1 Aesthetic Dental Clinic Kids, Târgu-Mureș, Romania
2 Târgu Mureș Emergency Clinical County Hospital, Târgu-Mureș, Romania
3 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
Introduction. Early childhood caries (ECC) represent a significant challenge in paediatric dental practice, particularly in very young and non-cooperative patients. Case Presentation. We report the case of a 2-year-old male patient presenting with multiple abscesses in the maxillary anterior region associated with severe dental destruction. Due to the patient’s age, pre-cooperative behaviour, and extensive treatment needs, comprehensive dental treatment was performed under general anaesthesia. Full-mouth rehabilitation was completed in a single session lasting approximately 2 hours and included endodontic treatment, zirconia crowns, stainless-steel crowns, composite restoration, and preventive sealing. The postoperative course was uneventful, with satisfactory clinical outcomes on follow-up. Conclusions. This case highlights the importance of general anaesthesia in managing severe ECC and supports the use of combined approaches to achieve functional and aesthetic rehabilitation in very young paediatric patients.