock Prosthetic Design in Children: A Case Report

Early childhood caries (ECC) is a chronic condition affecting a majority of the pediatric population, leading to functional and esthetic concerns. It often leads to gross destruction of the anterior teeth, which are difficult to restore and rehabilitate. To overcome this, prefabricated pediatric zirconia crowns have been recently introduced. However, it warrants prior rehabilitation with a post and core in many cases, which poses difficulty in terms of increased chairside time and cooperation of the child. The aim of this article is to report a case of esthetic rehabilitation of grossly destructed upper anterior teeth using two types of post and cores with zirconia crowns.

With digital dentistry growing at its peak, the current case utilizes intraoral scanning and computer-aided design and computer-aided manufacturing (CAD-CAM) technology to rehabilitate mutilated primary anterior teeth with monoblock prosthetic design on one side and conventional fiber post and core build-up followed by a customized zirconia crown on the other side.

Customized zirconia crowns with a built-in post offer an easy and effective solution for esthetic rehabilitation of badly broken-down teeth.

Customized zirconia crowns have shown to offer superior esthetics and decreased chairside time, thus facilitating better clinical results and patient cooperation.

Budia S, Rathi N, Patil L, et al. Rehabilitation of Mutilated Primary Anterior Teeth with Monoblock Prosthetic Design in Children: A Case Report. Int J Clin Pediatr Dent 2025;18(12):1498-1503.