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.
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.
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.