I wish we all change our attitude from “Temporary teeth Temporary solutions” to Temporary teeth Permanent solutions! What went wrong here dear parents When the child was scheduled under GA definitive treatment ought to be planned. There were no post-operative radiographs recorded in the OT to determine whether restorations were done properly or not by the previous operator. When we work under magnification our output improves manifold. A lot of fillings that failed were actually jus patched on infected dentine. The child ideally should have been positive after an extensive procedure but since the failed restorations were already attempted chairside by the previous operator the child was already negative when we started repair work for his front teeth chairside P.S Long term relations are built on trust
Please understand that all this comes at a cost
What we did
51 core built up with Equia Forte followed by Nu Smile Zr Crowns
61 Nu Smile Zr Crown
62 Class V lesion dislodged restoration repaired
52 CaOH removed from the canals for up to 3mm depth. Covered with ionoseal followed by Composite restoration Shade A1 BODY.
Besides this, the child’s dislodged restoration with 54 was also repaired again.
Frequently Asked Questions (FAQs)
1. Why do temporary (baby) teeth need permanent-quality dental treatment?
Baby teeth guide chewing, speech, jaw growth, and maintain space for permanent teeth. Poor-quality restorations can fail quickly, causing pain, infection, or the need for retreatment under GA.
2. Why did the child’s previous restorations fail?
Many fillings were placed over infected dentine without proper cleaning. Without magnification and quality materials, restorations don’t bond well and tend to dislodge or decay underneath.
3. Why are post-operative X-rays important after treatment under GA?
X-rays help verify if the decay was removed properly, if restorations are sealed well, and if the treatment will last. Skipping them increases the risk of failed fillings or hidden infections.
4. Does treatment under General Anesthesia guarantee perfect results?
GA allows complete treatment in one sitting, but quality still depends on technique, materials, magnification, and proper planning. Definitive, long-lasting work must be the goal.
5. Why was the child already negative or uncooperative during the chairside repair?
Because the previous failed restorations caused discomfort and distrust, the child had already formed a negative dental experience before starting the new treatment.
6. Why does pediatric dentistry require magnification?
Children’s teeth are tiny, and decay can hide in narrow grooves. Working under magnification allows more precise decay removal and stronger, longer-lasting restorations.
7. What materials were used in this child’s treatment and why?
Materials like Equia Forte, Ionoseal, and NuSmile Zirconia Crowns are durable, biocompatible, and designed to withstand forces in children’s mouths, ensuring long-term success.
8. Why was CaOH removed from the canals before the new restoration?
Old calcium hydroxide left in the canal can weaken the restoration. It must be removed and replaced with proper sealing materials before placing composite.
9. Why does high-quality pediatric dental treatment cost more?
Advanced materials, magnification, expertise, and time ensure that the child gets durable, long-term results—reducing repeat visits, pain, and future GA procedures.
10. How can parents prevent such treatment failures in the future?
Choose definitive treatment, follow-up appointments, take recommended X-rays, maintain oral hygiene at home, and ensure regular check-ups to monitor restorations.
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