Pediatric Preformed Metal Crowns - An Update

Sajjanshetty, Sangameshwar; Patil, P. S.; Hugar, Deepa; Rajkumar, K

doi:10.4103/2277-4696.159263

Cited by 10 publications

(19 citation statements)

References 5 publications

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“…Crown selection: 4,17,18 The selected crown should restore the contact area and occlusal alignment of the prepared tooth. The crown selection can be done by trial and error or by measuring the mesiodistal width of the tooth space with dividers.…”

Section: Conventional Methods (Traditional Approach)mentioning

confidence: 99%

“…If the restoration or crown was lost, or tooth was non-restorable 3.2. Stainless steel crown modification: 4,13,15 In 1971, Mink and Hill reported several ways of modifying the stainless-steel crown when the crowns are either too large or too short.…”

Section: Techniquementioning

confidence: 99%

“…2 First introduced by the Rocky Mountain Company in 1947 and later popularized in 1950 by Engel and Humphrey, SSCs remain an integral part of pediatric dental care. 4 Since then, design modifications have simplified the fitting procedure and improved the morphology of the crown so that it more accurately duplicates the anatomy of primary molar teeth. 5 The morphology of a primary molar tooth differs significantly from its permanent successor, in part by having its greatest convexity at the cervical third of the crown.…”

Section: Introductionmentioning

confidence: 99%

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Crowns for paediatric teeth: Stainless steel crown

Arunima¹,

Ahuja²

2021

JDP

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Management of the severely destructed primary teeth poses a challenge for the paediatric dentist as three important considerations have to be kept in mind, patient’s behavioural management, preservation of the tooth structure and parental satisfaction. Various crowns have been introduced to the field of dentistry such as stainless-steel crowns and aesthetic crowns. Prefabricated stainless steel crowns (SSC) can be adapted to individual primary teeth and cemented in place to provide a definitive restoration. The SSC is extremely durable, relatively inexpensive, subject to minimal technique sensitivity during placement, and offers the advantage of full coronal coverage. SSC are often used to restore primary and permanent teeth in children and adolescents where intra-coronal restorations would otherwise fail. This article brings the update of this definitive restoration.

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Section: Conventional Methods (Traditional Approach)mentioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Crowns for paediatric teeth: Stainless steel crown

Arunima¹,

Ahuja²

2021

JDP

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“…SSCs, also known as chrome steel crowns or preformed metal crowns, are metallic restorations that have shown good long-term retention and significant clinical success in the restoration of larger carious lesions on primary molars [2,4,5]. First introduced by the Rocky Mountain Company in 1947 and later popularized in 1950 by Engel and Humphrey, SSCs remain an integral part of pediatric dental care [6,7]. The average maximum number of SSCs placed in the mouths of pediatric patients at high risk for caries receiving treatment under general anesthesia is up to eight or more, as some clinicians tend to use them on anterior teeth as well.…”

Section: Introductionmentioning

confidence: 99%

Biological responses to pediatric stainless steel crowns

Zafar

Siddiqi

2020

J Oral Sci

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A systematic review was conducted to identify the biological responses, allergic reaction, hypersensitivity, toxicity, and ion release profile associated with pediatric stainless steel crowns (SSCs) in the existing literature. A systematic search was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The inclusion criteria consisted of patients younger than 20 years of age with SSC placement on primary or permanent teeth and in vivo and in vitro exposure to SSCs. Outcomes measures included adverse oral/mucosal effects; removal/failure/replacement of the SSC; type of allergic reaction; nickel (Ni) or other ion levels in bodily fluids, cellular, genotoxic, cytotoxic, mutagenic or carcinogenic effects related to the SSC. After an initial search of 764 studies in the database, 17 articles were included in the analysis. Evidence of allergic reactions to SSCs in children is limited and obtained from mostly low-quality research. Some studies showed that the amount of Ni detected was less than the amount ingested in the daily diet. In contrast, other studies reported a significantly higher release of Ni occurred into the saliva in acidic environments. There is some concern about the leaching of metal ions such as Ni from SSCs in children at high risk for caries. Further long-term studies are required to investigate this phenomenon.

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“…Since then, different designs of SSC’s have been developed in an attempt to achieve greater adaptation and replication of the morphological features of the teeth. Crowns that were neither trimmed nor contoured were initially introduced but their use was limited [ 10 ]. This led to the development of pre-trimmed and pre-contoured SSC’s, which have straight proximal sides [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

In vitroanalysis of the marginal adaptation and discrepancy of stainless steel crowns

Mulder

Medhat

Mohamed

2018

Acta Biomaterialia Odontologica Scandinavica

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Aim: The purpose of the study was to assess the marginal adaptation and discrepancy of SSC’s. Differences in adaptation and discrepancy between the four surfaces (mesial, lingual, distal, and buccal) were evaluated. Methods: The placement of stainless steel crowns were completed on a phantom head in accordance with the clinical technique. The ideal tooth preparation was made and this ‘master tooth’ duplicated to achieve a sample size of 15. The stainless steel crowns were placed, trimmed, and cemented as per the clinical technique. The cemented stainless crowns were analyzed under 100× stereomicroscope magnification. The marginal adaptation and discrepancy of each specimen was measured every 2 µm. Results: All the specimens showed marginal adaptation and discrepancy. The lingual margin had a significantly better adaptation (p < .0001) over the other surfaces. The buccal surface was the only surface that had an appropriate supra-CEJ level with a significance of p < .0001. Conclusion: The marginal discrepancies occur during the trimming procedure and assessment of the gingival approximation of the SSC margin. The inspection of stainless steel crown adaptation and discrepancy is an essential clinical step.

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Pediatric Preformed Metal Crowns - An Update

Cited by 10 publications

References 5 publications

Crowns for paediatric teeth: Stainless steel crown

Crowns for paediatric teeth: Stainless steel crown

Biological responses to pediatric stainless steel crowns

In vitroanalysis of the marginal adaptation and discrepancy of stainless steel crowns

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