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Early childhood caries means the severe destruction and premature loss of primary teeth due to caries. It is found more commonly in the children below the age of 6 years. They are progressive, rampant and acute in nature of progression. [1] Early childhood caries is a global oral health problem that continues to affect infants and preschool children.[2] The aesthetic appearance of the children are nowadays a social concern for the family and if the problem is not treated than it can result in a local, psychological, social and aesthetics problems. Hence, it is necessary to treat the early childhood caries.[1,3]The treatment of traumatized, decayed and deformed deciduous teeth specially the anterior ones is often challenging because of their smaller size, thin enamel layer and also a close proximity of pulp to the tooth surface.[4] In an era of prevention, where the primary focus is on prevention of extension rather than an extension for prevention, the solution lies in silver diamond fluoride hypothesized potential to terminate the caries process and simultaneously prevent the formation of new dental caries.[5]Therefore, SDF has been labeled to be a “silver fluoride bullet.’’
Even with all the oral health prevention policies, dental caries remains prevalent in the preschool population, especially in children from low-income families, resulting in the need for intervention by the dental professional and public health policies. Primary teeth play a key role in phonetics, eating, aesthetics and maintaining space for permanent teeth. Thus, pediatric dentistry should invest efforts to keep these dental elements healthy until the time of their rhizolysis and exfoliation. [9,10] Despite attempts to improve the dental health and to minimize the effects of caries, pediatric dentists still deal with cases of extensive destruction of primary teeth. One of the most challenging tasks for the pediatric dentists is to restore grossly decayed primary anterior teeth with full coverage restorations which are durable esthetic and retentive. [11]