Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: An observational follow up study

Objective: The aim of this study was to compare the clinical and radiographic success rates of pulpotomy in primary molars using formocresol versus sodium hypochlorite.Methods: Twenty-three children aged 4-9 years with at least two primary molars requiring pulpotomy were randomly allocated into two groups. All teeth received stainless steel crown after conventional pulpotomy procedure with either NaOCl or formocresol. Clinical and radiographic signs/symptoms were recorded at six and 12 months. Outcomes were statistically analyzed using Fisher’s exact test and Chi-squaretest.Results: Clinical success rates at 6 and 12-month follow-up in both groups was 100%. At 6-month follow-up, radiographic success rate for NaOCl and formocresol groups was 100%. At 12-month recalls, in NaOCl group, 20 teeth (87%) and in formocresol group, 21 teeth (91.3%) had radiographic success. No significant difference was found in the radiographic success rates at 12 months (P=1.00). Internal root resorption was the most common radiographic pathologic finding in both groups.Conclusion:Clinical and radiographic success rates in NaOCl group was comparable with formocresol group, so NaOCL can be suggested as an alternative for primary teeth pulpotomies. However further clinical studies with long-term follow-ups are needed.

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A Four-Year Follow-Up Case Report of Hypomineralized Primary Second Molars Rehabilitated with Stainless Steel Crowns

Children ◽

10.3390/children8100923 ◽

2021 ◽

Vol 8 (10) ◽

pp. 923

Author(s):

Luísa Bandeira Lopes ◽

Vanessa Machado ◽

João Botelho

Keyword(s):

Stainless Steel ◽

Case Report ◽

General Anesthesia ◽

Treatment Approach ◽

Primary Molars ◽

Second Primary ◽

Correct Treatment ◽

Permanent Molars ◽

First Permanent Molars

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.

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Comparative Evaluation of Formocresol and Mineral Trioxide Aggregate in Pulpotomized Primary Molars - 2 Year Follow Up

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.37.2.h427vr8157444462 ◽

2012 ◽

Vol 37 (2) ◽

pp. 143-147 ◽

Cited By ~ 12

Author(s):

P Airen ◽

A Shigli ◽

B Airen

Keyword(s):

Comparative Evaluation ◽

Primary Teeth ◽

Clinical Success ◽

Mineral Trioxide Aggregate ◽

Clinical Success Rate ◽

Primary Molars ◽

Second Primary ◽

Pulp Chamber ◽

Aggre Gate

Aim: The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggre-gate (MTA) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol (FC) pulpotomy. Method: Seventy first and second primary mandibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch. After the standardized technique of Pulpotomy with MTA and Formocresol, all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown. The children were followed up for clinical and radio graphical examination after 6,12 and 24 month for Pain, Swelling, Sinus/ fistula, Periapical changes, Furcation radiolucency and internal resorption. Results: MTA represents 97% clinical success rate in comparison to Formocresol with 85% success. Radiographically also MTA showed more promising results with 88.6% success in comparison to Formocresol with 54.3%. Conclusions: Thus, MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma.

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Composite crown-form crowns for severely decayed primary molars: a technique for restoring function and esthetics

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.24.4.u1784716nx571p82 ◽

2000 ◽

Vol 24 (4) ◽

pp. 257-260 ◽

Cited By ~ 6

Author(s):

Diana Ram ◽

Benny Peretz

Keyword(s):

Stainless Steel ◽

Primary Molars ◽

Step Method ◽

Form And Function ◽

Long Term Follow Up ◽

And Function ◽

Esthetic Dentistry ◽

Crown Form

Current developments in esthetic dentistry center around new techniques and materials that improve the ability of the clinician to provide esthetic services. This article describes a step-by-step method of placing composite crown-form crowns on severely decayed primary mandibular molars. The described technique allows for restoring, as close as possible, form and function lost to caries in an esthetic mode in cases of severely decayed primary molars that would have required stainless steel crowns had they been treated traditionally. Disadvantages of this treatment mode are that dryness may not be prevented in the proximal margins, especially where subgingival carious involvement is encountered and the margin areas may be contaminated with gingival fluid or blood. Although no long-term follow-up has been reported for the technique, when strong opposition by the parent or child to the stainless steel crown is encountered, and a desire for esthetic restoration is strongly expressed, the composite crown-form crowns may be considered as an alternative.

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Evaluation of the clinical success of class I cavities prepared by an Er:YAG laser—5-year follow-up study

Lasers in Medical Science ◽

10.1007/s10103-015-1751-4 ◽

2015 ◽

Vol 30 (7) ◽

pp. 1895-1901 ◽

Cited By ~ 4

Author(s):

Mehmet Mustafa Hamidi ◽

Ertuğrul Ercan ◽

Çoruh Türksel Dülgergil ◽

Hakan Çolak

Keyword(s):

Er:Yag Laser ◽

Clinical Success ◽

Class I ◽

Follow Up Study

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A follow-up study of pulpotomies and root canal treatments performed under general anaesthesia

Clinical Oral Investigations ◽

10.1007/s00784-013-1090-4 ◽

2013 ◽

Vol 18 (4) ◽

pp. 1155-1163 ◽

Cited By ~ 8

Author(s):

Pierre-Yves Cousson ◽

Emmanuel Nicolas ◽

Martine Hennequin

Keyword(s):

General Anaesthesia ◽

Root Canal ◽

Follow Up Study

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Comparative evaluation on clinical success rate of prefabricated zirconia crowns and stainless steel crowns in primary molars

International Journal of Oral Health Dentistry ◽

10.18231/j.ijohd.2021.036 ◽

2021 ◽

Vol 7 (3) ◽

pp. 180-186

Author(s):

A. K. Harshitha ◽

H. T. Ajay Rao ◽

K. Sundeep Hegde ◽

Sharan S. Sargod ◽

Shrivya Saloni Mahaveeran ◽

...

Keyword(s):

Stainless Steel ◽

Success Rate ◽

Statistical Difference ◽

Clinical Success ◽

Clinical Success Rate ◽

Primary Molars ◽

Type I ◽

Marginal Integrity ◽

Gingival Health ◽

Zirconia Crowns

To compare the clinical success rate of Prefabricated Zirconia crowns and stainless steel crowns on primary molars: It is an in-vivo study which was performed on 52 pulpally treated primary molars of children aged 4–9 years were randomly divided into two equal groups of stainless steel crown and Prefabricated Zirconia crowns. Tooth preparation was done according to the manufacturer’s recommendations and crowns were cemented. All crowns were cemented with Type I Glass ionomer cement (GIC) luting cement. Crowns were evaluated clinically for its crown retention, marginal integrity and gingival health at 3 months and 6 months.: Clinical success for stainless steel crowns and Prefabricated Zirconia crowns towards crown retention and marginal integrity were similar with no statistical difference between them. All Prefabricated Zirconia crowns showed healthy gingiva whereas 53.8% (14 out of 26) Stainless Steel crowns showed mild gingival inflammation at 3 and 6 months which was statistically significant (P ≤0.01). Both prefabricated zirconia and stainless steel crowns showed no statistical difference for crown retention and marginal integrity throughout the study. Gingival health was significantly higher for Prefabricated Zirconia crowns compared with stainless steel crowns. Therefore clinical success rate for Prefabricated Zirconia crowns were better when compared to stainless steel crowns. So Prefabricated Zirconia crowns can be considered as an esthetic alternative in future.

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