Parental and Dentist Satisfaction with Primary Anterior Zirconia Crowns: A Case Series Analysis.

Lawrence Yanover,Ari Kupietzky,William Waggoner,Moti Moskovitz,Nili Tickotsky

doi:10.3390/children8060451

Lawrence Yanover, Ari Kupietzky + Show 3 more

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https://doi.org/10.3390/children8060451

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Abstract

This retrospective cohort study evaluated overall parental satisfaction of zirconia crowns (ZC) placed on primary maxillary anterior teeth with that of two independent, blinded dentists. 131 ZC placed in 37 children, aged 24.8–62.2 months (mean = 42.8), who had at least one recall visit a minimum of 6 months after placement were rated (average = 13.3). Crown colour match, crown contour and crown durability were evaluated by parents and compared to photographic evaluations of two independent raters. Overall parental satisfaction was also evaluated. The overall retention rate was 99.7% and parental satisfaction was 100%. Colour match was rated excellent by 84% of parents and 36% of dental evaluators. Crown contour was rated excellent by 97% of parents and 55% of dental evaluators. The length of follow-up had no effect on colour match or crown contour. ZC comprises an aesthetic and durable option for restoring carious primary maxillary incisors and were well-accepted by parents. Parents were less critical than dental evaluators of crown appearance.

Highlights

There is increasing demand from parents for dentists to provide improved aesthetic solutions when restoring their children’s teeth and there are an increasing number of options to provide this treatment [1,2]
Aesthetic full crown coverage for primary anterior teeth for teeth severely affected by early childhood caries or with a high risk of recurrent caries, would include full coverage restorations bonded onto the tooth such as resin composite strip crowns (RCSC) and crowns that are retained on the tooth by cementation
The convenient sample comprised of 131 zirconia crowns placed in 37 children who had carious primary incisors with extensive caries on a single surface or moderate carious lesions on two or more surfaces

Summary

Introduction

There is increasing demand from parents for dentists to provide improved aesthetic solutions when restoring their children’s teeth and there are an increasing number of options to provide this treatment [1,2]. Aesthetic full crown coverage for primary anterior teeth for teeth severely affected by early childhood caries or with a high risk of recurrent caries, would include full coverage restorations bonded onto the tooth such as resin composite strip crowns (RCSC) and crowns that are retained on the tooth by cementation. The latter include pre-veneered stainless steel crowns (VSSC) and the newer zirconia crowns [1,3,4]. The VSSC is less technique-sensitive but has a labial veneer with fewer shades, a facing that can debond and no ability to adjust crown contour [7,8]

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