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Case DentalDate

Treatment of Tooth Decay in Primary Teeth: Case of Teeth 84 and 85 in a 5-Year-Old Child

We recently treated a 5-year-old patient who complained of discomfort while eating, particularly in the lower right molar area. Upon clinical and radiographic examination, we diagnosed interproximal caries affecting primary teeth 84 and 85—the second and first primary molars on the lower right side.

Dr. Anastasiia Mordanova
Dr. Anastasiia Mordanova

Pediatric dentist/ General Dentist

Why is this important?

Interproximal caries is one of the most insidious forms of decay. It develops in the hard-to-reach areas between teeth, making it difficult to detect in the early stages without an X-ray. If left untreated, it can progress rapidly, reaching the nerve and leading to pain and infection.

Diagnosis

How was the treatment done?

  1. Local anesthesia – safe and age-appropriate, ensuring a painless and stress-free experience for the child.
  2. Rubber dam isolation to maintain a sterile field and prevent saliva contamination.
  3. Careful removal of decayed tissue with minimal intervention and preservation of healthy tooth structure.
  4. Restoration of tooth anatomy using a light-cured composite material specifically suited for primary teeth in both color and durability.
  5. Finishing and polishing of the fillings to prevent plaque accumulation and ensure a proper bite.
  6. Parent consultation with personalized instructions for home care and future prevention.

Prevention

Parents received guidance on:

It’s important to remember: Primary teeth are essential for proper bite development, speech, and the health of future permanent teeth. Timely treatment helps avoid serious complications and ensures a healthy smile for our youngest patients.