Restoration of Strip Crown with a Resin-Bonded Composite Cement in Early Childhood Caries

Abstract

Background. Early childhood caries is a widely prevalent disease throughout the world. It is necessary to treat this condition in early childhood; however, child behavior management may be particularly challenging during treatment. To overcome this challenge, we used Carigel to remove caries and RelyX Unicem resin cement for strip crown restoration. It not only has the desired aesthetic effect but is also more effective for primary teeth, which are used for a shorter period than permanent teeth are. Case Presentation. We report a case of three pediatric patients with early childhood caries, in whom caries was removed by using Carigel to avoid the risk of pulpal exposure associated with high-speed handpieces. Subsequently, aesthetic restoration was performed using strip crown with RelyX Unicem self-adhesive resin cement. Conclusion. RelyX Unicem has the following advantages: (1) not requiring have any special skills for the dentist for performing the procedure, (2) decreased occurrence of bubbles during injection of the cement, and (3) overall short duration of the procedure. Thus, it is appropriate for the treatment of pediatric patients whose behavior is difficult to manage. However, further studies are required in order to establish the use of RelyX Unicem as a stable restorative material in early childhood caries.

Aesthetic preformed paediatric crowns: systematic review

“…The aesthetic management of the primary incisors remains problematic due to the small size of the teeth, the close proximity of the pulp to the dental surface, the relatively thin enamel, and the lack of surface area for bonding . This RCT confirmed the poorer success of resin composite strip crowns . The results favoured zircon crowns regarding both restoration failure and gingival health.…”

“…To restore primary anterior teeth, the AAPD concluded, on the little scientific support for any of the utilised clinical techniques in the cases of multisurface lesions and based on expert opinion, that SSCs, resin composite strip crowns, open‐faced stainless steel crowns, and more recently pre‐veneered stainless steel crowns (developed from 1980) should be proposed as treatment options for full‐coronal coverage restorations . These different techniques have essentially been described in case series or retrospective studies . No systematic review focusing on aesthetic preformed paediatric crowns was registered on PROSPERO (http://www.crd.york.ac.uk/PROSPERO/).…”

“…They recognised, with moderate-quality evidence, the superiority of SSCs (conventional or Hall technique) over conventional filling materials regarding failure (risk ratio (RR) = 0.18; 95% confidence interval (95% CI): 0.06-0.56; 346 teeth in three studies) and pain (RR = 0.15, 95% CI 0.04-0.67; 312 teeth in two studies) in a study of up to 48 months. 4 To restore primary anterior teeth, the AAPD concluded, on the little scientific support for any of the utilised clinical techniques in the cases of multisurface lesions and based on expert opinion, that SSCs, resin composite strip crowns, [5][6][7][8][9][10][11][12][13][14][15][16][17][18] open-faced stainless steel crowns, 19,20 and more recently pre-veneered stainless steel crowns (developed from 1980) [21][22][23][24] should be proposed as treatment options for full-coronal coverage restorations. 1 These different techniques have essentially been described in case series [5][6][7][8][9][10][11][12][15][16][17][18][19][20][21][22] or retrospective studies.…”

Smile Makeover with Fiber Posts and Strip Crowns in Preschool Children with Early Childhood Caries

“…Since the child was cooperative, dental treatment was carried out in multiple appointments. Unlike the above mentioned GA case, where treatment was done in one single sitting, for this patient, in the first appointment root canal treatment of all 4 upper anterior teeth was performed [6][7][8][9][10]. In the next appointment after 4 days, fiber post were cemented and composite restoration was done using 3M strip crowns.…”

“…When dental lesions progress into dentin, tooth restorations are needed. In extreme cases, where the entire tooth crown is destroyed, tooth extraction is the choice [8,6,9]. Tooth restoration options include dental fillings and full tooth coverage by the placement of tooth crowns.…”