Clinical and Radiographic Success Rate of Pulp Treated Primary Molars Restored with Stainless Steel Crown (SSC) Versus Glass Ionomer-SSC: A Double-Blind Randomized Clinical Trial

Ramazani, Nahid; Nezhad, Shamim Mollaei

doi:10.5812/ijp.97311

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Despite the fact that SSC has been the recommended treatment for many years, some researchers have stated that there is no strong evidence that SSC is preferable to alternative restorations and that the type of restoration has no impact on the success of vital pulp therapy. [52][53][54] Dimitraki et al (2019) 22 , and Choe et al (2017) 55 reported that class I cavities had showed greater success rates than class II cavities in primary teeth treated by DPC. Also, Franzon et al (2014) 28 stated that teeth with occlusal cavities treated by IPC showed higher success rate than teeth with proximal cavities treated by IPC.…”

Section: Celiberti Et Al (2006)mentioning

confidence: 99%

Clinical and Radiographic evaluation of Indirect and Direct Pulp Capping in Primary Molars using TheraCal (LC): A Randomized Clinical Trial

Moselhy

Elghazawy

Wassel

2022

Egyptian Dental Journal

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Aim: To evaluate the clinical and radiographic success rates of indirect and direct pulp capping in primary molars with reversible pulpitis using a light cured tri-calcium silicate-based material.Methods: A total of 40 primary molars that had deep dentin caries and signs of reversible pulpitis in healthy cooperative children aged between 4-7 years were randomly allocated to two parallel groups. The first group received indirect pulp capping (IPC) using partial caries removal (PCR), while the second group received direct pulp capping (DPC) using complete caries removal (CCR). TheraCal (LC) was the capping material in both groups. Teeth were restored by high-strength glassionomer cement or a stainless-steel crown according to the extent of carious involvement. Teeth were assessed clinically and radiographically at 3, 6, 9, and 12 months. The data was statistically analyzed using Fisher's exact test for intergroup comparisons and Cochran's Q test followed by multiple pairwise comparisons utilizing multiple McNemar's tests with Bonferroni correction for intragroup comparisons. Significance level was set at p ≤ 0.05.Results: According to intention to treat analysis, the clinical success rates for IPC were 90% and 85% at 3, and 12 months, respectively. DPC showed 90% clinical success rate at 3 months and 70% at 12 months. Whereas the radiographic success rate for IPC was 90% at 3 months and 85% at 12 months. While radiographic success rate for DPC was 95% in the first 3 months and 70% after 12 months. There were no significant differences in clinical and radiographic success rates of IPC and DPC at all follow-up intervals (p > 0.05). Conclusion:Both IPC and DPC can be reliable treatment options in primary molars encouraging the selection of the most conservative treatment option as a biological management approach for deep caries in primary molars with reversible pulpitis.

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Section: Celiberti Et Al (2006)mentioning

confidence: 99%

Clinical and Radiographic evaluation of Indirect and Direct Pulp Capping in Primary Molars using TheraCal (LC): A Randomized Clinical Trial

Moselhy

Elghazawy

Wassel

2022

Egyptian Dental Journal

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Comparison between Restorative Materials for Pulpotomised Deciduous Molars: A Randomized Clinical Study

et al. 2023

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Aim: To evaluate and compare the clinical outcomes of Cention-N (CN) and stainless steel crowns (SSCs) as restorations for pulpotomised primary molars, and to study clinical and radiographic outcomes of pulpotomies restored with these materials. Methods: The study was conducted on 60 pulpotomised molars with occlusoproximal caries. These were randomly divided into two groups and restored with either stainless steel crowns or Cention-N. Clinical performance of restorations and clinical and radiographic success of pulpotomy was examined at 6, 9 and 12 months. Results: The mean scores for marginal integrity deteriorated significantly at 6, 9 and 12 months in both groups but in comparison were insignificant. The mean for proximal contact deteriorated significantly for the Cention-N group, whereas the mean for gingival health deteriorated remarkably for the stainless steel crown group at successive evaluations. No tooth in either group showed secondary caries or discomfort on biting, except for one tooth in Cention-N group which presented with secondary caries. The clinical success rate for pulpotomised molars was 100% for both groups until nine months, although this had reduced by the end of 12 months. Radiographically, the success rate was 79.3% for Cention-N, while it was 86.6% for stainless steel crowns at 12 months. There was no significant difference in clinical and radiographic success between either group. Conclusion: Cention-N and stainless steel crowns are comparable for marginal integrity. However, crowns maintain significantly better proximal contacts while Cention-N was notably better for gingival health of the restored tooth. Both materials do not show secondary caries and discomfort on biting and are comparable in clinical and radiographic success of pulpotomy at the end of one year.

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Clinical Success of Pulpotomies Using Intermediate Restorations and Preformed Metal Crowns in the Context of a Developing Country: A Retrospective Questionnaire-Based Investigation

Montero-Copoya,

Robles-Bermeo,

Lucas-Rincón

et al. 2024

Clinics and Practice

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Background: Dental caries is one of the most prevalent dental illnesses in children. Untreated severe caries can damage teeth, requiring pulpotomy to save them. Objective: To evaluate the clinical success rate of treatments involving pulpotomies + IRM (Intermediate Restorative Material, composed of reinforced zinc oxide–eugenol polymers) + preformed metal crowns (PMCs) in primary teeth of children treated at a public university in Mexico. Materials and Methods: A cross-sectional ambispective study was conducted on children aged 10 years or younger, treated at a public university in Mexico. A total of 1281 medical records from February 2018 to June 2023 were reviewed, yielding a sample of 199 children treated with pulpotomy + IRM + PMC. Information was collected via telephone interviews with parents/caregivers to inquire about any symptoms following the pulpotomy and metal crown treatments. Success was defined as the absence of pain, inflammation, or infection. Results: During the study period, the number of teeth treated with pulpotomy + IRM + PMC was 414, with follow-ups ranging from 6 to 69 months. Most participants were girls (54.3%), while 45.7% were boys. Out of the 167 pulpotomy + IRM + PMC treatments included in the study, the clinical success rate was 98.2%. Conclusions: The clinical success rate of primary teeth treated with pulpotomy + IRM + PMCs was high, close to 100%, based on evidence and symptom reports from parents/caregivers. It would be beneficial to implement its use in public health institutions in countries such as Mexico.

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Clinical and Radiographic Success Rate of Pulp Treated Primary Molars Restored with Stainless Steel Crown (SSC) Versus Glass Ionomer-SSC: A Double-Blind Randomized Clinical Trial

Cited by 3 publications

References 27 publications

Clinical and Radiographic evaluation of Indirect and Direct Pulp Capping in Primary Molars using TheraCal (LC): A Randomized Clinical Trial

Clinical and Radiographic evaluation of Indirect and Direct Pulp Capping in Primary Molars using TheraCal (LC): A Randomized Clinical Trial

Comparison between Restorative Materials for Pulpotomised Deciduous Molars: A Randomized Clinical Study

Clinical Success of Pulpotomies Using Intermediate Restorations and Preformed Metal Crowns in the Context of a Developing Country: A Retrospective Questionnaire-Based Investigation

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