Gingival health, plaque accumulation, and restoration outcomes in deciduous anterior teeth: evaluating zirconia crowns versus composite resin strip crowns.

Autor: Vaddamanu SK; Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia - snu@kku.edu.sa., Veerabasavaiah BT; Department of Oral Medicine and Radiology, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bangalore, India., Alshadidi AA; Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia., Alhamoudi FH; Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia., Saini RS; Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia., Ronsivalle V; Department of Biomedical and Surgical and Biomedical Sciences, Catania University, Catania, Italy., Cicciù M; Department of Biomedical and Surgical and Biomedical Sciences, Catania University, Catania, Italy., Minervini G; Multidisciplinary Department of Medical Surgical and Odontostomatological Specialties, Luigi Vanvitelli University of Campania, Naples, Italy.; Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, India.
Jazyk: angličtina
Zdroj: Minerva pediatrics [Minerva Pediatr (Torino)] 2024 Jun 04. Date of Electronic Publication: 2024 Jun 04.
DOI: 10.23736/S2724-5276.23.07459-1
Abstrakt: Background: Zirconia crowns, resembling crystals and with enamel-like aesthetics, are recent entrants in pediatric restorative dentistry. Despite growing use, their empirical efficacy remains under-explored. The aim of this study is to compare resin composite strip crowns and premanufactured zirconia crowns on primary maxillary incisors.
Methods: In the Pediatric Dental Clinics, 240 primary maxillary incisors (69 patients) were treated with either zirconia (120 teeth) or composite strip crowns (120 teeth). Evaluations of gingival health, plaque, secondary caries, restoration failure, and opposing teeth wear occurred at 3, 6, and 12-month intervals.
Results: At 3 months, zirconia crowns showed less gum bleeding (P=0.006) and plaque. Through 6 and 12 months, zirconia crowns exhibited fewer failures but higher opposing teeth wear. Strip crowns indicated greater tooth material loss.
Conclusions: Zirconia crowns demonstrated superior gingival health and durability over composite resin strip crowns but caused increased wear on opposing teeth.
Databáze: MEDLINE