Minimally Invasive Aesthetic Rehabilitation in Pediatric Patients- A Case Series

Abstract

Loss of anterior teeth due to trauma, caries, or developmental anomalies may lead to functional impairment and significant psychosocial distress in children and adolescents, affecting esthetics, self-esteem, and social interaction. This report describes three clinical cases of young patients presenting with missing maxillary anterior teeth, where minimally invasive prosthetic rehabilitation was planned using Maryland bridge designs as a conservative treatment approach. After thorough clinical and radiographic evaluation, treatment was undertaken with two different approaches: in two cases, a resin-reinforced fiber splint–based Maryland bridge was fabricated to enhance retention and stress distribution, while in one case a conventional tooth preparation design was used for retentive wing placement. All procedures were carried out with strict emphasis on preservation of enamel, minimal tooth preparation, and esthetic rehabilitation. The prostheses were evaluated for fit, function, esthetics, and patient satisfaction, and followed up over a short-term period, during which all restorations remained stable without debonding, fracture, or biological complications. Patients reported improved confidence and satisfactory esthetic and functional outcomes. Within the limitations of this case series and short follow-up duration, minimally invasive Maryland bridge designs, particularly those reinforced with fiber, appear to be a reliable and conservative treatment option for replacement of missing anterior teeth in young patients.