scholarly journals Clinical Evaluation and Comparison of Stainless Steel Crowns and Zirconia Crowns in Primary Molars- A Study Protocol

Author(s):  
Monika M. Khubchandani ◽  
Nilima Thosar

Aim: The present study will be undertaken to evaluate and compare the clinical success of stainless steel crowns and zirconia crowns in carious primary molars. Study Design: Randomized controlled trial. Place and Duration of the Study: Department of Pedodontics & Preventive Dentistry, Sharad Pawar Dental College & Hospital, Duration- One year Methodology: In this Split-mouth, 12 months study, set of primary molars in 4-9 years old children will be restored with stainless steel crown and zirconia crown. The primary objective is the assessment of clinical success by evaluating pain, swelling and pathologic mobility at baseline, 1, 3, 6 and 12 months interval. The secondary objectives are to assess the level of parental satisfaction by applying fivepoint likert scale and evaluate the gingival condition by recording Sillness and Loe Plaque index (PI) and Loe and Silness Gingival Index (GI) of study groups at periodic interval of 1, 3, 6 and 12 months. Results: The results of the present study will investigate the effectiveness of two types of pediatric full coverage restorations for management of extensive caries in primary molars. Conclusion: The findings of the present research would help the patient and practitioners to select appropriate therapeutic option.

2020 ◽  
Vol 9 (3) ◽  
pp. 1418
Author(s):  
MebinGeorge Mathew ◽  
KorishettarBasavaraj Roopa ◽  
AshuJagdish Soni ◽  
Md Muzammil Khan ◽  
Afreen Kauser

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 ◽  
...  

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.


2017 ◽  
Vol 5 (1) ◽  
pp. 21 ◽  
Author(s):  
BashaerS Abdulhadi ◽  
MedhatM Abdullah ◽  
SumerM Alaki ◽  
NajlaaM Alamoudi ◽  
MoazH Attar

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
José M. Porcel ◽  
Lucia Ferreiro ◽  
Laura Rumi ◽  
Esther Espino-Paisán ◽  
Carmen Civit ◽  
...  

AbstractBackgroundThe optimal duration of antibiotic treatment for complicated parapneumonic effusions (CPPEs) has not been properly defined. Our aim was to compare the efficacy of amoxicillin-clavulanate for 2 vs. 3 weeks in patients with CPPE (i.e. those which required chest tube drainage).MethodsIn this non-inferiority, randomized, double-blind, controlled trial, patients with community-acquired CPPE were recruited from two centers in Spain and, after having obtained clinical stability following 2 weeks of amoxicillin-clavulanate, they were randomly assigned to placebo or antibiotic for an additional week. The primary objective was clinical success, tested for a non-inferiority margin of<10%. Secondary outcomes were the proportion of residual pleural thickening of>10 mm at 3 months, and adverse events. The study was registered with EudraCT, number 2014-003137-25. We originally planned to randomly assign 284 patients.ResultsAfter recruiting 55 patients, the study was terminated early owing to slow enrolment. A total of 25 patients were assigned to 2 weeks and 30 patients to 3 weeks of amoxicillin-clavulanate. Clinical success occurred in the 25 (100%) patients treated for 2 weeks and 29 (97%) treated for 3 weeks (difference 3%, 95% CI −3 to 9.7%). Respective between-group differences in the rate of residual pleural thickening (−12%, 95%CI −39 to 14%) and adverse events (−7%, 95%CI −16 to 2%) did not reach statistical significance.ConclusionsIn this small series of selected adult patients with community-acquired CPPE, amoxicillin-clavulanate treatment could be safely discontinued by day 14 if clinical stability was obtained.


2013 ◽  
Vol 31 (4_suppl) ◽  
pp. 143-143 ◽  
Author(s):  
Karen T. Brown ◽  
Mithat Gonen ◽  
Kinh Gian Do ◽  
Anne M. Covey ◽  
George I. Getrajdman ◽  
...  

143 Background: HAE using particles is a method of treatment for HCC. The added role of doxorubicin has never been fully understood biologically. To date, no study has demonstrated any difference in outcome using HAE versus trans-arterial chemoembolization (TACE). Methods: Patients (pts) with unresectable Okuda stage I or II HCC with adequate liver function were randomized to BB or LC loaded with 150 mg of doxorubicin. Pts were evaluated by multiphasic CT 2-3 weeks post-treatment. Progression by RECIST and/or evidence of ≤5% necrosis was considered treatment failure. Otherwise pts were followed with CT every 3 months until progression or death. Pts with either recurrent tumor or new tumor outside the treated area could be re-treated. The primary objective was response rate (RR) by RECIST. With 50 pts in each arm response rates can be estimated to within +/- 14%. Secondary objectives included assessing safety and tolerability, time to progression (TTP), progression free survival (PFS), and overall survival (OS). Quantification of tumor necrosis (TN) using CT volumetric data was correlated with outcome. Analyses were intention-to-treat. Results: Between December of 2007 and March of 2012, 101 pts were randomized, 51 to BB and 50 to LC. Demographics in the two groups were comparable: median age was 67, 77% were male and 81% were Okuda I. Median number of embolizations was 2 in both arms. There was no difference in adverse events, the most common being post-embolization syndrome of pain, fever, nausea, or vomiting (84% in both groups). There was no difference in RR: BB 11% vs LC 9% (p=0.58). Median TTP was not reached. 12 month TTP was 49 versus 56% (p=0.84), median PFS was 7 versus 9 (p=0.6), and OS 14 versus 16 months (p=0.7) for BB and LC respectively. Change in TN/tumor volume post treatment did not predict OS in either group (p=0.28). Conclusions: No difference in response was noted between pts treated with BB versus LC. Given the comparable safety profile, TTP, PFS and OS, HAE should be considered a reasonable and cost-effective therapeutic option and may be preferable to LC. Clinical trial information: NCT00539643.


2005 ◽  
Vol 84 (12) ◽  
pp. 1144-1148 ◽  
Author(s):  
K.C. Huth ◽  
E. Paschos ◽  
N. Hajek-Al-Khatar ◽  
R. Hollweck ◽  
A. Crispin ◽  
...  

Pulpotomy is the accepted therapy for the management of cariously exposed pulps in symptom-free primary molars; however, evidence is lacking about the most appropriate technique. The aim of this study was to compare the relative effectiveness of the Er:YAG laser, calcium hydroxide, and ferric sulfate techniques with that of dilute formocresol in retaining such molars symptom-free. Two hundred primary molars in 107 healthy children were included and randomly allocated to one of the techniques. The treated teeth were blindly re-evaluated after 6, 12, 18, and 24 months. Descriptive data analysis and logistic regression analysis, accounting for each patient’s effect by a generalized estimating equation (GEE), were used. After 24 months, the following total and clinical success rates were determined (%): formocresol 85 (96), laser 78 (93), calcium hydroxide 53 (87), and ferric sulfate 86 (100). Only calcium hydroxide performed significantly worse than formocresol (p = 0.001, odds ratio = 5.6, 95% confidence interval 2.0–15.5). In conclusion, calcium hydroxide is less appropriate for pulpotomies than is formocresol.


2014 ◽  
Vol 42 (11) ◽  
pp. 1396-1403 ◽  
Author(s):  
I.M. Schüler ◽  
M. Hiller ◽  
T. Roloff ◽  
J. Kühnisch ◽  
R. Heinrich-Weltzien

2016 ◽  
Vol 40 (5) ◽  
pp. 345-352 ◽  
Author(s):  
Hitesh Chander Mittal ◽  
Ashima Goyal ◽  
Krishan Gauba ◽  
Aditi Kapur

Objective: The aim of the present study was to evaluate the clinical performance of indirect resin composite onlays (IRC onlay) compared to stainless steel crowns (SSCs), as an esthetic alternative for rehabilitation of extensively carious primary molars. Study design: Fifty pediatric patients each received either IRC onlay or SSC randomly on extensively carious endodontically treated primary molars. All the restorations were evaluated at baseline and then every 6 months till 36 months using ‘modified FDI criteria’ for retention, marginal integrity, occlusion, proximal contact, secondary caries and gingival health. The dental chair side treatment time and post-operative acceptability were also evaluated for both the groups. Results: The cumulative survival rate of IRC onlays was 82.9% compared to 90.7% for SSCs over a time period of 36 months. The difference between the two study groups at various time intervals in terms of retention, marginal integrity, secondary caries, proximal contact, occlusion and gingival health was not statistically significant (p&gt;0.05). The IRC onlays required significantly less mean chair side treatment time and were preferred the most by parents and children as per VAS scores compared to SSCs. Conclusion: IRC onlays are an acceptable esthetic alternative to SSCs and may be considered for use in aesthetically conscious children/parents as per their preference.


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