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.
Background
Atrioventricular block (AVB) is an important complication following valvular surgery. Several factors including inflammation‐mediated injury might trigger AVB.
Methods
Patients with advanced postoperative AVB were randomly assigned to receive either dexamethasone (0.4 mg/kg, maximum 30 mg/day) intravenously for 3 days or conservative care only. Primary endpoint was recovery rate in Day 5 since randomization. Secondary endpoints were recovery rate in Day 7 and Day 10, cumulative AVB time, permanent pacemaker (PPM) implantation rate, length of stay in critical care units, and postoperative major adverse events (MAE).
Results
We enrolled 139 subjects (48.9% male) with mean age of 59.9 years randomly allocated to intervention group (n = 69) and control group (n = 70). Dexamethasone led to higher recovery rates at Day 5 (82.6% vs. 62.9%, p = .009) and Day 7 (88.4% vs. 61.4%, p < .0001) respectively. This benefit ceased at Day 10 (83.05% vs. 78.6%, p = .547). Median cumulative AVB time was shorter in dexamethasone group compared with control group (41 h vs. 64 h, p = .044). PPM implantation rates were similar between the dexamethasone and control groups (15.9% vs. 17.1%, respectively, p = .849). Median length of stay in intensive care unit (ICU) (10 days vs. 12 days, p = .03) and MAE (17.4% vs. 25.7%, p = .133) tended to be lower with dexamethasone.
Conclusion
Dexamethasone may serve as a safe and effective medication to help hasten recovery of advanced AVB after valvular surgery.
AimThis study assessed the gingival health of permanent first molars before and 6 months after restoration with stainless steel crowns (SSCs).Materials and methodsThis study was conducted on 23 children aged 6 to 12 years who required SSCs for their permanent first molars in one quadrant and had a contralateral first molar without SSC. Gingival color, inflammation, bleeding on probing (BOP), and probing pocket depth (PPD) were measured around both teeth. SSC was placed and, 6 months later, the same parameters were measured at both sides.ResultsGingival color significantly improved and PPD, BOP, and inflammation in mesiobuccal and mesiolingual areas around the first molars restored with SSC significantly decreased after 6 months (p < 0.05). However, in distobuccal and distolingual areas, no significant change occurred in these indices 6 months after placement of SSC (p > 0.05).ConclusionThe results showed that SSCs with proper fit have no adverse effect on gingiva of permanent first molars given that the patient maintains a good oral hygiene.How to cite this articleHeidari A, Shahrabi M, et al. Periodontal Assessment of Permanent Molar Teeth Restored with Stainless Steel Crown in Terms of Pocket Depth, Bleeding on Probing, Gingival Color and Inflammation. Int J Clin Pediatr Dent 2019;12(2):116–119.
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