MeSH: SSC – no details, no items found Stainless steel crown/(s) – no details, no items found PUBMED: Stainless Steel Crowns[ti] 80 citations (no limits), displayed to view abstract and MeSH terms There are only 20ish articles from 2000 onwards. These are the ones i think are most suitable. There are common MeSH terms as you can see Pediatr Dent. 2007 Sep-Oct;29(5):377-81. Clinical outcomes for primary anterior teeth treated with preveneered stainless steel crowns. MacLean JK , Champagne CE , Waggoner WF , Ditmyer MM , Casamassimo P . School of Dental Medicine, University of Nevada, Las Vegas, USA. PURPOSE: The purpose of this retrospective study was to explore clinical outcomes for NuSmile anterior preveneered stainless steel crowns. METHODS: A convenience sample of healthy children treated with anterior crowns was selected from a teaching clinic and private office. Crowns were placed by either a private practice dentist or pediatric dental resident. Clearly defined clinical outcomes were assessed by 3 calibrated examiners at recall, including: (1) presence; (2) chipping; (3) wear; (4) crazing; and (5) marginal location by clinical and radiographic examination. Factors affecting placement--such as operator experience and behavior--were also assessed. RESULTS: In 46 subjects (21 females, 25 males; mean age at placement=4 years, 2 months), 226 crowns with a mean post-placement time of 12.9 months were evaluated. Only 2 crowns matched natural teeth, with NuSmile crowns lighter in 83% of subjects. Most crowns (86%) were normal in size. Eighty-eight percent resisted fracture for 6 months. All but 3 crowns resisted color change for 6 months. Canine crowns were the least successful, but overall 91% of crowns retained good to excellent clinical appearance. CONCLUSIONS: NuSmile anterior preveneered crowns are a clinically successful restoration for primary incisors with early childhood caries.
Transcript
MeSH: SSC – no details, no items found
Stainless steel crown/(s) – no details, no items found
PUBMED: Stainless Steel Crowns[ti] 80 citations (no limits), displayed to view abstract and MeSH terms
There are only 20ish articles from 2000 onwards. These are the ones i think are most suitable. There are common MeSH terms as you can see
Pediatr Dent. 2007 Sep-Oct;29(5):377-81.
Clinical outcomes for primary anterior teeth treated with preveneered stainless steel crowns.MacLean JK, Champagne CE, Waggoner WF, Ditmyer MM, Casamassimo P.
School of Dental Medicine, University of Nevada, Las Vegas, USA.
PURPOSE: The purpose of this retrospective study was to explore clinical outcomes for NuSmile anterior preveneered stainless steel crowns. METHODS: A convenience sample of healthy children treated with anterior crowns was selected from a teaching clinic and private office. Crowns were placed by either a private practice dentist or pediatric dental resident. Clearly defined clinical outcomes were assessed by 3 calibrated examiners at recall, including: (1) presence; (2) chipping; (3) wear; (4) crazing; and (5) marginal location by clinical and radiographic examination. Factors affecting placement--such as operator experience and behavior--were also assessed. RESULTS: In 46 subjects (21 females, 25 males; mean age at placement=4 years, 2 months), 226 crowns with a mean post-placement time of 12.9 months were evaluated. Only 2 crowns matched natural teeth, with NuSmile crowns lighter in 83% of subjects. Most crowns (86%) were normal in size. Eighty-eight percent resisted fracture for 6 months. All but 3 crowns resisted color change for 6 months. Canine crowns were the least successful, but overall 91% of crowns retained good to excellent clinical appearance. CONCLUSIONS: NuSmile anterior preveneered crowns are a clinically successful restoration for primary incisors with early childhood caries.
Utilization of stainless steel crowns by general dentists and pediatric dental specialists in Indiana.Kowolik J, Kozlowski D, Jones JE.
Department of Oral Facial Development, Indiana University School of Dentistry and Riley Hospital for Children, USA.
The purpose of this study was to evaluate utilization of the stainless steel crown by both the general and pediatric dentists in Indiana. Although reports indicate that there has been a dramatic reduction in dental caries in the US, almost 20 percent of children have dental decay by age four, with almost 80 percent having a cavity by 17 years of age. After reviewing the literature, Seale has recommended that the stainless steel crown is the most successful restoration for children with a rate of high caries. All dental schools in North America teach the value of using stainless steel crowns and the method of tooth preparation. We hypothesized that greater use of the stainless steel crowns would be made by specialists than by general dentists. In this study, of the 200 questionnaires distributed, 62.5 percent were returned and analyzed. The results imply that stainless steel crowns are being significantly underutilized in general dental practice. It is interesting, and perhaps of
concern, that the general dentists are not interested in continuing education courses about this subject. Over the next few years, with the aging of the pediatric dental community in Indiana, general (not specialty) dentists will treat most of the children. Because of this, pre-doctoral education needs to place more emphasis on preparation and utilization of the stainless steel crown.
Stainless steel crowns improve success rate of root canal treatment in primary teeth.
Seale NS.
Department of Pediatric Dentistry, Baylor College of Dentistry, The Texas A & M University System, Health Science Center, Dallas, Texas, USA.
Comment on:
J Dent. 2005 Jan;33(1):41-7.
PMID: 17138373 [PubMed]
Gen Dent. 2006 Sep-Oct;54(5):347-50; quiz 351, 367-8.
Stainless steel crowns versus amalgams in the primary dentition and decision-making in clinical practice.Mata AF, Bebermeyer RD.
Department of Restorative Dentistry and Biomaterials, University of Texas Health Science Center at Houston Dental Branch, USA.
This article reviews scientific dental literature related to amalgam restorations versus stainless steel crowns (SSCs) in the primary dentition. An extensive literature search of clinical studies was conducted to address the use of amalgams and SSCs in the primary dentition. The scientific literature provides evidence that SSCs demonstrate greater longevity and reduced need for retreatment, compared to multi-surface amalgam restorations. There is high-level evidence for the use of SSCs because of their cost-effectiveness, ease of placement, and longevity.
Br Dent J. 2005 Oct 8;199(7):453-5; discussion 441.
General dental practitioners' views on the use of stainless steel crowns to restore primary molars.Threlfall AG, Pilkington L, Milsom KM, Blinkhorn AS, Tickle M.
DH Research Training Fellow, Oral Health Unit, National Primary Care R and D Centre, Manchester University Dental School, Higher Cambridge Street, Manchester, M15 6LP, UK. [email protected]
Comment in:
Br Dent J. 2005 Dec 10;199(11):694. Br Dent J. 2005 Nov 12;199(9):585, 587.
AIM: To ascertain general dental practitioners' views on the use of stainless steel (pre-formed metal) crowns to restore carious primary molars. METHOD: Ninety-three general dental practitioners were selected at random from those practising in Lancashire, Cheshire and Greater Manchester in 2003 and interviewed separately about the clinical care they provide to the primary dentition. Before the interview participants recorded the care they would provide for a case scenario, describing a child with a carious lesion that the British Society of Paediatric Dentistry (BSPD) guidelines indicate should be treated with a stainless steel crown. RESULTS: In answering the case scenario only six (7%) of the dentists reported
that they would fit a stainless steel crown. Of the 93 dentists interviewed 71% knew of the BSPD guidelines, but only 18% had ever fitted a stainless steel crown in general practice. Reasons given for not using stainless steel crowns were they are inappropriate for many children, time consuming to fit, difficult to manipulate, expensive, and ugly. CONCLUSION: The BSPD guidelines on the use of stainless steel crowns do not reflect the views of the majority of general dental practitioners who consider these crowns unsuitable for most children and an impractical restorative technique in busy daily practice.
PMID: 16215580 [PubMed - indexed for MEDLINE]
Related articles
Publication Types, MeSH Terms, Substances, Grant Support
Publication Types:
Research Support, Non-U.S. Gov't
MeSH Terms:
Attitude of Health Personnel* Child Child, Preschool Crowns/psychology* Dental Care for Children/psychology* Dental Caries/therapy* Dental Restoration, Permanent/psychology* Dentist's Practice Patterns Female General Practice, Dental* Guideline Adherence Humans Male Molar Pediatric Dentistry Societies, Dental Stainless Steel Tooth, Deciduous
Substances:
Stainless Steel
J Mich Dent Assoc. 2005 Jan;87(1):30, 32-3.
Stainless steel crowns: consider them in your office.Davenport SL.
PMID: 15714831 [PubMed - indexed for MEDLINE]
Related articles
MeSH Terms, Substances
MeSH Terms:
Child Behavior Child, Preschool Crowns* Dental Care for Children/methods* Humans Stainless Steel Tooth, Deciduous
Substances:
Stainless Steel
J Dent. 2004 Jan;32(1):27-33.
A clinical and radiographic evaluation of stainless steel crowns for primary molars.Sharaf AA, Farsi NM.
Faculty of Dentistry, Pediatric Dentistry Department, King AbdulAziz University, P.O. Box 80209, Jeddah, Saudi Arabia.
AIM: This study was performed to evaluate clinically and radiographically the effect of stainless steel crowns placed on primary molars on gingival and bone structures. SAMPLE: 254 crowns were evaluated in a sample of 177 children aged 3.5-12 years old with a mean age of 7 years. METHOD: The clinical parameters that were evaluated were, crown marginal extension, crown marginal adaptation, intact proximal contact, gingival index and the
duration of presence of the crowns, together with the oral hygiene index of the child. Bitewing radiographs were viewed for extension and adaptation of crown margins and for evaluating the interproximal bone level. RESULTS: The results of the study showed that interproximal bone resorption was not significantly affected by either crown marginal extension or adaptation, preserving tight proximal contact between molars, oral hygiene level or duration of presence of the crown. On the other hand, there was significant bone resorption when the crown was judged radiographically as non-satisfactory. While oral hygiene level had a significant effect on the gingival index, presence or absence of proper proximal contact did not have an effect on the gingival index. CONCLUSION: It was concluded from this study that stainless steel crowns are still a valuable procedure that has no harmful effect on the gingiva and bone provided that good oral hygiene level was maintained.
PMID: 14659715 [PubMed - indexed for MEDLINE]
Related articles
Publication Types, MeSH Terms, Substances
Publication Types:
Evaluation Studies
MeSH Terms:
Alveolar Bone Loss/etiology Alveolar Bone Loss/radiography Child Child, Preschool Crowns/adverse effects* Dental Marginal Adaptation Gingivitis/etiology Humans Molar Oral Hygiene Index Periodontal Index Retrospective Studies Stainless Steel Tooth, Deciduous
The chief goal of full coronal restoration using preformed stainless steel crowns (SSC) is replication of normal crown form and function. Marginal adaptation of SSCs involves appropriate crown size selection, trimming the crown form to achieve proper length, crimping crown edges to proximate the prepared tooth, and finishing and polishing the crown form. This report about SSC restoration focuses on the procedure of adapting, finishing, and polishing crown margins.
Department of Pediatric Dentistry, Baylor College of Dentistry, Dallas, Tex, USA. [email protected]
The stainless steel crown (SSC) is an extremely durable restoration with several clear-cut indications for use in primary teeth including: following a pulpotomy/pulpectomy; for teeth with developmental defects or large carious lesions involving multiple surfaces where an amalgam is likely to fail; and for fractured teeth. In other situations, its use is less clear cut, and caries risk factors, restoration longevity and cost effectiveness are considerations in decisions to use the SSC. The literature on caries risk factors in young children indicates that children at high risk exhibiting anterior tooth decay and/or molar caries may benefit by treatment with stainless steel crowns to protect the remaining at-risk tooth surfaces. Studies evaluating restoration longevity, including the durability and lifespan of SSCs and Class II amalgams demonstrate the superiority of SSCs for both parameters. Children with extensive decay, large lesions or multiple surface lesions in primary molars should be treated with stainless steel crowns. Because of the protection from future decay provided by their feature of full coverage and their increased durability and longevity, strong consideration should be given to the use of SSCs in children who require general anesthesia. Finally, a strong argument for the use of the SSC restoration is its cost effectiveness based on its durability and longevity.
Preformed posterior stainless steel crowns: an update.Croll TP.
Department of Pediatric Dentistry, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
For almost 50 years, dentists have used stainless steel crowns for primary and permanent posterior teeth. No other type of restoration offers the convenience, low cost, durability, and reliability of such crowns when interim full-coronal coverage is required. Preformed stainless steel crowns have improved over the years. Better luting cements have been developed and different methods of crown manipulation have evolved. This article reviews stainless steel crown procedures for primary and permanent posterior teeth. Step-by-step placement of a primary molar stainless steel crown is documented and permanent molar stainless steel crown restoration is described. A method for repairing a worn-through crown also is reviewed.
Limits: English, Human, published in last 10 years, dental journals => 77 citations
Once again, i’ve selected the ones i think are relevant . There were some overlapping of articles with the previous search and so i didn’t include them. Some articles spoke about preveneered/esthetic ssc........... i didn’t include them cos i wasn’t sure of its relevance.
Pediatr Dent. 2009 Jan-Feb;31(1):63-70.
Parental attitudes on restorative materials as factors influencing current use in pediatric dentistry.Zimmerman JA, Feigal RJ, Till MJ, Hodges JS.
Division of Pediatric Dentistry, University of Minnesota, Minneapolis, Minn, USA. [email protected]
PURPOSE: The purpose of this study was to determine pediatric dentists' current practices and the perceptions about parents' opinions and how those parental preferences regarding dental materials influence dentists' practices. METHODS: A questionnaire was sent to 500 randomly selected active members of the American Academy of Pediatric Dentistry. Twenty-five items queried demographics, use of restorative materials, perceptions of parents' attitudes towards materials, and dentists' reactions to parents' concerns. RESULTS: The survey response rate was 61%. Parental concerns about materials in decreasing order were: (1) esthetics; (2) cost; (3) toxicity; and (4) durability. Parents' greatest concerns about stainless steel crowns were: (1) esthetics; and (2) cost. Among respondents, 43% followed parental preferences when challenged, and 28% currently never use amalgam. Amalgam use and the dentists' perception of parental challenge were each related to the socioeconomic status of the practice population, with lower socioeconomic practices feeling less parental challenge than higher socioeconomic practices and being more likely to use amalgam than "white" filling materials (P = .001). CONCLUSIONS: Mercury concerns occur more frequently with higher than lower socioeconomic status parents (P = .002). Stainless steel crowns are challenged based on esthetics and cost. When confronted, many pediatric dentists (43%) follow parental preferences, even when that action is contrary to their initial clinical judgment.
J Indian Soc Pedod Prev Dent. 2008 Jun;26(2):82-4.
Management of a child with autism and severe bruxism: a case report.Muthu MS, Prathibha KM.
Pedo Planet, Pediatric Dental Center, Chennai, India. [email protected]
Autism is a developmental disorder characterized by severe deficits in social interaction and communication. A wide spectrum of medical and behavioral symptoms is exhibited by children with autism, which makes routine dental care very difficult in them. Bruxism or forceful grinding of teeth is one of the sleep problems commonly observed in children with autism. Our patient, a 4-year-old male child with autism, presented with complaints of pain and sensitivity of the teeth. There was history of excessive grinding and clenching of teeth. Limited oral examination revealed severe attrition of all primary teeth. Treatment was planned under general anesthesia because of his poor cognitive abilities. Full-mouth rehabilitation, including placement of stainless steel crowns for all primary molars, was done. Following treatment there was a significant decrease in the grinding habit over the next 2 months. Although the communication and behavioral problems in children with autism pose challenges for the dentist, treatment with proper planning and a lot of patience can definitely make a difference.
PMID: 18603735 [PubMed - indexed for MEDLINE]
Related articles Free article
Publication Types, MeSH Terms
Publication Types:
Case Reports
MeSH Terms:
Autistic Disorder/complications* Autistic Disorder/psychology Autistic Disorder/therapy Bruxism/complications Bruxism/pathology Bruxism/psychology Bruxism/therapy* Child, Preschool Crowns* Dental Care for Children/methods* Dental Care for Chronically Ill/methods Humans Male Tooth Attrition/etiology Tooth Attrition/pathology Tooth Attrition/psychology Tooth Attrition/therapy* Tooth, Deciduous/pathology Treatment Outcome
Bull Tokyo Dent Coll. 2008 Feb;49(1):41-50.
Clinical survey on type of restoration in deciduous teeth.Fukuyama T, Oda S, Yamashita H, Sekiguchi H, Yakushiji M.
Department of Pediatric Dentistry, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba, Japan. [email protected]
This study was conducted in 533 children with 1,634 treated teeth who visited the Pediatric Dentistry Department at the Chiba Hospital of Tokyo Dental College between January and December, 2003. Restorations on deciduous tooth were categorized by age of patient and tooth type. The following observations were made: Children aged 4 (17.9%) visited the clinic most frequently and this group had the highest number of deciduous restorations (21.3%). Among the 1,634 deciduous teeth restored, metal inlays were provided in 29.4% of total teeth restored, composite resin restorations in 27.2%, stainless-steel crowns in 25.7%, composite
resin full crowns in 7.7%, glass-ionomer cement restorations in 6.6%, and amalgam restorations in 3.4%. By age, composite resin was most frequently used in children aged 1 to 3. In children aged 5 to 9, metal inlay was most frequently used. Those aged 4 received mostly stainless-steel crowns. Composite resin restorations were used mostly in anterior deciduous teeth, and metal inlays mostly in deciduous molars. Previous research indicated an increasing trend towards composite resin restorations and composite resin full crowns. The present study also confirmed such a trend. While the use of metal inlays and stainless-steel crowns tended to increase until 1987, the present study indicated a trend to decrease.
The restorative management of amelogenesis imperfecta in the mixed dentition.Kwok-Tung L, King NM.
Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, SAR, China.
Amelogenesis impefecta is a hereditary condition affecting the formation of enamel in which the rough enamel suface can compromise periodontal health and the esthetics. Affected posterior teeth usually exhibit interproximal space loss which makes restoration of the primary molars difficult. This article describes a technique, using separators to regain interproximal space prior to the placement of stainless steel crowns on the molars of a girl with amelogenesis imperfecta.
AIM: To review the literature concerning the restoration of primary teeth with pre-formed metal crowns (PMC). METHODS: A search of the dental literature was made electronically using key words: stainless steel crowns primary molars, nickel-ion crowns primary molars, nickel chrome crowns primary molars, preformed crowns primary molars, esthetic crowns primary molars, aesthetic crowns primary molars and metal crowns primary molars. All papers were read and assessed for their relevance to paediatric dentistry and then graded according to a predetermined set of criteria. The relevant papers that met nearly 100% of the criteria were graded A; 75% graded B1; more than 50% graded B2 and all others were graded C. RESULTS: Using all the search words, 112 papers were found and fourteen were acceptable. Of these none were rated A or B1, seven B2 and seven C. Failure rates of PMC varied between 1.9 and 30.3%. In all studies the failure rate of PMC was lower than comparable restorations and in some studies this was statistically significant. The review indicated that there was some evidence as to the efficacy and value of using pre-formed metal crowns for primary molars. CONCLUSION: Preformed metal crowns were indicated for the restoration of badly broken down primary molars and their success rate was superior to all other restorative materials. However, there was an obvious lack of prospective will-controlled studies and more research is needed.
Children's selection of posterior restorative materials.Fishman R, Guelmann M, Bimstein E.
Department of Pediatric Dentistry, University of Florida, Gainesville 32610-0426, USA.
This study evaluated children's preference for posterior restorations. After viewing photographs of amalgam, composite, colored compomer and stainless steel crowns, 100 children 5-12 years-old responded to a satisfaction survey. The influence of age, gender and ethnicity was assessed and statistically analyzed Composite resins were preferred the most and amalgam the least. Caucasians mostly selected composites while African Americans stainless steel crowns. Early interest in colored compomers was seen in young, males and Caucasians.
PMID: 17091647 [PubMed - indexed for MEDLINE]
Related articles
MeSH Terms, Substances
MeSH Terms:
African Americans Age Factors Attitude to Health Child Child Behavior* Child, Preschool Choice Behavior* Compomers Composite Resins Crowns
Dental Amalgam Dental Materials* Dental Restoration, Permanent* Ethnic Groups European Continental Ancestry Group Female Humans Male Patient Satisfaction* Sex Factors Stainless Steel
Eur J Paediatr Dent. 2005 Dec;6(4):179-84.
Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation.Kotsanos N, Kaklamanos EG, Arapostathis K.
Dept of Paediatric Dentistry, Aristotle University of Thessaloniki, Greece. [email protected]
AIM: To study the treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation (MIH). STUDY DESIGN: Retrospective analysis. METHODS: The records of the clientele of a private paediatric dental practice were scanned. Thirty-six cases of children fulfilling the diagnostic criteria of MIH were retrieved who had been followed for a mean period of 4.5 years, and 36 children of matching age and gender, and with similar follow-up period, were randomly selected from the same clientele to serve as controls. RESULTS: Children in the MIH group exhibited greater DMFS and smaller dmfs scores. The frequency of restorative intervention was greater in children of the MIH group (OREST=11.00, 95% C.I. 2.85-42.45). Stainless-steel crowns had been placed only on MIH group molars. The follow-up records revealed that only restorations in the MIH group needed retreatment. Fillings and sealants in the MIH group had a greater probability of needing retreatment than in the control group (OREST=3.10, 95% C.I. 1.60-6.01). CONCLUSIONS: Children affected by MIH may need to undergo a significant amount of restorative treatment at an early age. Moreover, fillings and sealants in MIH affected children have a greater probability of needing retreatment than in control group children.
PMID: 16426116 [PubMed - indexed for MEDLINE]
Related articles
Publication Types, MeSH Terms, Substances
Publication Types:
Comparative Study
MeSH Terms:
Case-Control Studies Child Composite Resins Crowns DMF Index Dental Amalgam Dental Restoration, Permanent Female Follow-Up Studies Humans Incisor/pathology* Male Molar/pathology* Needs Assessment Pit and Fissure Sealants/therapeutic use Retreatment Retrospective Studies Stainless Steel Tooth Demineralization/therapy*
Substances:
Composite Resins Pit and Fissure Sealants Stainless Steel Dental Amalgam
J Dent Child (Chic). 2005 May-Aug;72(2):49-51.
Oral manifestations of a child with chronic vomiting.Kim SO, Kwak JY, Choi BJ, Lee JH.
Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, South Korea.
Perimolysis is a type of intrinsic erosion--an irreversible dental demineralization linked to chronic regurgitation--which causes teeth to be more susceptible to dental caries. The purpose of this case report was to study a 35-month-old chronic vomiting child who visited the Department of Pediatric Dentistry in Yonsei Dental Hospital, Seoul, South Korea, for an evaluation of and treatment for the loss of tooth structure of his primary teeth. To prevent further destruction of the teeth and maintain occlusal height, all the posterior teeth were restored with stainless steel crowns and all the anterior teeth were restored with resin veneer crowns after pulpal treatment under general anesthesia. Therefore, when a child suffering from chronic vomiting visits a pediatric dental clinic, it is prudent to: (1) perform all possible dental treatment to control vomiting's adverse influences on the oral structures; and (2) refer the patient to a pediatrician to determine the cause of vomiting.
Longevity of occlusally-stressed restorations in posterior primary teeth.Hickel R, Kaaden C, Paschos E, Buerkle V, García-Godoy F, Manhart J.
Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University, Goethe Strasse 70, D-80336 Munich, Germany. [email protected]
PURPOSE: To compile a survey of the longevity and reasons for failure of stainless steel crowns, amalgam, glass-ionomer, composite and compomer restorations in stress-bearing cavities of primary molars. METHODS: This work reviewed the dental literature of 1971 up to July 2003 for longitudinal, controlled clinical studies and retrospective cross-sectional studies. Only studies investigating the clinical performance of restorations in primary teeth with an observation period of at least 2 years were included. Annual failure rates of stainless steel crowns, amalgam, glass-ionomer, composite and compomer restorations were determined and failure reasons were discussed. RESULTS: Annual failure rates in stress-bearing cavities of primary molars were determined to be: 0-14% for stainless steel crowns, 0-35.3% for amalgam restorations, 0-25.8% for glass-ionomer restorations, 2-29.1% for atraumatic restorative treatments, 0-15% for composite restorations, and 0-11 for compomer restorations. Main reasons for failure were secondary caries, marginal deficiencies, fracture, and wear.
Influence of dental restorative materials on salivary Streptococcus mutans and lactobacilli in the primary dentition.Willershausen B, Ernst CP, Kasaj A, Topf J, Pistorius A.
Department of Operative Dentistry, Johannes Gutenberg-University Mainz, Mainz, Germany. [email protected]
PURPOSE: When restoring deciduous teeth with extensive lesions, preformed stainless steel crowns are increasingly used in addition to resin-based materials. The aim of the present clinical study was to examine the influence of composites and stainless steel crowns on the cariogenic bacteria S. mutans and Lactobacilli by means of a commercially available salivary test (CRT bacteria) in 100 children. MATERIALS AND METHODS: For 50 children (30 boys, 20 girls, mean age 5.7 +/- 2.4 years) only composites have been used as a restorative material (an average of 9 fillings per child, total number: n=450), which had been in situ for an average of 15.9 months at the time of the examination. In another group of 50 children (33 boys, 17 girls, mean age 5.9 +/- 2.5 years), stainless steel crowns and composites have been used for restorations (an average of 3.5 stainless steel crowns per child, total number: n=174, an average of 7 composite fillings per child, total number n=348), which had been in place for a mean period of 17.2 months. RESULTS: The salivary examination of the children with composite restorations showed a high proportion of patients (64%, n=32) with high numbers (> or = 10(5)) of S. mutans and Lactobacilli (54%, n=27). Only 22% (n=11) of the children with additional stainless steel crown restorations were found to have high numbers (> or = 10(5)) of S. mutans and Lactobacilli (34%, n=17). CONCLUSION: This study shows a potential positive inhibitory effect of stainless steel crown restorations as compared to composite fillings with respect to the oral bacterial colonization.
Clinical outcomes for early childhood caries: influence of aggressive dental surgery.Graves CE, Berkowitz RJ, Proskin HM, Chase I, Weinstein P, Billings R.
Division of Pediatric Dentistry, University of Rochester Medical Center, Rochester, NY, USA.
PURPOSE: The objective of this study was to assess the relationship between the number of stainless steel crowns (SSCs) placed, number of surfaces at risk (SAR) post dental surgery, and the risk for relapse in patients treated for Early Childhood Caries (ECC). METHODS: The study population consisted of 57 children treated for ECC under general anesthesia, ranging in age from 2.3 to 7.3 years old at the time of entry. Dental surgery utilized an aggressive approach: teeth that had necrotic pulps or were nonrestorable were extracted; decayed primary mandibular incisors that could not be treated by stripping were extracted; primary maxillary incisors with 3 or more carious surfaces were extracted; single-surface
lesions of primary molars that did not compromise cusp integrity were restored with intracoronal amalgam restorations; primary maxillary, incisors and canines with smooth-surface lesions affecting 2 or less surfaces were treated with intracoronal composites; primary molars and canines requiring vital pulp therapy were restored with SSCs; primary molars with caries lesions affecting 2 or more surfaces (including smooth-surface, white-spot lesions) were restored with SSCs; primary canines with caries affecting 3 or more surfaces were restored with stainless steel crowns; topical fluoride was applied after all restorative therapy was completed. The cohort was examined for new caries lesions 6 months post dental surgery. Relapse was defined as the presence of new smooth-surface caries lesions as defined by Radike. Comparisons between relapse (R) and nonrelapse (NR) groups, with respect to the number of SSCs placed and the number of SAR, were performed using t tests and Wilcoxon tests. A 0.05 level of significance was employed in all statistical tests. RESULTS: Twenty-one of the 57 (37%) patients relapsed. No statistically significant difference for the number of SSCs placed or SAR existed between the R group (SSCs: mean = 4.57, median = 4 +/- 2.18; SAR: mean = 39.76, median = 40 +/- 13.62) and NR group (SSCs: mean=5.44, median = 5.5 +/- 2.62; SAR: mean = 39.98, median = 39.5 +/- 15.19). CONCLUSIONS: The risk for relapse in children treated for ECC is not associated with the number of SSCs placed or SAR; aggressive dental surgery for ECC does not result in acceptable clinical outcomes.
PMID: 15587091 [PubMed - indexed for MEDLINE]
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Publication Types, MeSH Terms, Substances, Grant Support
Publication Types:
Clinical Trial Research Support, U.S. Gov't, P.H.S.
Clinicians' choices of restorative materials for children.Tran LA, Messer LB.
Paediatric Dentistry, School of Dental Science, The University of Melbourne, Victoria.
BACKGROUND: Recently, there has been an expansion in the range of tooth-coloured restorative materials available. In 1999, the National Health and Medical Research Council recommended clinicians use alternatives to amalgam in children 'where appropriate'. METHODS: A three-part 29-item questionnaire was developed, tested in a focus group, and distributed to members of the Australasian Academy of Paediatric Dentistry (AA; paediatric dentists and paediatric dentistry postgraduate students; n=55), and the Australian and New Zealand Society of Paediatric Dentistry, Victorian Branch (SPD; general dentists and dental therapists; n=50). Participant information, material choices, and six hypothetical clinical scenarios were addressed. RESULTS: The overall response rate was 74 per cent. For both groups, the first ranked factor influencing choice of restorative material for vital primary teeth was child age, and caries experience for vital first permanent molars. For moderate-sized Class I and II restorations in primary molars, a tooth-coloured material was chosen by 92 and 84 per cent respondents respectively. For restoring two separate proximal lesions in a primary molar, 65 per cent chose a tooth-coloured material followed by a stainless steel crown (27 per cent; all AA members), then amalgam (8 per cent). The SPD respondents were significantly more likely to choose glass ionomer cement for Class I and II restorations and for restoring two proximal lesions (all p=0.000) in primary molars than AA respondents, who were more likely to choose composite resins/compomers or amalgam/stainless steel crowns for these restorations. Younger respondents (21-40 years) were significantly more likely to choose composite resins/compomers or amalgam/stainless steel crowns (p=0.048) than older respondents (41-65 years), who were likely to choose glass ionomer cement. CONCLUSIONS: For Class I and II restorations in primary molars, glass ionomer cement was the material chosen most frequently (SPD respondents); preference for amalgam or stainless steel crowns was low (both SPD and AA groups). The wide range of materials chosen for the hypothetical clinical scenarios suggests the need for guidelines on selection of
restorative materials, and the need for longitudinal studies to follow actual clinical outcomes of the materials chosen.
PMID: 14738124 [PubMed - indexed for MEDLINE]
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Publication Types, MeSH Terms, Substances
Publication Types:
Research Support, Non-U.S. Gov't
MeSH Terms:
Adolescent Adult Aged Chi-Square Distribution Child Child, Preschool Compomers Composite Resins Dental Amalgam Dental Care for Children/methods* Dental Care for Children/statistics & numerical data Dental Restoration, Permanent/methods* Dental Restoration, Permanent/statistics & numerical data Dentist's Practice Patterns/statistics & numerical data* Female Glass Ionomer Cements Humans Infant Male Middle Aged Questionnaires Stainless Steel Tooth, Deciduous
Paediatric dentistry in the new millennium: 4. Cost-effective restorative techniques for primary molars.Duggal MS, Gautam SK, Nichol R, Robertson AJ.
Leeds Dental Institute.
In the fourth article in this series the techniques for carrying out pulp therapy and stainless steel restoration in primary molars are discussed. Early pulp involvement in primary molars means that pulp therapy and the use of appropriate coronal restoration, such as stainless steel crowns, are indispensable if repetitive restoration of primary molars is to be avoided. These techniques themselves are not difficult to carry out once the child's co-operation is established and should be well within the capability of any dentist with an interest in the dental care of children.
PMID: 14619729 [PubMed - indexed for MEDLINE]
Related articles
MeSH Terms, Substances
MeSH Terms:
Cementation Child Child Behavior Cost-Benefit Analysis Crowns/economics Dental Care for Children/economics Dental Prosthesis Design Dental Restoration, Permanent*/economics Humans Molar/pathology* Pulpotomy/methods Root Canal Irrigants/therapeutic use Stainless Steel Tooth Preparation/methods Tooth, Deciduous/pathology*
Substances:
Root Canal Irrigants Stainless Steel
N Z Dent J. 2001 Sep;97(429):101-5.
The treatment of localised hypoplastic and hypomineralised defects in first permanent molars.Mahoney EK.
Department of Paediatric Dentistry, Westmead Centre for Oral Health, Westmead, New South Wales, Australia 2145.
Hypoplastic and hypomineralised first permanent molar teeth are a frequent finding in children. The treatment of these teeth can be challenging because of the young age of the patient at presentation and the varying anatomy of the affected surfaces. This article reviews the treatment of these teeth including the use of glass ionomer cements, direct and indirect restorations of composite resin, indirect precious and non-precious alloys, stainless steel crowns, and the timely extraction of severely affected teeth.
Dental erosion in children: a literature review.Linnett V, Seow WK.
University of Queensland School of Dentistry, Brisbane, Australia.
Epidemiological studies have shown that the prevalence of dental erosion in children varies widely between 2 and 57%. Changes seen in dental erosion range from removal of surface characteristics to extensive loss of tooth tissue with pulp exposure and abscess formation. Symptoms of dental erosion range from sensitivity to severe pain associated with pulp exposure. The etiology of dental erosion is dependent on the presence of extrinsic or intrinsic acid in the oral environment. Extrinsic sources of acids in children include frequent consumption of acidic foods and drinks, and acidic medications. Regurgitation of gastric contents into the mouth, as occurs in gastroesophageal reflux, is the most common source of intrinsic acid in children. A multitude of factors may modify the erosion process, such as saliva, oral hygiene practices, and presence or absence of fluoride. When dental erosion is diagnosed, it is important to investigate and identify the acid source, and to determine if the process is ongoing. The aim of treatment is to eliminate the cause of acid exposure, and to minimize the effects of acid exposure where it is not possible to remove the acid source. Restoration of the dentition involves stainless steel crowns to restore lost vertical dimension, and composite resin for esthetics.
The survival of resin modified glass ionomer and stainless steel crown restorations in primary molars, placed in a specialist paediatric dental practice.
Roberts JF, Attari N, Sherriff M.
Br Dent J. 2005 Apr 9;198(7):427-31.PMID: 15870802 [PubMed - indexed for MEDLINE]Related articles
10.
Retentive force and microleakage of stainless steel crowns cemented with three different luting agents.
Yilmaz Y, Dalmis A, Gurbuz T, Simsek S.
Dent Mater J. 2004 Dec;23(4):577-84.PMID: 15688722 [PubMed - indexed for MEDLINE]Related articles
11.
Clinical outcomes for early childhood caries: influence of aggressive dental surgery.
Graves CE, Berkowitz RJ, Proskin HM, Chase I, Weinstein P, Billings R.
PUBMED: Preformed metal crowns[ti] => 4 results under same limits, 3 useful.
Prim Dent Care. 2007 Oct;14(4):140-4.
Preformed metal crowns: views of a group of dental practitioners in North Wales.Chadwick BL, Gash C, Stewart K.
Dental Health & Biological Sciences, School of Dentistry, Cardiff University, Cardiff, Wales, UK. [email protected]
OBJECTIVES: To determine the views of general dental practitioners (GDPs) in North Wales on the use of preformed metal crowns (PMCs) for the treatment of primary molars. METHOD: Following ethical approval, all GDPs in the North Wales Health Authority (85) were invited to participate in the study. After consent was given, a trained GDP conducted all interviews regarding the participants' approach to restorative care in children, preferred materials, use of local anaesthesia (LA), training, and use of PMCs. Their recorded responses were transcribed and analysed at a line-by-line level to identify themes within the data. The analysis was conducted according to a framework approach. RESULTS: Of the 85 GDPs, 27 responded to the invitation. After ten interviews no new substantive themes were emerging and data collection ended (saturation sampling). The GDPs who responded had practised for between three and 35 years and graduated from nine dental schools. The GDPs interviewed knew the advantages of PMCs but did not use them. Most had received undergraduate training with PMCs and were confident they would be able to place them if required. Reasons given for not using them included: limited experience, cost and time placing them, fear of hurting the child patient, need for LA, and glass-ionomer cement being easier to use. CONCLUSIONS: These GDPs knew that PMCs were the most durable restorative option and thought they had the skill to place them. However, they believed a less interventive approach, without LA, worked best with children, and PMCs did not fit well with this approach.
PMID: 17931495 [PubMed - indexed for MEDLINE]
Related articles
MeSH Terms, Substances
MeSH Terms:
Attitude of Health Personnel* Child, Preschool Clinical Competence Crowns* Dental Care for Children/psychology Dental Prosthesis Design/psychology* Dentist's Practice Patterns* Dentists/psychology* Education, Dental Humans Metals Molar Wales
Substances:
Metals
Br Dent J. 2006 Apr 22;200(8):451-4; discussion 444.
A novel technique using preformed metal crowns for managing carious primary molars in general practice - a retrospective analysis.Innes NP, Stirrups DR, Evans DJ, Hall N, Leggate M.
Br Dent J. 2006 Jun 10;200(11):600-1. Br Dent J. 2006 Jul 22;201(2):68; author reply 68-9. Br Dent J. 2006 Sep 9;201(5):249-50.
BACKGROUND: There is a high level of untreated dental decay in primary teeth in Scotland. Despite evidence for the efficacy of preformed metal crowns (PMCs) for the restoration of primary molars, few are placed in general practice, possibly due to the interventive nature of the clinical procedure. There is, however, a novel way of placing PMCs involving no local anaesthesia, no caries removal and no preparation of the tooth: the Hall technique. AIM: To investigate the survival of carious primary teeth treated with PMCs placed using a novel, simplified method - the Hall technique. SETTING: General dental practice, in Scotland. METHOD: A retrospective analysis of practice records from one general practitioner, from 1988 to 2001. The majority of the 978 PMCs fitted on 259 children, using the Hall technique, were placed when there was clinical evidence of approximal caries into dentine. The Kaplan-Meier approach was used to analyse survival times and the Mantel-Haenszel Log rank test for comparison between tooth types. RESULTS: For all tooth types, the probability of surviving three years without being extracted or the PMC being lost, was 73.4% (95% confidence interval 70.1% to 76.4%), and for five years was 67.6% (95% confidence interval 63.3% to 71.5%). The probability of surviving without extraction alone for three years was 86.0% (95% confidence interval 83.2% to 88.4%), and for five years was 80.5% (95% confidence interval 76.5% to 83.9%). CONCLUSIONS: Hall technique restorations placed on primary molars with decay clinically into dentine, by a single operator in general dental practice, have a similar success rate to some other, more conventional, restorative techniques. The technique requires further evaluation through a prospective randomised control clinical trial before its use could be generally recommended.
PMID: 16703041 [PubMed - indexed for MEDLINE]
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Publication Types, MeSH Terms, Substances
Publication Types:
Comparative Study Research Support, Non-U.S. Gov't
The aim of this study was to carry out a review of the use and efficiency of preformed metal crowns (PMCs) for primary and permanent molar teeth. A literature search of English language journals was carried out using MEDLINE. Papers that addressed areas related to the use of PMCs regarding indications for use, placement techniques, risks, longevity, cost effectiveness and utilization were included in the review. Eighty-three papers were traced which fulfilled the above criteria, the majority addressing PMCs in primary molar teeth. Over half the papers were concerned with placement techniques and indications for use, with fewer papers reporting on clinical studies. The clinical data on PMCs spanned a considerable number of years and involved heterogeneous populations of patients, different makes and designs of crown, and differences among the operators and evaluators who were involved in the studies. The results, however, were in agreement that PMCs are superior to amalgam restorations for multisurface cavities in primary molar teeth.
PUBMED: Preformed metal crowns[tiab] with previous limits, returned 12 results
Dent Update. 2009 Oct;36(8):472-4, 477-8.
The Hall Technique for managing carious primary molars.Innes N, Evans D, Hall N.
Dundee Dental Hospital and School.
The Hall Technique, a method of managing carious primary molars effectively with preformed metal crowns, without the use of local anaesthesia, caries removal or tooth preparation of any kind, is described.The technique is illustrated with a case report.The evidence underpinning the technique is discussed, along with indications and contra-
indications for its use, and details of where clinicians can obtain further information on the technique if they are considering using it. CLINICAL RELEVANCE: Research evidence has indicated that the Hall Technique is effective in managing dental caries in primary molar teeth when used by General Dental Practitioners, and is preferred by them, their child patients and the children's parents to conventional restorative methods for these teeth.
AIM: To review the literature concerning the restoration of primary teeth with pre-formed metal crowns (PMC). METHODS: A search of the dental literature was made electronically using key words: stainless steel crowns primary molars, nickel-ion crowns primary molars, nickel chrome crowns primary molars, preformed crowns primary molars, esthetic crowns primary molars, aesthetic crowns primary molars and metal crowns primary molars. All papers were read and assessed for their relevance to paediatric dentistry and then graded according to a predetermined set of criteria. The relevant papers that met nearly 100% of the criteria were graded A; 75% graded B1; more than 50% graded B2 and all others were graded C. RESULTS: Using all the search words, 112 papers were found and fourteen were acceptable. Of these none were rated A or B1, seven B2 and seven C. Failure rates of PMC varied between 1.9 and 30.3%. In all studies the failure rate of PMC was lower than comparable restorations and in some studies this was statistically significant. The review indicated that there was some evidence as to the efficacy and value of using pre-formed metal crowns for primary molars. CONCLUSION: Preformed metal crowns were indicated for the restoration of badly broken down primary molars and their success rate was superior to all other restorative materials. However, there was an obvious lack of prospective will-controlled studies and more research is needed.
The aim of this study was to carry out a review of the use and efficiency of preformed metal crowns (PMCs) for primary and permanent molar teeth. A literature search of English language journals was carried out using MEDLINE. Papers that addressed areas related to the use of PMCs regarding indications for use, placement techniques, risks, longevity, cost effectiveness and utilization were included in the review. Eighty-three papers were traced which fulfilled the above criteria, the majority addressing PMCs in primary molar teeth. Over half the papers were concerned with placement techniques and indications for use, with fewer papers reporting on clinical studies. The clinical data on PMCs spanned a considerable number of years and involved heterogeneous populations of patients, different makes and designs of crown, and differences among the operators and evaluators who were involved in the studies. The results, however, were in agreement that PMCs are superior to amalgam restorations for multisurface cavities in primary molar teeth.
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