Journal of Operative Dentistry & Endodontics

Register      Login

VOLUME 2 , ISSUE 2 ( July-December, 2017 ) > List of Articles


Full Mouth Rehabilitation of Adult Rampant Caries with Pragmatic Approach

P Sindhu Padmanabha, Patrick T Arul, Geeta IB

Citation Information : Padmanabha PS, Arul PT, IB G. Full Mouth Rehabilitation of Adult Rampant Caries with Pragmatic Approach. J Oper Dent Endod 2017; 2 (2):88-92.

DOI: 10.5005/jp-journals-10047-0044

Published Online: 01-08-2015

Copyright Statement:  Copyright © 2017; The Author(s).



The aim of this article is full mouth rehabilitation of adult rampant caries with a pragmatic approach.


Dentistry has evolved from treating pain and oral diseases to improving esthetics and the overall look and appeal of an individual. Rampant caries are the nightmares of every individual, which are even more grossly accentuated in adults when compared with children. It can lead to emotional imbalance and the near death of a person's confidence. The prognosis of the treatment depends upon the age of the patient, extent of decay, cooperation of the patient, and the patient's motivation toward dental treatment. Herein, the pragmatic approach comes into play, by focusing on what is still left in the patient's arsenal. This simply means the esthetics of the patient's dentition has been improved from the original appearance, but may not be perceived as “dental perfection,” which can be accomplished through adhesive restorations.

Case report

A 38-year-old female patient reported to the department with rapid widespread decay in her upper and lower teeth for 2 years, after her second pregnancy and was mainly concerned with esthetics in her anterior dentition. The treatment included extraction of hopeless teeth irt #16, 26, 46, 15, 22 and root canal treatment reinforced with fiber post #11, 12, 13, 14, 21, 23, 31, 32, 33, 41, 42, 43, 44, 45, 46 followed by composite restorations to enhance the esthetics, and the missing teeth were replaced with removable partial dentures.


The esthetic result achieved may not conform to the highest dental perfection, but represents an effective way of protecting the teeth from further tooth structure loss, while effecting an improvement in patient-perceived esthetics. This is the concept of pragmatic esthetics.

Clinical significance

Composite resin restorations represent an effective way of enhancing the esthetics and conservation of the remaining sound tooth structure for rampant caries.

How to cite this article

Padmanabha PS, Arul PT, Geeta IB. Full Mouth Rehabilitation of Adult Rampant Caries with Pragmatic Approach. J Oper Dent Endod 2017;2(2):88-92.

PDF Share
  1. The image of dentistry in contemporary culture. J Am Dent Assoc 1998 May;129(5):607-613.
  2. Promoting esthetic procedures in the pros-thodontic practice. J Prosthodont 2004 Jun 1;13(2):111-117.
  3. Unity and variety: essential ingredients of a smile design. Curr Opin Cosmet Dent 1994:1-5.
  4. Are prosthodontics a vital part of dentistry. J Am Dent Assoc 2002 May 1;133(5):647-648.
  5. Adult rampant caries: a clinical report. Indian J Oral Sci 2016 Jan 1;7(1):42.
  6. Introducing the concept of pragmatic esthetics, with special reference to the treatment of tooth wear. J Esthet Restor Dent 2011 Oct 1;23(5):277-293.
  7. Teenage caries. J Dent Child 1945;12;57-64.
  8. Role of the comforter as an aetiological factor in rampant caries of the deciduous dentition. Archives of Disease in Childhood. 1966 Apr;41(216):207.
  9. Minimal intervention dentistry II: part 2. Management of caries and periodontal risks in general dental practice. Br Dent J 2014 Feb 21;216(4):179-185.
  10. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 2008 Aug 1;36(4):335-346.
  11. Minimal intervention dentistry: a vision of caries management for older patients. II. Hua Xi Kou Qiang Yi Xue Za Zhi 2010 Feb;28(1):9-12.
  12. Direct restoration of worn maxillary anterior teeth with a combination of composite resin materials: a case report. J Esthet Restor Dent 2005 Mar 1;17(2):85-91.
  13. Techniques for restoring worn anterior teeth with direct composite resin. Dent Update 2008 Oct;35(8):551-552.
  14. Prosthodontic rehabilitation of dentinogenesis imperfecta. Contemp Clin Dent 2011 Apr;2(2):138-141.
  15. Alternative restorative approach for treatment of patient with extremely worn dentition. N Y State Dent J 2009 Aug;75(5):52-55.
  16. Full mouth rehabilitation of the patient with severely worn dentition: a case report. J Adv Prosthodont 2010 Sep 1;2(3):106-110.
  17. Maxillary and mandibular overlay removable partial dentures for the restoration of worn teeth. J Prosthet Dent 2004 Mar 31;91(3):210-214.
  18. Full mouth rehabilitation with implant-supported prostheses for severe periodontitis: a case report. Open Dent J 2010 Aug 13;4(1):165-171.
  19. Oxford: Oxford University Press; 2000.
  20. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000 Mar;83(3):287-293.
  21. The survival and clinical performance of resin-based composite restorations used to treat localized anterior tooth wear. Br Dent J 2003 May 24;194(10):566-572.
  22. The treatment of localized anterior tooth wear with indirect Art glass restorations at increased occlusal vertical dimension. Results after 2 years. Eur J Prosthodont Rest Dent 2002 Sep;10(3):101-105.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.