Esthetic rehabilitation and space maintenance of a young toddler with multiple tooth loss subsequent to early childhood caries is a major challenge for the pediatric dentist. Premature loss of primary anterior teeth causes psychological, functional and esthetic disturbances, which have negative impact on the child’s behavior, while premature loss of posterior teeth causes space loss and later on may result in malocclusion. This case report describes the management of Severe ECC with a fixed functional space maintainer.
Key words: Esthetics, Space maintainer, ECC.