Zirconia Crowns for Primary Teeth: A Systematic Review and Meta-Analyses.

Sara Douf Alzanbaqi,Ahmed Mohammed Shaikh,Rakan Mishaal Alogaiel,Mohammed Ali Alasmari,Layla Nizar Khogeer,Basim Salem Alanazi,Maria Salem Ibrahim,Ahmed Mohammed Al Essa,Eyad Sami Hawsah

doi:10.3390/ijerph19052838

Abstract

Objective: The aim of this systematic review was to summarize the literature regarding the clinical performance of zirconia crowns for primary teeth. Materials and Methods: Four electronic databases, Ovid, PubMed, Scopus, and Web of Science were searched. Clinical, observational, and laboratory studies were included. Studies that assessed the performance of zirconia crowns for primary teeth using outcomes such as gingival and periodontal health, parental satisfaction, color stability, crown retention, contour, fracture resistance, marginal integrity, surface roughness, and recurrent caries were included. Risk of bias was assessed using different assessment tools depending on the type of the assessed study. Results: Out of the 2400 retrieved records, 73 full-text records were assessed for eligibility. Thirty-six studies were included for qualitative analysis. The included studies reported that zirconia crowns for primary teeth were associated with better gingival and periodontal health, good retention, high fracture resistance, color stability, high parental acceptance, good marginal adaptation, smooth cosmetic surface, and no recurrent caries. Conclusion: Zirconia crowns are promising alternative to other restorative materials and crowns in the field of pediatric dentistry. They showed higher properties and performance in different clinical aspects and great parental satisfaction.

Highlights

Introduction published maps and institutional affilDental caries is considered the most common infectious disease globally [1–3]
After title and abstract screening, full texts of 73 records were assessed for eligibility (Figure 1)
We found that most of the included studies found that zirconia crowns had significantly lower levels of plaque accumulation, especially when compared to resin-coated crowns [57]

Summary

Introduction

Introduction published maps and institutional affilDental caries is considered the most common infectious disease globally [1–3]. Caries could severely damage the tooth structure which will require restoration to one or more of the tooth surfaces. If it progresses further, the tooths pulp will be affected, and inflammation may result. The tooths pulp will be affected, and inflammation may result At this stage, the tooth may require pulp therapy [5–7], and most probably the remaining tooth structure will need to be covered with a crown. The tooth may require pulp therapy [5–7], and most probably the remaining tooth structure will need to be covered with a crown This may be necessary to maintain the integrity of the treated tooth until the eruption of its permanent successor

Results

Discussion

Conclusion