General dental practitioners' views on the use of stainless steel crowns to restore primary molars

Threlfall, Anthony; Pilkington, Laura; Milsom, K M; Blinkhorn, Anthony; Tickle, Martin

doi:10.1038/sj.bdj.4812746

Cited by 106 publications

(105 citation statements)

References 6 publications

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“…The year of qualification of the dentists has been previously described. 6 All the participants stated that they provide advice about diet and oral hygiene to help prevent caries in children. Superficially they all gave patients and their parents or guardians similar advice and knew the most important ways to prevent tooth decay, but a key finding that emerged from the analysis was that the content of the advice varied in terms of specifics and emphasis.…”

Section: Resultsmentioning

confidence: 99%

Exploring the content of the advice provided by general dental practitioners to help prevent caries in young children

et al. 2007

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Section: Resultsmentioning

confidence: 99%

Exploring the content of the advice provided by general dental practitioners to help prevent caries in young children

et al. 2007

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“…Despite recommendations for conventional stainless steel crowns (Attari and Roberts, 2006;Kindelan et al, 2008), their use is mainly limited to paediatric specialists, with general dentists considering stainless steel crowns too complex, time-consuming, expensive, and not cosmetically acceptable (Threlfall et al, 2005). The HT, however, makes relatively few demands on the child or the dentist, even compared with the technique-sensitive CR.…”

Section: Discussionmentioning

confidence: 99%

Caries Management Strategies for Primary Molars

et al. 2014

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Minimal invasive approaches to managing caries, such as partial caries removal techniques, are showing increasing evidence of improved outcomes over the conventional complete caries removal. There is also increasing interest in techniques where no caries is removed. We present the 1-yr results of clinical efficacy for 3 caries management options for occlusoproximal cavitated lesions in primary molars: conventional restorations (CR; complete caries removal and compomer restoration), Hall technique (HT; no caries removal, sealing in with stainless steel crowns), and nonrestorative caries treatment (NRCT; no caries removal, opening up the cavity, teaching brushing and fluoride application). In sum, 169 children (3-8 yr old; mean, 5.56 ± 1.45 yr) were enrolled in this secondary care-based, 3-arm, parallelgroup, randomized clinical trial. Treatments were carried out by specialist pediatric dentists or postgraduate trainees. One lesion per child received CR, HT, or NRCT. Outcome measures were clinical failure rates, grouped as minor failure (restoration loss/ need for replacement, reversible pulpitis, caries progression, etc.) and major failure (irreversible pulpitis, abscess, etc.). There were 148 children (87.6%) with a minimum follow-up of 11 mo (mean, 12.23 ± 0.98 mo). Twenty teeth were recorded as having at least 1 minor failure: NRCT, n = 8 (5%); CR, n = 11 (7%); HT, n = 1 (1%) (p = .002, 95% CI = 0.001 to 0.003). Only the comparison between NRCT and CR showed no significant difference (p = .79, 95% CI = 0.78 to 0.80). Nine (6%) experienced at least 1 major failure: NRCT, n = 4 (2%); CR, n = 5 (3%); HT, n = 0 (0%) (p = .002, 95% CI = 0.001 to 0.003). Individual comparison of NRCT and CR showed no statistically significant difference in major failures (p = .75, 95% CI = 0.73 to 0.76). Success and failure rates were not significantly affected by pediatric dentists' level of experience (p = .13, 95% CI = 0.12 to 0.14). The HT was significantly more successful clinically than NRCT and CR after 1 yr, while pairwise analyses showed comparable results for treatment success between NRCT and CR (ClinicalTrials.gov NCT01797458).

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“…The case scenarios were originally developed for a qualitative study which inves tigated the care that 93 GDPs practising in the North West of England offered to young children. 9 The case scenarios were agreed following discussion with a reference panel that included five GDPs, three specialists in paediatric dentistry and two consultants in dental public health, and are designed to reflect a cross section of common dental conditions found in young children. In the original qualitative study participating dentists were asked to write down in detail the care they would provide to the child described in each scenario.…”

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Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England

et al. 2007

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General dental practitioners' views on the use of stainless steel crowns to restore primary molars

Cited by 106 publications

References 6 publications

Exploring the content of the advice provided by general dental practitioners to help prevent caries in young children

Exploring the content of the advice provided by general dental practitioners to help prevent caries in young children

Caries Management Strategies for Primary Molars

Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England

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