Anterior Tooth Fillings for Children
What Is an Anterior Restoration?
Anterior tooth fillings repair decay, trauma or tissue loss in primary or young permanent incisors with aesthetic and functional aims.
The smile line and speech function are important in this region, so material choice is planned accordingly.
Trauma and Aesthetics
Fracture depth is assessed; complicated fractures may require pulp treatment first. Discolouration may relate to trauma or pulp necrosis and is supported by examination and radiographs.
Strip crown forms can be used for aesthetic restoration of primary anterior teeth.
Material Options
Composite resin, glass ionomer or strip crown forms may be considered. Adhesive protocol and isolation support success.
Colour selection, contour and polishing affect the aesthetic result.
Difference from Posterior Compomer
Compomer is often considered for small to moderate posterior cavities; anterior fillings focus on trauma, smile aesthetics and speech function.
The two applications have different anatomical regions and clinical aims.
Care and Follow-up
Trauma-related colour change or sensitivity may require separate follow-up. Mouthguards may be advised for sports.
Margins, wear and recurrent decay are assessed at regular checks.
In deep lesions, pulp treatment may be planned before restoration. Speech and smile function are assessed after restoration.
A matrix system may be used to protect the contact point and gum barrier.
Restoration margins are assessed at regular check-ups.
After polishing, surface smoothness and aesthetic harmony are assessed.
Trauma history and fracture timing guide the treatment plan.
Speech function is assessed in anterior restorations.