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Fig 5: Final outcome Fig 6: Smile integration at one month post –procedure

with therapy and at-home oral hygiene practices. 501–505.
Since the child exhibited severe dental phobia and non-cooperation, 7. Planells del Pozo, P.; Fuks, A.B. Zirconia crowns—An esthetic and
NOIS was selected as the sedation method. The combination of resistant restorative alternative for ECC affected primary teeth.J.
minimally invasive procedures and digital behavior modification Clin. Pediatr. Dent. 2014,38, 193–195.
under NOIS-SDF was pivotal in achieving long-term restoration 8. Alrashdi, M.; Ardoin, J.; Liu, J.A. Zirconia crowns for children: A
success in an otherwise uncooperative patient. While stainless-steel systematic review. Int. J. Paediatr. Dent.2022,32, 66–81
crowns (SSCs) remain the gold standard in pediatric dentistry for 9. Daou, E.E. The zirconia ceramic: Strengths and weaknesses. Open
managing extensive caries, the aesthetic preference in this case led to Dent. J. 2014,8, 33–42.
the selection of zirconia crowns. 10. Ludovichetti, F.S.; Stellini, E.; Signoriello, A.G.; DIFiore, A.; Gracco,
Several studies indicate that SDF can effectively slow caries A.; Mazzoleni, S. Zirconia vs. stainless steel pediatric crowns:A
progression while accelerating enamel remineralization. literature review. Minerva Dent. Oral Sci. 2021,70, 112–118.
11. Lopez-Cazaux, S.; Aiem, E.; Velly, A.M.; Muller-Bolla, M.
CONCLUSION Preformed pediatric zirconia crown versus preformed pediatric
Since there are no directly comparable cases in the existing literature, metalcrown: Study protocol for a randomized clinical trial. Trials.
this case contributes valuable insights to the field of pediatric dentistry. 2019,20, 53
It describes the successful treatment of a 3-year-old girl with high 12. Chu CH, Mei L, Seneviratne CJ, Lo EC: Effects of silver diamine
caries risk, severe dental anxiety and phobia, and aesthetic concerns. fluoride on dentine carious lesions induced by Streptococcus
The case highlights the importance of early intervention and behavior mutans and Actinomyces naeslundii biofilms. Int J Paediatr Dent.
management strategies in children with similar challenges, particularly 2012, 22:2-10. 10.1111/j.1365-263X.2011.01149.x
when conventional sedation methods may not be viable. By utilizing 13. Richards D: The effectiveness of silver diamine fluoride in arresting
a digital workflow, the required treatment was administered while caries . Evid Based Dent. 2017, 18:70. 10.1038/sj.ebd.6401250
ensuring the child’s comfort and well-being throughout the process. n
REFERENCES
1. Colak, H.; Dülgergil, C.T.; Dalli, M.; Hamidi, M.M. Early childhood
caries update: A review of causes, diagnoses, and treatments.J. Nat.
Sci. Biol. Med. 2013,4, 29–38.
2. Casamassimo, P.S.; Thikkurissy, S.; Edelstein, B.L.; Maiorini,
E. Beyond the dmft: The human and economic cost of early
childhoodcaries. J. Am. Dent. Assoc. 2009,140, 650–657.
3. World Health Organisation. Country Oral Heath Profiles. Available
online: http://www.mah.se/CAPP/Country-Oral-Health-Profiles
(accessed on 14 December 2016).
4. Marthaler, T.M. Changes in dental caries 1953–2003. Caries Res.
2004,38, 173–181.
5. Innes, N.P.; Ricketts, D.; Chong, L.Y.; Keightley, A.J.; Lamont, ARTICLE CITATION
Gaurav Gupta. D.K. Gupta, Priyanka Gupta (2025). “A shining
T.; Santamaria, R.M. Preformed crowns for decayed primary solution”: combating early childhood caries – digitally,
molarteeth. Cochrane Database Syst. Rev. 2015,2015, CD005512. minimalistically and esthetically functioning. Dental Practice,
6. Seale, N.S. The use of stainless steel crowns. Pediatr. Dent. 2002,24, 21(1), 52-55

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