Clinical assessment of class II resin-based composites versus preformed metal crowns performed on primary molars in patients at high risk of caries

Alyahya, Asma; Khanum, Adeeba; Qudeimat, Muawia A.

doi:10.1007/s40368-017-0322-8

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…This finding is in agreement with the results of many studies which have demonstrated that nocturnal pain is related to irreversible pulpitis. [24][25][26] For the same reason mentioned about the frequency of dental caries color, only 17.5% of the teeth had nocturnal pain as the teeth with a clear radiographic sign of pulpectomy were excluded from the study. The existence of nocturnal pain is more likely in them compared with those without a clear radiographic sign of pulpectomy.…”

Section: Discussionmentioning

confidence: 99%

<p>Caries Color, Extent, and Preoperative Pain as Predictors of Pulp Status in Primary Teeth</p>

Ghaderi¹,

Jowkar²,

Tadayon³

2020

CCIDE

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This study aimed to assess the relationship between preoperative pain status, caries extent, and caries color and the ability to achieve hemostasis at the canal orifices during pulp therapy access in primary teeth. Study Design: Eighty primary molar teeth with extremely deep caries extending to the pulp (based on bitewing radiography) were investigated in 66 children. The teeth with clear radiographic and clinical signs indicating the involvement of the radicular pulp were excluded. The history of preoperative pain status, the color of dental caries by visual inspection, and the extent of caries lesion measured in bitewing radiographs were recorded. After preparing the access cavities, the hemostasis achievement at the canal orifices was assessed and considered as the final factor in determining the type of treatment (pulpotomy or pulpectomy). The data were analyzed using Fisher's exact test, the independent t-test, and Cohen's unweighted kappa statistic. P<0.05 was considered statistically significant. Results: Hemostasis was achieved in 78.1% of the teeth with black dental caries, whereas in most of the teeth with light brown dental caries (64.3%), hemostasis was not achieved (p=0.015). The extent of dental caries in the teeth needing pulpotomy was statistically significantly lower than that of those needing pulpectomy (p=0.024). Mesial side dental caries was more related to the irreversible pulpitis compared to the distal one (p=0.01). In 78.1% of the teeth without pain, hemostasis was achieved, and in most of the teeth with nocturnal pain (64.3%), hemostasis did not occur (p=0.034). Conclusion: The caries color, caries extent, and preoperative pain have the potential to be used as clinical diagnostic tools to determine the pulpal status in primary teeth.

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Section: Discussionmentioning

confidence: 99%

<p>Caries Color, Extent, and Preoperative Pain as Predictors of Pulp Status in Primary Teeth</p>

Ghaderi¹,

Jowkar²,

Tadayon³

2020

CCIDE

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“…• Insufficient information on evaluation of material performance: 14 10,19,[52][53][54][55][56][57][58][59][60][61][62][63] .…”

Section: Resultsmentioning

confidence: 99%

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Ruiz¹,

Pérez-Guzmán²,

Rubio‐Aparicio³

et al. 2020

Sci Rep

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the aim was to determine the survival of tooth-coloured restorative materials in proximal restorations of primary teeth at 24 months of follow-up and the influence of the following variables: use of coating, use of cavity conditioner, use of rubber dam isolation, the cavity form, the dentist's experience and the methodological characteristics of the studies. We conducted a search until May 2019, obtaining 16 articles from which 30 independent studies were extracted, which were considered as units of analysis. Four outcome measures were extracted from each study: retention, marginal integrity, anatomic form, and absence of recurrent caries. Separate meta-analyses were carried for each outcome and multiple meta-regression model was applied. The outcomes with the highest mean success rates were absence of recurrent caries and anatomic form. The type of material significantly influenced success rates. The best materials were resin-based material plus total-etching adhesion and resin-modified glass ionomer cement (RMGIC), and the worst high viscosity glass ionomer cement (HVGIC). Atraumatic restorative treatment (ARt) had a lower success rate than the conventional cavity form. RMGic had the best clinical performance and HVGIC the worst. The form of the cavity, blinding and the experience of the operator were the variables that influenced success rates. Proximal primary molar restorations should be performed with RMGIC as it combines good mechanical performance of the resins together with the prevention of secondary caries of glass ionomers. The Global Burden of Disease 2015 study 1 concluded that oral health has not improved in the last 25 years: the age-standardized prevalence rate of untreated caries in primary teeth was 7.8% (573 million children) and 126 million children worldwide had incident cases of caries in primary teeth in 2015. Dental caries, according to the WHO, remains the most frequent chronic disease in early childhood in most communities around the world, having a negative impact on the quality of life of both the child and their family, and is considered a public health problem 2,3. The toxic effects on the patient, health professionals and the environment, the increasing prevalence of minimal intervention restorative approaches and the increased demand for aesthetics, have reduced the use of amalgam as the material of choice for the restoration of primary teeth 4,5. Currently, restorative treatments for primary teeth include a wide variety of tooth-coloured materials such as glass ionomer cements (GIC), resin-modified glass ionomer cement (RMGIC), high viscosity glass ionomer cement (HVGIC), compomers and composite resins (CR). In general, composites are recommended in children with a low risk of caries, compomers in children with a moderate risk and glass ionomers in children with a high risk 6. GICs are good materials for the primary dentition 7 due to their ability to adhere to the dental structure, low polymerization contraction, lack of postoperative sensitivity, biological compatibility and th...

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“…Conventional composite resins were compared with stainless steel crowns (SSCs) for the restoration of class II lesions in high-risk patients. 244 A total of 593 composite resin restorations and 243 SSCs were assessed for mean survival time, and failure rates were determined. While there was no significant difference in mean survival times at 41.3 months for composite resins and 45.6 months for SSCs, the failure rate for composite resin restorations was 22.6% with recurrent caries as the major cause and the failure rate for SSCs was 15.2% with the major cause being loss of the crown.…”

Section: Composite Resinsmentioning

confidence: 99%

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Cagna

Donovan

McKee³

et al. 2019

The Journal of Prosthetic Dentistry

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Clinical assessment of class II resin-based composites versus preformed metal crowns performed on primary molars in patients at high risk of caries

Abstract: The MST of resin composites and PMCs were comparable when performed on high caries-risk patients.

Cited by 8 publications

References 16 publications

<p>Caries Color, Extent, and Preoperative Pain as Predictors of Pulp Status in Primary Teeth</p>

<p>Caries Color, Extent, and Preoperative Pain as Predictors of Pulp Status in Primary Teeth</p>

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

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