Gingival, oral hygiene and periodontal status of the teeth restored with stainless steel crown: A prospective study

Prabhu, Shashikala; Krishnamoorthy, S H; Sathyaprasad, Savitha; Chandra, H Sharath; Divyia, J; Mohan, Aiswarya

doi:10.4103/jisppd.jisppd_227_17

Cited by 9 publications

(6 citation statements)

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“…Gingival index was used in many studies to evaluate gingival condition around crowns and crowns cemented with different cements . The current study found no statistically significant difference in the gingival index score between study cements for all given time points, indicating that either cements had no impact on the gingival condition.…”

Section: Discussioncontrasting

confidence: 41%

Influence of luting cement on the clinical outcomes of Zirconia pediatric crowns: A 3‐year split‐mouth randomized controlled trial

Azab

Moheb

Shahawy

et al. 2020

Int J Paed Dentistry

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Background:There is no scientific evidence supporting the choice of luting cement for cementation of zirconia crowns. Aim: The purpose of this split-mouth study was to compare the efficacy of using bioactive cement versus packable glass ionomer for cementation of posterior pediatric zirconia crowns. Design: Fifty first mandibular primary molars were restored by zirconia crowns and were randomly divided to be luted with either (a) bioactive cement or (b) packable glass ionomer. Crowns' retention, fracture, and gingival condition were evaluated at 1 week, and 1-, 3-, 6-, 9-, 12-, 18-, 24-, and 36-month intervals. Statistical analysis was carried out using Fisher's exact test, Kaplan-Meier survival analysis, and Wilcoxon signed rank test. Results: At 3-to 36-month follow-ups, there were statistically significant (P = .009-≤.001) less debonded crowns in packable glass ionomer group. There were no fractured crowns for either cements. There was no statistically significant difference between gingival index scores. Conclusions: Packable glass ionomer is more retentive than bioactive cement when used for cementing zirconia pediatric crowns. Posterior zirconia pediatric crowns have high fracture resistance after 36 months of clinical performance, irrespective of luting cement. Luting cement for zirconia pediatric crowns has no apparent effect on gingival condition around crowns. K E Y W O R D Sbioactive cement, cementation, packable glass ionomer, pediatric crowns, zirconia | 315 AZAB et Al.

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Section: Discussioncontrasting

confidence: 41%

Influence of luting cement on the clinical outcomes of Zirconia pediatric crowns: A 3‐year split‐mouth randomized controlled trial

Azab

Moheb

Shahawy

et al. 2020

Int J Paed Dentistry

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“…For a long time stainless steel crowns have been a huge part of the therapeutic armamentarium in pediatric dentistry [7]. The main indications for their use is in those primary and permanent teeth that are either hypocalcified or that have various and broad carious lesions and whose pulps have been removed [8]. Therefore stainless steel crowns remain the treatment of choice for the restoration of primary molar teeth although it's not much aesthetic .Shedding of the primary tooth has helped to maintain the aesthetics meanwhile it is preserved through its mixed dentition stage of development [9,10].…”

Section: Introductionmentioning

confidence: 99%

Oral Hygiene Index in Children with Stainless Steel Crowns in the Permanent Molars

Karthik,

Subramanian

2024

AJPR

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Aim: The aim of this study is to assess the oral hygiene index in children with stainless steel crowns in the permanent molars. Introduction: Dental caries is a common disease, especially in children. Stainless steel crowns are used for the rehabilitation of carious molars to restore form and function either after root canal treatment or when caries is multi surface. Plaque and debris accumulates around these crowns if children fail to maintain it properly. Oral Hygiene Index shows patient’s oral hygiene and the presence of plaque on the surface of the teeth. Materials and Method: This was a retrospective study conducted in a private dental institution in Chennai. The data was collected from the digital archives information system. 100 patients who fulfilled the inclusion and exclusion criteria were included in the study. The data analysis was performed using SPSS software .The chi square test and pearson correlation was done. p value <0.05 was considered statistically significant. Result: 24 patients had the OHIS score of 1.5, 18 patients had the OHIS score of 2, 24 patients had the OHIS score of 2.5,18 patients had the OHIS score of 3, 16 patients had the OHIS score of 1. Boys had higher OHI scores compared to girls. Conclusion: Within the limitations of the study, it can be concluded that 40% children had good oral hygiene scores. Girls had better oral hygiene scores compared to boys. Oral hygiene instructions should be given to children with stainless steel crowns to prevent the spread of caries and gingival diseases to adjacent teeth.

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“…This has ensured SSC today more accurately duplicates the anatomy of primary molar teeth. [ 1 ] SSCs protect the crown from fracture, reduce the possibility for leakage, and ensure a biological seal. [ 2 ] Multiple indications for placement of SSC include post-pulpotomy/pulpectomy, badly broken teeth, deep caries,[ 3 ] and to restore multi-surface caries.…”

Section: Introductionmentioning

confidence: 99%

Preformed Stainless-Steel Crowns: Their Effects on Oral Hygiene Maintenance and Gingival Health – A Prospective Original Research

Alharbi,

Sayed,

Habibullah

et al. 2024

Journal of Pharmacy and Bioallied Sciences

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The stainless-steel crown (SSC) is a durable restoration and has several indications for use in primary teeth such as following a pulpotomy/pulpectomy, fractured teeth, teeth with developmental defects, or large multi-surface caries lesions where amalgam is likely to fail. Due to its durability and a lifespan like the primary tooth, it could well be the gold standard in restorative care. SSCs protect the crown from fracture, reduce the possibility for leakage, and ensure a biological seal. However, the placement of the SSC should follow a meticulous technique. There are some clinical situations where the SSC may fail, leading to plaque accumulation and gingivitis. This could be secondary to improper crimping of crown margins, which lead to poorly adapted SSC. In some clinical situations, ledge formation under the crown or failure to clean excess cement can contact the gingiva and cause gingival inflammation. This study was carried out on 41 children between the ages of 4 and 10 in Al Qassim region to study the effects of SSCs on gingiva and oral hygiene. The study also aims to establish the correlation between SSC adaptation and post-insertion inflammation. The plaque and gingival index were recorded at 3 months’ post SSC insertion. Clinical examination was undertaken, and gingival index (Loe and Silness 1967) and plaque index (Silness and Loe 1967) were used to record gingival health and plaque accumulation, respectively. The result for post-inflammation and SSC adaptation showed that there was no statistically significant difference in post-insertion inflammation and crown adaptation (P value = 0.216). The result for pre-operative inflammation and post-operative inflammation shows that there is no significant difference in post-inflammation and adaptation (P value = 0.47). We found that oral hygiene care had a heightening effect and oral hygiene maintenance plays a key role in preventing gingival inflammation irrespective of the SSC adaptation over short periods of time (3 months).

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Gingival, oral hygiene and periodontal status of the teeth restored with stainless steel crown: A prospective study

Cited by 9 publications

References 0 publications

Influence of luting cement on the clinical outcomes of Zirconia pediatric crowns: A 3‐year split‐mouth randomized controlled trial

Influence of luting cement on the clinical outcomes of Zirconia pediatric crowns: A 3‐year split‐mouth randomized controlled trial

Oral Hygiene Index in Children with Stainless Steel Crowns in the Permanent Molars

Preformed Stainless-Steel Crowns: Their Effects on Oral Hygiene Maintenance and Gingival Health – A Prospective Original Research

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