A Simplified Method for the Restoration of Severely Decayed Primary Incisors

Objectives: Caries and dental trauma are common reasons for primary anterior teeth res- torations in children. This non-controlled clinical trial was designed to evaluate crown res- torations reinforced with a sectioned file post for the restoration of severely damaged pri- mary maxillary incisors. Materials and Methods: Thirty-eight primary maxillary incisors of 12 children (3-5 years old) with early childhood caries (ECC) received composite restorations with a custom- made post. The restorations were evaluated using the modified United States Public Health Service (USPHS) criteria. The percentage of acceptable restorations was reported. Results: In this trial, the quality of marginal adaptation decreased after three and 12- month intervals. Recurrent carious lesions were observed during intervals. In terms of restoration retention, only one patient lost both the post and the restoration at the 12-month follow up. Conclusion: The sectioned file post technique showed good retention and aesthetics for restoring severely damaged primary maxillary anterior teeth.