Use of stainless steel crowns to restore primary molars in Germany: Questionnaire‐based cross‐sectional analysis

Santamaría, Ruth M.; Pawlowitz, Laura; Schmoeckel, Julian; Alkilzy, Mohammad; Splieth, Christian H.

doi:10.1111/ipd.12415

Cited by 15 publications

(29 citation statements)

References 32 publications

(97 reference statements)

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“…The perceived technique complexity also appeared to be associated with practitioners' reluctance to use PMCs, with 28.9% of the respondents believing that it was one of the obstacles to implementing the PMCs technique. 14 In the present study, however, only 9.3% of respondents thought so. The low economic bene t was reported as the second leading limitation to the use of PMCs in the present study, with 14.9% of respondents believing that it was a reason for their reluctance to apply this technique.…”

Section: Discussioncontrasting

confidence: 75%

“…The results showed that approximately one-third of the respondents (30.4%) used PMCs to restore the defects in primary molars in their clinical practice, consistent with the results of previous studies in Germany and the UK. 14,15 In the study conducted in Germany, general and paediatric dentists were investigated, and only 34% of the respondents routinely used the PMCs technique. Additionally, in the study conducted in the UK, 3% of the participants routinely used PMCs, with 15% infrequently, and 82%…”

Section: Discussionmentioning

confidence: 99%

“…Santamaria et al 14 showed that the use of PMCs was taught as a restorative procedure in 96% of German dental schools, but 27% of dental schools did not provide this practical training. The training of the PMCs restorative technique in Chinese dental schools, however, is not clear.…”

Section: Discussionmentioning

confidence: 99%

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Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Jiang

Wang

Zou

et al. 2020

Preprint

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Background: Preformed metal crowns (PMCs) are recommended for the enduring restoration of primary molar defects. However, the PMC technique is not implemented in China as well as that in Western countries. Aim: This study aimed to assess the clinical use of the PMC technique and its effective factors among dentists in Chengdu, China.Methods: The questionnaires were distributed among 1000 dentists practicing in Chengdu via an online questionnaire platform. Data, including sociodemographic characteristics of the respondents and their perception and use of PMCs, were collected. Results: The response rate was 45%. Most respondents (69.6%) did not use PMCs. Academic qualification, working specialty and working experiences were associated with dentists’ use of PMCs. The lack of knowledge about PMCs technique was the main obstacle for the dental practitioners using PMCs (41.7%). The lack of understanding of the rationale of PMCs was the main reason for parents accepting PMC restorations(43.6%). Attending continuing education programs was the main approach to learn the PMC restorative technique(59.1%).Conclusion: The clinical use of PMCs was not very popular in Chengdu city. To promote the use of this restorative technique, the knowledge and practical training should be incorporated into routine courses of undergraduate dental education.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Jiang

Wang

Zou

et al. 2020

Preprint

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“…7 Stainless steel crowns are still underutilized in various countries, and many of the dental surgeons are not familiar with the HT. 11 HT has been found to be durable and economical treatment option for treating carious primary molars. HT is preferred over more invasive treatment options but requires proper case selection and pulpal status diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Clinical Effectiveness and Patient Acceptance of Hall Technique for Managing Carious Primary Molars: An In Vivo Study

Bhatia

Khari

Sood

et al. 2019

International Journal of Clinical Pediatric Dentistry

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Introduction:Hall technique (HT) is a biological approach where decay is sealed under preformed metal crowns without any caries removal, tooth preparation or local anesthesia. Dental caries is one of the most common prevailing chronic condition that affect both adults and children. Since children are anxious and apprehensive to dental treatment, their uncooperative behavior might cause hindrance in the treatment, which often leads to manage them in general anesthesia. To better address the dental care needs in pediatric patients, dental surgeons require some alternatives for management of caries and restorative treatment in children. The Hall technique is one such conservative treatment approach developed by Dr Norna Hall in 1980s. Aim: The purpose of this study was to assess the clinical effectiveness and patient acceptance of Hall technique for managing carious primary molars. Materials and methods: 84 children in the age group 6-10 years with class I and class II carious lesions limited to dentin were selected for the study. Occlusal vertical dimension (OVD) was measured preoperatively, postoperatively and after 6 months. Discomfort level was assessed by facial pain rating scale and by questionnaires filled on the day of placement of SS crown, 1 week after placement and 6 months after placement. Results: The Hall technique was found to be successful, as there was no failure clinically as well as radiographically within 6 months of placement of SS crown. The increased OVD postoperatively returned to its normal values within 6 months, the mean change in the OVD was found to be statistically significant (p = 0.02). Conclusion:The Hall technique proved to be clinically effective and acceptable by maximum number of children.

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“…Traditional SSCs allow dentists to trim, crimp, and shape in order to better adapt to the cervical portion of the primary teeth. Santamaría et al [9], in their questionnaire-based study in Germany, reported that dentists generally find SSCs to be technically complex, esthetically displeasing…”

Section: Introductionmentioning

confidence: 99%

Comparison of Different Cervical Finish Lines of All-Ceramic Crowns on Primary Molars in Finite Element Analysis

et al. 2020

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This study aimed to conduct a stress analysis of four types of cervical finish lines in posterior all-ceramic crowns on the primary roots of molar teeth. Four different types of finish lines (shoulder 0.5 mm, feather-edged, chamfer 0.6 mm, and mini chamfer 0.4 mm) and two all-ceramic crown materials (zirconia and lithium disilicate) were used to construct eight finite element primary tooth models with full-coverage crowns. A load of 200 N was applied at two different loading angles (0 • and 15 • ) so as to mimic children's masticatory force and occlusal tendency. The maximum stress distribution from the three-dimensional finite element models was determined, and the main effect of each factor (loading type, material, and finish line types) was evaluated in terms of the stress values for all of the models. The results indicated that the loading type (90.25%) was the main factor influencing the maximum stress value of the primary root, and that the feather-edged margin showed the highest stress value (p = 0.002). In conclusion, shoulder and chamfer types of finish lines with a 0.4-0.6 mm thickness are recommended for deciduous tooth preparation, according to the biomechanical analysis.2 of 11 to both parents and children (because of their metallic appearance), time-consuming, and unprofitable. Resin-faced SSCs have emerged as a better alternative to metal SSCs, as they are more esthetic [10,11]. However, they are more prone to fracturing, debonding, and wearing of the buccal surface [12,13]. Pediatric all-ceramic crowns were introduced in 2010, and have gained popularity because of their improved esthetics and durability [12,[14][15][16]. These zirconia crowns are prefabricated [15] using computer-aided design/computer-aided manufacturing (CAD/CAM) systems [17]. Zirconia (ZrO 2 ), also known as ceramic steel, has favorable esthetics for primary teeth and has excellent mechanical properties, which include a high elastic modulus (215 Gigapascal (GPa)) and high flexure strength (1000 Megapascal (MPa)). Aiem et al. [18] found that zirconia crowns exhibited better gingival health and fewer crown fractures than the other ceramic crowns. Lithium disilicate (Li 2 Si 2 O 5 ) [19], a popular glass-ceramic material, was first used in 1998 and is named the Ivoclar Porcelain System (IPS) Empress 2 (Ivoclar Vivadent, Schaan, and Liechtenstein). IPS Empress 2 is a second-generation, heat-pressed lithium disilicate crystal embedded in a glassy matrix. Later, IPS e.max (Ivoclar Vivadent, Schaan, and Liechtenstein) entered the market using the heat-pressed CAD/CAM fabrication method, with a flexural strength (biaxial) reaching 400 ± 40 MPa [20] and a Young's modulus of 95 ± 5 GPa [20]. Glass-ceramic is more transparent than zirconia and is easier to surface-etch for resin cement bonding. However, all-ceramic crowns cannot be manipulated with crimping or contouring, and may require a passive fit and extensive tooth reduction.Prefabricated primary zirconia crowns are thicker than SSCs, with occlusal thicknesses varying from 1 to 2 mm ...

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Use of stainless steel crowns to restore primary molars in Germany: Questionnaire‐based cross‐sectional analysis

Abstract: Independent of the technique used, SSCs are considerably underutilized in the dental practice in Germany, although SSCs are well accepted by the universities, however, predominantly using the conventional approach.

Cited by 15 publications

References 32 publications

Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Evaluation of Clinical Effectiveness and Patient Acceptance of Hall Technique for Managing Carious Primary Molars: An In Vivo Study

Comparison of Different Cervical Finish Lines of All-Ceramic Crowns on Primary Molars in Finite Element Analysis

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Use of stainless steel crowns to restore primary molars in Germany: Questionnaire‐based cross‐sectional analysis

Abstract: Independent of the technique used, SSCs are considerably underutilized in the dental practice in Germany, although SSCs are well accepted by the universities, however, predominantly using the conventional approach.

Cited by 15 publications

References 32 publications

Dentists’ Perception&nbsp;and Clinical use of Preformed Metal Crowns&nbsp;to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Dentists’ Perception&nbsp;and Clinical use of Preformed Metal Crowns&nbsp;to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Evaluation of Clinical Effectiveness and Patient Acceptance of Hall Technique for Managing Carious Primary Molars: An In Vivo Study

Comparison of Different Cervical Finish Lines of All-Ceramic Crowns on Primary Molars in Finite Element Analysis

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Product

Resources

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Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study

Dentists’ Perception and Clinical use of Preformed Metal Crowns to Restore Primary Molar Defects in Chengdu City, China: A Cross-Sectional Study