Oral rehabilitation of a 4-year-old child with early childhood caries under general anaesthesia: a case report on long-term outcome

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ABSTRACT

Conclusion

BACKGROUND: Young patients with early childhood caries (ECC) commonly undergo oral rehabilitation under general
anaesthesia (GA), often because of problems with behaviour management. Children with a history of ECC are highly susceptible to the
development of new caries, even after comprehensive oral rehabilitation. CASE REPORT: The present paper reports the case of a
female patient, aged 4.1 years, with ECC who was referred for treatment to the Department of Paediatric Dentistry of the Universitat
Internacional de Catalunya. On account of the requirement for extensive dental treatment, and because of behaviour management
problems, her dentition was restored under GA. A combination of restorative approaches and techniques was used, including the
placement of composite resins, preformed metal crown restorations, extractions, and space maintainers. The patient was followed for 24
months, both clinically and radiographically. Conclusion This case reflects the need to provide adequate support to children at high risk
for ECC, together with their families by developing more acceptable and effective biological and behavioural interventions in order to
reduce caries relapse after oral rehabilitation under GA.

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