case_images: PMC10883740_01
case_images: Intraoral photos of the patient before treatment: maxillary anterior teeth (a), frontal occlusion (b), right lateral occlusion (c), left lateral occlusion (d), upper occlusion (e), and lower occlusion (f).
case_images: CRID2024-5556502.001.jpg
case_images: PMC10883740_01_CRID2024-5556502.001.jpg
case_images: fig1
case_images: Oral examination revealed multiple teeth with deep occlusal/proximal caries but normal surrounding soft tissue (Figure 1).
case_images: Panoramic X-ray of a 5-year-old patient.
case_images: CRID2024-5556502.002.jpg
case_images: PMC10883740_01_CRID2024-5556502.002.jpg
case_images: fig2
case_images: A preoperative radiograph (Sirona Orthophos XG 3D, Bentzheim, Germany) confirmed normal continuous periodontium and deep carious lesions or involving the pulps (Figure 2).
case_images: Postoperative result. Oral surgery was performed under general anesthesia: frontal occlusion (a), maxillary anterior teeth (b), right lateral occlusion (c), left lateral occlusion (d), upper occlusion (e), and lower occlusion (f).
case_images: CRID2024-5556502.003.jpg
case_images: PMC10883740_01_CRID2024-5556502.003.jpg
case_images: fig3
case_images: Finally, the molars were restored with preformed metal crowns (Shinhung Co., Ltd., Jung-gu, Seoul, Korea), and prefabricated zirconia crowns (NuSmile , Houston, TX, USA) were applied to the maxillary anterior teeth. Immediate postoperative images were taken by Nikon D750 (Nikon Corporation, Japan) for documentation and scientific research (Figure 3). Follow-up examinations were scheduled to be performed at 3 and 6 months postoperatively and every 6 months thereafter.
case_images: 6 mon recall examinations. All restorations in situ, no abnormalities. Note the presence of occlusal reconstruction: frontal occlusion (a), right lateral occlusion (b), left lateral occlusion (c), upper occlusion (d), lower occlusion (e), and panoramic X-ray (f).
case_images: CRID2024-5556502.004.jpg
case_images: PMC10883740_01_CRID2024-5556502.004.jpg
case_images: fig4
case_images: By self-regulation of the occlusal relationship, an anterior crossbite was successfully transmitted to a normal bite over a 6-month period (Figure 4).
case_images: 18 mon recall examinations. All restorations in situ, no abnormalities. Note the presence of occlusal reconstruction: frontal occlusion (a), right lateral occlusion (b), left lateral occlusion (c), and panoramic X-ray (d).
case_images: CRID2024-5556502.005.jpg
case_images: PMC10883740_01_CRID2024-5556502.005.jpg
case_images: fig5
case_images: During the 18-month recall period, the treated teeth showed normal clinic outcomes and radiographic signs (Figure 5), and the crowns had manifested good retention and aesthetic results.