Zirconia Crowns for Rehabilitation of Decayed Primary Incisors: An Esthetic Alternative

2014 ◽  
Vol 39 (1) ◽  
pp. 18-22 ◽  
Author(s):  
G Ashima ◽  
K Bhatia Sarabjot ◽  
K Gauba ◽  
HC Mittal
Keyword(s):  
Present Article ◽  
Primary Teeth ◽  
Treatment Alternative ◽  
Promising Alternative ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Very Young Children ◽  
Zirconia Crowns ◽  
Pediatric Dentists ◽  
Good Retention

Esthetic management of extensively decayed primary maxillary anterior teeth requiring full coronal coverage restoration is usually challenging to the pediatric dentists especially in very young children. Many esthetic options have been tried over the years each having its own advantages, disadvantages and associated technical, functional or esthetic limitations. Zirconia crowns have provided a treatment alternative to address the esthetic concerns and ease of placement of extra-coronal restorations on primary anterior teeth. The present article presents a case where grossly decayed maxillary primary incisors were restored esthetically and functionally with readymade zirconia crowns (ZIRKIZ, HASS Corp; Korea). After endodontic treatment the decayed teeth were restored with zirconia crowns. Over a 30 months period, the crowns have demonstrated good retention and esthetic results. Dealing with esthetic needs in children with extensive loss of tooth structure, using Zirconia crowns would be practical and successful. The treatment described is simple and effective and represents a promising alternative for rehabilitation of decayed primary teeth.

scholarly journals Comparing Zirconia to Anterior Strip Crowns in Primary Anterior Teeth in children, A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A AbdelBaki ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background: Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. This study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods: Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). The presented research was registered retrospectively at ClinicalTrials.gov in 6th of August 2017, under registration number NCT03184012.Results: Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p<0.006, p<0.001; respectively), less plaque accumulation at all follow up visits (p<0.001), no restoration failure (p<0.001), but more wear to opposing teeth (p<0.02). No significant difference was found between the two crowns with regards to recurrent caries (p<0.135).Conclusion: Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

Zirconia Crowns - An Esthetic and Resistant Restorative Alternative For ECC Affected Primary Teeth

2014 ◽  
Vol 38 (3) ◽  
pp. 193-195 ◽  
Author(s):  
P Planells del Pozo ◽  
AB Fuks
Keyword(s):  
Young Children ◽  
Primary Teeth ◽  
Present Report ◽  
Very Young Children ◽  
Prevention And Treatment ◽  
Zirconia Crowns ◽  
Maxillary Incisors ◽  
The Stability

The present report discusses briefly the problem of ECC in very young children and the recommended approaches for prevention and treatment. The esthetic restoration of the maxillary incisors with Zirconia Nu Smile™ crowns is described. It is also stressed that the luxation injury two months after placement did not damage the appearance nor the stability of the crowns.

The application of fiber core posts in restoring badly destroyed primary incisors

2002 ◽  
Vol 26 (3) ◽  
pp. 217-224 ◽  
Author(s):  
Aly Sharaf
Keyword(s):  
Load Resistance ◽  
Fracture Load ◽  
Tooth Structure ◽  
Fiber Core ◽  
Root Canals ◽  
Anterior Teeth ◽  
Valuable Procedure ◽  
Pediatric Dentists ◽  
One Year ◽  
Strip Crown

Early childhood caries (ECC) represents a challenge to pediatric dentists especially, when teeth are badly destroyed. ECC involves the upper anterior teeth early in life and by the time the dentist sees the child, most of the coronal structure is lost. Dentally, this is a very devastating situation for both the dentist and parents, as in many cases, extraction of these teeth is the only option. With the introduction of new adhesive systems and restorative materials, a new approach for treating these teeth is explained and documented by clinical cases, where fiber core posts are introduced into the root canals of primary incisors for a distance of 2 to 3 mm. It is retained in place by flowable composite, then the coronal part is reconstructed by a strip crown to restore the crown form. After a follow up period of one year, only 2 teeth out of 30 had to be extracted. The failure was attributed to failure in pulpal therapy rather than failure in the restorations, which were totally intact. A laboratory testing of the fracture load resistance of the restored teeth proved that this technique significantly improved the fracture load resistance of composite celluloid crowns, making it a valuable procedure to consider when the coronal tooth structure is not enough to support and retain a composite celluloid strip crown.

scholarly journals Comparing Zirconia to Anterior Strip Crowns: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A Abdullah ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. Aim this study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). Results Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p < 0.006, p < 0.001; respectively), less plaque accumulation at all follow up visits (p < 0.001), no restoration failure (p < 0.001), but more wear to opposing teeth (p < 0.02). No significant difference was found between the two crowns with regards to recurrent caries (p < 0.135). Conclusion Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation, recurrent caries as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

scholarly journals Comparing zirconia to anterior strip crowns in primary anterior teeth in children: a randomized clinical trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sumer M. Alaki ◽  
Bashaer S. Abdulhadi ◽  
Medhat A. AbdElBaki ◽  
Najlaa M. Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. This study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). The presented research was registered retrospectively at ClinicalTrials.gov in 6th of August 2017, under registration number NCT03184012. Results Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p < 0.006, p < 0.001; respectively), less plaque accumulation at all follow up visits (p < 0.001), no restoration failure (p < 0.001), but more wear to opposing teeth (p < 0.02). No significant difference was found between the two crowns with regards to recurrent caries (p < 0.135). Conclusion Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

scholarly journals Evaluation of the Clinical, Child, and Parental Satisfaction with Zirconia Crowns in Maxillary Primary Incisors: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mohammad Hassan Hamrah ◽  
Saeedeh Mokhtari ◽  
Zahra Hosseini ◽  
Maryam Khosrozadeh ◽  
Sepideh Hosseini ◽  
...  
Keyword(s):  
Clinical Success ◽  
Pediatric Dentistry ◽  
Parental Satisfaction ◽  
Treatment Alternative ◽  
Anterior Teeth ◽  
Parents And Children ◽  
Zirconia Crowns ◽  
Increasing Demand ◽  
The Aesthetic ◽  
Larger Sample

Background. With the increasing demand for aesthetics in children and their parents, the treatment of decayed primary anterior teeth is one of the biggest challenges in pediatric dentistry. Zirconia crowns have provided a treatment alternative to address the aesthetic concerns and ease of placement of extracoronal restorations on primary anterior teeth. Methods. The electronic databases including PubMed, Scopus, Google Scholar, and Embase were searched on articles published between January 2010 and January 2021. Studies relating to evaluating the clinical success and satisfaction of both parents and children about zirconia crowns in maxillary primary incisors were reviewed. Results. Nine studies met the criteria for final inclusion. Findings from these studies showed that parental and child satisfaction with zirconia crowns is high with clinically acceptable restorations in the maxillary primary incisors. Conclusion. Parental and child satisfaction with zirconia crowns is high with clinically acceptable restorations in the maxillary primary incisors. In addition, larger sample sizes and longer follow-ups are required in future studies.

scholarly journals Comparing Zirconia to Anterior Strip Crowns in Primary Anterior Teeth in children, A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A AbdelBaki ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background: Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability.Aim: this study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months.Methods: Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%).Results: Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p<0.006, p<0.001; respectively), less plaque accumulation at all follow up visits (p<0.001), no restoration failure (p<0.001), but more wear to opposing teeth (p<0.02). No significant difference was found between the two crowns with regards to recurrent caries (p<0.135).Conclusion: Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.Trial Registration: The presented research was registered retrospectively at ClinicalTrials.gov under registration number NCT03184012.

scholarly journals Comparing Zirconia to Anterior Strip Crowns in Primary Anterior Teeth;A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A Abdullah ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background: Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. Aim: this study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods: Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). Results: Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p<0.006, p<0.001; respectively), less plaque accumulation at all follow up visits (p<0.001), no restoration failure (p<0.001), but more wear to opposing teeth (p<0.02). No significant difference was found between the two crowns with regards to recurrent caries (p<0.135).Conclusion: Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure. Trial Registration: The presented research was registered retrospectively at ClinicalTrials.gov under registration number NCT03184012.

scholarly journals Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sharat Chandra Pani ◽  
Abdulrahman Al Saffan ◽  
Sultan AlHobail ◽  
Fares Bin Salem ◽  
AlBara AlFuraih ◽  
...  
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Dental Treatment ◽  
Point Of View ◽  
Treatment Modalities ◽  
Full Coverage ◽  
Anterior Teeth ◽  
Carious Lesions ◽  
Zirconia Crowns ◽  
Materials Used

Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth.Methodology. A total of 107 children and both of their parents (n=321), who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants.Results.Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents.Conclusion.Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth.

scholarly journals Effect of Cavity Disinfectants on Adhesion to Primary Teeth—A Systematic Review

2021 ◽  
Vol 22 (9) ◽  
pp. 4398
Author(s):  
Ana Coelho ◽  
Inês Amaro ◽  
Ana Apolónio ◽  
Anabela Paula ◽  
José Saraiva ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Clinical Success ◽  
Dental Materials ◽  
In Vitro Study ◽  
In Vitro Studies ◽  
Cochrane Library ◽  
Promising Alternative

Some authors have been proposing the use of cavity disinfectants in order to reduce, or even eliminate, the effect of the microorganisms present in a dental cavity before a restoration is placed. The aim of this study was to evaluate the effect of different cavity disinfectants on bond strength and clinical success of composite and glass ionomer restorations on primary teeth. The research was conducted using Cochrane Library, PubMed/MEDLINE, SCOPUS, and Web of Science for articles published up to February 2021. The search was performed according to the PICO strategy. The evaluation of the methodological quality of each in vitro study was assessed using the CONSORT checklist for reporting in vitro studies on dental materials. Sixteen in vitro studies and one in situ study fulfilled the inclusion criteria and were analyzed. Chlorhexidine was the most studied cavity disinfectant, and its use does not compromise dentin bonding. Sodium hypochlorite is a promising alternative, but more research on its use is required to clearly state that it can safely be used as a cavity disinfectant for primary teeth. Although other disinfectants were studied, there is a low-level evidence attesting their effects on adhesion, therefore their use should be avoided.

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