Hybrid child friendly biological primary molar restorative alternatives to general anaesthesia

Abstract

Abstract: Management of early childhood caries, especially in high caries prevalence regions, is challenging, with multiple extractions under general anaesthesia (GA) becoming frequently unavoidable. This paper describes a combination of child-friendly biological methods of caries management that could be utilized by general dental practitioners. The use of interim therapeutic restorations to aid in diagnosis of pulpal status in deeply carious primary molars followed by using multiple Hall technique preformed metal crowns is described through a series of case reports. By the hybrid utilization of these methods with complete avoidance of local anaesthesia, an alternative treatment to dental GA is demonstrated.

CPD/Clinical Relevance: To provide a guide for the use of combined biological methods to treat early childhood caries.