Liutikov O. I.
EVALUATION OF THE EFFECTIVENESS OF PRIMARY INCISORS RESTORATION WITH ZIRCONIA CROWNS: A 2-YEAR FOLLOW-UP
Show/Download
About the author:
Liutikov O. I.
Heading:
DENTISTRY
Type of article:
Scientific article
Annotation:
The article is dedicated to studying the clinical effectiveness of primary incisors restoration after endodontic treatment using zirconia crowns over a two-year period. The study included 210 maxillary primary incisors in 59 children aged 1 year 6 months to 3 years. The condition of the restorations was assessed at 6, 12, 18, and 24 months using a modified Gingival Index (GI) and plaque ammount according to the Plaque Index (PI). The gingival condition and plaque accumulation were compared with intact mandibular incisors. The condition of the crowns was evaluated according to modified USPHS criteria. Statistical analysis included descriptive statistics methods, while differences in periodontal condition and plaque accumulation between groups were compared using an independent t-test. The Kaplan-Meier survival analysis (log-rank test) was used to compare the survival rates of central and lateral incisors. The study results revealed a statistically significant difference in PI and GI indices when comparing groups of incisors with zirconia crowns and intact antagonist teeth (p<0.05) in most observation periods. The Kaplan–Meier survival analysis demonstrated an overall survival rate of 91.9% at 24 months (central incisors – 94.7%, lateral incisors – 89.6%). No statistically significant difference was found between the central and lateral incisor groups (p=0.163). Thus, the results of this retrospective study demonstrate the high success rate of restoring primary incisors after endodontic treatment using zirconia crowns.
Tags:
Bibliography:
- Yakubova I. Rannii dytiachyi kariies. Stan problemy v Ukraini. Sovremennaia stomatolohyia. 2017;1:48-55. [in Ukrainian].
- Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria. Int J Paediatr Dent. 2021;31(6):817-830. DOI: 10.1111/ipd.12783.
- Aiem E, Smaïl-Faugeron V, Muller-Bolla M. Aesthetic preformed paediatric crowns: systematic review. Int J Paediatr Dent. 2017;27(4):273- 282. DOI: 10.1111/ipd.12260.
- Amend S, Boutsiouki C, Bekes K, Kloukoz D, Gizani S, Lygidakis N, et al. Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated primary teeth: a systematic review. Eur Arch Paediatr Dent. 2022;23(5):761-776. DOI: 10.1007/s40368- 022-00744-4.
- Ashima G, Sarabjot KB, Gauba K, Mittal HC. Zirconia crowns for rehabilitation of decayed primary incisors: an esthetic alternative. J Clin Pediatr Dent. 2014;39(1):18-22. DOI: 10.17796/jcpd.39.1.t6725r5566u43 30g.
- Pani SC, Saffan AA, Al Hobail S, Bin Salem F, Al Furaih A, Al Tamimi M. Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents. Int J Dent. 2016;2016:3163904. DOI: 10.1155/2016/3163904.
- Elheeny AAH, Abdelmotelb MA. Oral health-related quality of life (OHRQOL) of preschool children’s anterior teeth restored with zirconia crowns versus resin-bonded composite strip crowns: a 12-month prospective clinical trial. Clin Oral Investig. 2022;26(5):3923-3938. DOI: 10.1007/s00784-021-04359-9.
- Alzanbaqi SD, Alogaiel RM, Alasmari MA, Al Essa AM, Khogeer LN, Alanazi BS, et al. Zirconia Crowns for Primary Teeth: A Systematic Review and Meta-Analyses. Int J Environ Res Public Health. 2022;19(5):2838. DOI: 10.3390/ijerph19052838.
- Taran PK, Kaya MS. A Comparison of Periodontal Health in Primary Molars Restored with Prefabricated Stainless Steel and Zirconia Crowns. Pediatr Dent. 2018;40(5):334-339.
- Alrashdi M, Ardoin J, Liu JA. Zirconia crowns for children: A systematic review. Int J Paediatr Dent. 2022;32(1):66-81. DOI: 10.1111/ ipd.12793.
- Choi JW, Bae IH, Noh TH, Ju SW, Lee TK, Ahn JS, et al. Wear of primary teeth caused by opposed all-ceramic or stainless steel crowns. J Adv Prosthodont. 2016;8(1):43-52. DOI: 10.4047/jap.2016.8.1.43.
- Shahawy OE, Maher RA, Jundi SA, Hussein I, Tong HJ, Srinivasan N, et al. The use of aesthetic paediatric full coverage restorations among paediatric dental practitioners: an international survey. J Clin Pediatr Dent. 2023;47(4):16-24. DOI: 10.22514/jocpd.2023.031.
- American Academy of Pediatric Dentistry. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2024. Chapter, Pulp therapy for primary and immature permanent teeth; p. 466-74.
- Pei SL, Chen MH. Comparison of periodontal health of primary teeth restored with zirconia and stainless steel crowns: A systemic review and meta-analysis. J Formos Med Assoc. 2023;122(2):148-156. DOI: 10.1016/j.jfma.2022. 08.015.
- Mathew MG, Samuel SR, Soni AJ, Roopa KB. Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: randomized controlled trial. Clin Oral Investig. 2020;24(9):3275-3280. DOI: 10.1007/s00784-020-03204-9.
- Alamoudi RA, Walia T, Debaybo D. Evaluation of the Clinical Performance of NuSmile Pedodontics Zirconia Crowns in Pulp-Treated Primary Teeth-2 Years Follow-Up Study. Eur J Dent. 2023;17(1):82-90. DOI: 10.1055/s-0041-1742129.
- Seminario AL, Garcia M, Spiekerman C, Rajanbabu P, Donly KJ, Harbert P. Survival of Zirconia Crowns in Primary Maxillary Incisors at 12-, 24- and 36-Month Follow-Up. Pediatr Dent. 2019;41(5):385-390.
- El Shahawy OI, O’Connell AC. Successful Restoration of Severely Mutilated Primary Incisors Using a Novel Method to Retain Zirconia Crowns – Two Year Results. J Clin Pediatr Dent. 2016;40(6):425-430. DOI: 10.17796/1053-4628-40.6.425.
- Alrashdi M. Survival Analysis of Prefabricated Zirconia Crowns with and Without Pulpotomy in Primary Teeth: A Retrospective Cohort Study. Children (Basel). 2024;11(11):1402. DOI: 10.3390/children11111402.
Publication of the article:
«Bulletin of problems biology and medicine», 2025 Issue 1, 176, 518-525 pages, index UDC 616.314.3-089.844-77:616.314.163-085