Zirconia Crowns versus Pre-veneered Stainless Steel Crowns in Primary Anterior Teeth A Retrospective Study of Clinical Performance and Parental Satisfaction | ||||
| Egyptian Dental Journal | ||||
| Article 17, Volume 64, Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry), October 2018, Page 3075-3084 PDF (496.41 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2018.78283 | ||||
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| Author | ||||
| Ahmed Adel Salama | ||||
| Lecturer, Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University. | ||||
| Abstract | ||||
| Purpose: This study aimed at evaluating the clinical performance and parental satisfaction with zirconia crowns versus the pre-veneered stainless-steel crowns (SSCs) in primary anterior maxillary teeth in a group of Egyptian children under general anesthesia. Methods: A retrospective analysis of forty maxillary anterior pediatric zirconia crowns versus forty pre-veneered SSCs was performed. Crowns were examined for retention, gingival health, color match, contour and opposing tooth wear. Parental satisfaction with either type of crowns was evaluated by questionnaire. Results: Seventy-seven crowns were evaluated in 32 children with 3 teeth lost to exfoliation. Crowns were examined 4-12 months after placement. Zirconia crowns showed a 100% retentiveness, color match, absence of gingival irritation, 94.7% cosmetic appearance with 100% overall parental satisfaction rated as very satisfied. On the other hand, although pre-veneered SSCs showed 94.9% retentiveness, 12.8% (n=5) showed mild inflammation on the gingival index together with slight shade mismatch, along with 23.1% (n=9) non-ideal crowns with a reduced overall parental satisfaction rated as 71.8% very satisfied. Conclusions: Pediatric zirconia crowns offer a better esthetic and highly acceptable, albeit more expensive, restorative option for primary maxillary anterior teeth. | ||||
| Keywords | ||||
| Zirconia crown; Pre-veneered SSCs; Primary anterior teeth; early childhood caries | ||||
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