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[Ready-made crowns in the deciduous dentition].

A Schulte1

  • 1Medizinisches Zentrum für Zahn-, Mund- und Kieferheilkunde, Universität Marburg, Funktionsbereich Kinderzahnheilkunde.

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|April 8, 1999
PubMed
Summary

Prefabricated crowns for primary teeth show high survival rates, especially for molars, offering a durable solution for extensive decay. However, their use is less common in Germany due to concerns about anesthesia and perceived necessity in primary dentition.

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Area of Science:

  • Pediatric Dentistry
  • Restorative Dentistry
  • Dental Materials Science

Background:

  • Prefabricated crowns are a treatment option for extensively decayed primary teeth.
  • Indications include severe crown destruction, deep or bilateral approximal cavities, circumferential caries, and post-root canal treatment needs.
  • These crowns are typically made of a chromium-nickel-steel alloy with good gingival tolerance.

Purpose of the Study:

  • To review the literature on prefabricated crowns for deciduous teeth.
  • To highlight the benefits and limitations of this restorative approach.
  • To compare survival rates with other restorative materials.

Main Methods:

  • Literature review of studies on prefabricated crowns for primary teeth.
  • Analysis of indications, materials, survival rates, and clinical considerations.

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  • Comparison with amalgam restorations and discussion of international treatment trends.

    • Main Results:

    • Prefabricated crowns demonstrate very high survival rates on deciduous molars compared to multi-surface amalgam restorations.
    • The chromium-nickel-steel alloy used exhibits acceptable gingival tolerance.
    • Treatment is common in Anglo-American countries but less so in Germany, potentially due to reluctance in using local anesthesia in children.

    Conclusions:

    • Prefabricated crowns are a highly effective and durable option for restoring primary molars with significant decay.
    • Barriers to use in some regions include concerns about local anesthesia in children and differing views on the necessity of extensive restorations in primary teeth.
    • Future research should compare the long-term survival of prefabricated crowns against newer filling materials.