Stainless steel crowns reuse and decontamination techniques: A survey among Indian pediatric dentists

Abstract

The majority of the participating pediatric dentists are reusing SSCs following try-in during crown selection. However, great diversity exists in the methods employed for the decontamination of the same. This demands for more research to provide guidelines into the most effective method of decontamination.

Comparative Evaluation of Preformed Stainless Steel Crown\'s Crazing at Different Autoclave Cycles

“…The decontamination process involves three phases, which include cleaning, sterilization/disinfection, and back to storage. 12 …”

Decontamination practices of paediatric crowns: a systematic review

“…Researchers surveyed a cohort of paediatric dentists to determine the extent of material recirculation and infection control protocols. The overwhelming majority of respondents (98.92%) reuse PCs, with 57.65% using steam sterilisation as part of the decontamination procedure (Farhin et al 2013 ). PCs are classified as a critical item, which requires sterilisation parameters to be met.…”

“…The stereomicroscope imaging was unable to detect vestibular changes. The authors recommended an aldehyde-free disinfectant as the preferred method for decontaminating crowns Farhin et al ( 2013 ) DS - ( n = 95; survey participants) - Rates of recirculation Reasons for reuse Decontamination protocols Infection control learning resources Most dentists reused decontaminated PMCs following try-in attempts. No consistent decontamination method was used between respondents Kiran et al ( 2015 ) NTR PMC ( n = 15) Steam autoclaving Crazing PMCs exhibited crazing after steam autoclaving at various exposure times and temperatures Marentes ( 2018 ) NRT PMC ( n = 18) Steam autoclaving Chemical disinfection Elemental composition Crazing Fracturing Surface changes Pitting corrosion Multiple autoclave cycles had no adverse effect on PMC integrity or microstructural properties.…”

“…Indeed, the high cost of PMCs is a disincentive for discarding crowns after try-in attempts (Abukabbos et al 2018 ). Rates of PMC reuse after sterilisation are estimated to be from 86.4 to 98.92% (El Shehaby 2008 ; Farhin et al 2013 ). This emphasises the need for clear guidance around reprocessing of PMCs that were found to be the wrong size, particularly since these are defined as single use devices.…”