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CC BY 4.0 · Eur J Dent 2023; 17(01): 082-090
DOI: 10.1055/s-0041-1742129
Original Article

Evaluation of the Clinical Performance of NuSmile Pedodontics Zirconia Crowns in Pulp-Treated Primary Teeth—2 Years Follow-Up Study

Rana A. Alamoudi 
1   Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
,
Tarun Walia 
2   Department of Clinical Sciences, College of Dentistry, Ajman University, United Arab Emirates
,
Dina Debaybo
3   Dr. Dina's Pediatric Dentistry Clinic, Dubai, United Arab Emirates
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Abstract

Objectives There is a lack of information regarding the longevity of prefabricated crowns on primary teeth. Therefore, the objective of the present study was to evaluate the clinical success rate of NuSmile pediatric Zirconia crowns in both primary anterior and posterior teeth up to 2 years in terms of gingival health, levels of plaque, restoration failure, and marginal integrity.

Materials and Methods This interventional study evaluated the clinical performance of NuSmile primary Zirconia crowns on 232 (172 primary incisors and 60 primary molars) pulp-treated primary teeth. Statistical analysis included independent t-test and Kaplan–Meier survival method for which the level of significance was set up at p < 0.05.

Results Gingival and plaque index of the teeth restored with NuSmile Zirconia crowns (test tooth) compared with adjacent and antagonist teeth (control tooth) showed no statistically significant difference at all time intervals (p > 0.05). The Kaplan–Meier survival graph indicated that only 34% of NuSmile Zirconia incisor crowns and 86% of NuSmile Zirconia molar crowns have survived at the end of 24 months. Of the 172 NuSmile Zirconia incisor crowns placed, only 82 teeth survived at the end of 2 years and the majority of the crowns completely lost the Zirconia crown. The Kaplan–Meier graph also indicated that more than two-thirds of crowns, i.e., 90% incisor crowns and 76% of molar crowns, had good marginal integrity at the end of 24 months.

Conclusions Zirconia pediatric crowns preserve and maintain gingival health and have long-term survival rates with good retention and marginal integrity, indirectly preventing secondary caries. Hence, Zirconia pediatric crowns are a well-suited restoration of choice for primary teeth rehabilitation.

Keywords

Zirconia pediatric crowns - NuSmile - clinical success - primary teeth - incisors - molars


Publication History

Article published online:
23 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Walia T, Salami AA, Bashiri R, Hamoodi OM, Rashid F. A randomised controlled trial of three aesthetic full-coronal restorations in primary maxillary teeth. Eur J Paediatr Dent 2014; 15 (02) 113-118
    PubMedSearch in Google Scholar
  • 2 Pani SC, Saffan AA, AlHobail S, Bin Salem F, AlFuraih A, AlTamimi M. Esthetic concerns and acceptability of treatment modalities in primary teeth: a comparison between children and their parents. Int J Dent 2016; 2016: 3163904
    PubMedSearch in Google Scholar
  • 3 Aiem E, Smaïl-Faugeron V, Muller-Bolla M. Aesthetic preformed paediatric crowns: systematic review. Int J Paediatr Dent 2017; 27 (04) 273-282
    CrossrefPubMedSearch in Google Scholar
  • 4 Innes NP, Ricketts D, Chong LY, Keightley AJ, Lamont T, Santamaria RM. Preformed crowns for decayed primary molar teeth. Cochrane Database Syst Rev 2015; 2015 (12) CD005512
    PubMedSearch in Google Scholar
  • 5 Bell SJ, Morgan AG, Marshman Z, Rodd HD. Child and parental acceptance of preformed metal crowns. Eur Arch Paediatr Dent 2010; 11 (05) 218-224
    CrossrefPubMedSearch in Google Scholar
  • 6 Al Shobber MZ, Alkhadra TA. Fracture resistance of different primary anterior esthetic crowns. Saudi Dent J 2017; 29 (04) 179-184
    CrossrefPubMedSearch in Google Scholar
  • 7 Larsson C. Zirconium dioxide based dental restorations. Studies on clinical performance and fracture behaviour. Swed Dent J Suppl 2011; (213) 9-84
    PubMedSearch in Google Scholar
  • 8 El Shahawy OI, O'Connell AC. Successful restoration of severely mutilated primary incisors using a novel method to retain zirconia crowns—two year results. J Clin Pediatr Dent 2016; 40 (06) 425-430
    CrossrefPubMedSearch in Google Scholar
  • 9 Bolaca A, Erdogan Y. In vitro evaluation of the wear of primary tooth enamel against different ceramic and composite resin materials. Niger J Clin Pract 2019; 22 (03) 313-319
    CrossrefPubMedSearch in Google Scholar
  • 10 Holsinger DM, Wells MH, Scarbecz M, Donaldson M. Clinical evaluation and parental satisfaction with pediatric zirconia anterior crowns. Pediatr Dent 2016; 38 (03) 192-197
    PubMedSearch in Google Scholar
  • 11 American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry 2020; 399-407
    Search in Google Scholar
  • 12 Mathew MG, Roopa KB, Soni AJ, Khan MM, Kauser A. Evaluation of clinical success, parental and child satisfaction of stainless steel crowns and zirconia crowns in primary molars. J Family Med Prim Care 2020; 9 (03) 1418-1423
    CrossrefPubMedSearch in Google Scholar
  • 13 Meng X, Zhang J, Chen J. et al. KR-12 coating of polyetheretherketone (PEEK) surface via polydopamine improves osteointegration and antibacterial activity in vivo . J Mater Chem B Mater Biol Med 2020; 8 (44) 10190-10204
    CrossrefPubMedSearch in Google Scholar
  • 14 Teng R, Meng Y, Zhao X. et al. Combination of polydopamine coating and plasma pretreatment to improve bond ability between PEEK and primary teeth. Front Bioeng Biotechnol 2021; 8: 630094
    CrossrefPubMedSearch in Google Scholar
  • 15 Lopez Cazaux S, Hyon I, Prud'homme T, Dajean Trutaud S. Twenty-nine-month follow-up of a paediatric zirconia dental crown. BMJ Case Rep 2017; 2017: bcr-2017-219891
    CrossrefPubMedSearch in Google Scholar
  • 16 Ajayakumar LP, Chowdhary N, Reddy VR, Chowdhary R. Use of restorative full crowns made with zirconia in children: a systematic review. Int J Clin Pediatr Dent 2020; 13 (05) 551-558
    PubMedSearch in Google Scholar
  • 17 Ashima G, Sarabjot KB, Gauba K, Mittal HC. Zirconia crowns for rehabilitation of decayed primary incisors: an esthetic alternative. J Clin Pediatr Dent 2014; 39 (01) 18-22
    CrossrefPubMedSearch in Google Scholar
  • 18 Planells del Pozo P, Fuks AB. Zirconia crowns—an esthetic and resistant restorative alternative for ECC affected primary teeth. J Clin Pediatr Dent 2014; 38 (03) 193-195
    CrossrefPubMedSearch in Google Scholar
  • 19 Salami A, Walia T, Bashiri R. Comparison of parental satisfaction with three tooth-colored full-coronal restorations in primary maxillary incisors. J Clin Pediatr Dent 2015; 39 (05) 423-428
    CrossrefPubMedSearch in Google Scholar
  • 20 Seminario AL, Garcia M, Spiekerman C, Rajanbabu P, Donly KJ, Harbert P. Survival of zirconia crowns in primary maxillary incisors at 12-, 24- and 36-month follow-up. Pediatr Dent 2019; 41 (05) 385-390
    PubMedSearch in Google Scholar
  • 21 Abdulhadi B, Abdullah M, Alaki S, Alamoudi N, Attar M. Clinical evaluation between zirconia crowns and stainless steel crowns in primary molars teeth. J Paediatr Dent 2017; 5 (01) 21
    CrossrefSearch in Google Scholar
  • 22 Hanafi L, Altinawi M, Comisi JC. Evaluation and comparison two types of prefabricated zirconia crowns in mixed and primary dentition: a randomized clinical trial. Heliyon 2021; 7 (02) e06240
    CrossrefPubMedSearch in Google Scholar
  • 23 Taran PK, Kaya MS. A comparison of periodontal health in primary molars restored with prefabricated stainless steel and zirconia crowns. Pediatr Dent 2018; 40 (05) 334-339
    PubMedSearch in Google Scholar
  • 24 Song F, Koo H, Ren D. Effects of material properties on bacterial adhesion and biofilm formation. J Dent Res 2015; 94 (08) 1027-1034
    CrossrefPubMedSearch in Google Scholar
  • 25 Teughels W, Van Assche N, Sliepen I, Quirynen M. Effect of material characteristics and/or surface topography on biofilm development. Clin Oral Implants Res 2006; 17 (Suppl. 02) 68-81
    CrossrefPubMedSearch in Google Scholar
  • 26 Theriot AL, Frey GN, Ontiveros JC, Badger G. Gloss and surface roughness of anterior pediatric zirconia crowns. J Dent Child (Chic) 2017; 84 (03) 115-119
    PubMedSearch in Google Scholar
  • 27 Donly KJ, Sasa I, Contreras CI, Mendez MJC. Prospective randomized clinical trial of primary molar crowns: 24-month results. Pediatr Dent 2018; 40 (04) 253-258
    PubMedSearch in Google Scholar
  • 28 Talekar AL, Chaudhari GS, Waggoner WF, Chunawalla YK. An 18-month prospective randomized clinical trial comparing zirconia crowns with glass-reinforced fiber composite crowns in primary molar teeth. Pediatr Dent 2021; 43 (05) 355-362
    PubMedSearch in Google Scholar
  • 29 Azab MM, Moheb DM, El Shahawy OI, Rashed MA-M. Influence of luting cement on the clinical outcomes of zirconia pediatric crowns: a 3-year split-mouth randomized controlled trial. Int J Paediatr Dent 2020; 30 (03) 314-322
    CrossrefPubMedSearch in Google Scholar
  • 30 Beuer F, Stimmelmayr M, Gueth JF, Edelhoff D, Naumann M. In vitro performance of full-contour zirconia single crowns. Dent Mater 2012; 28 (04) 449-456
    CrossrefPubMedSearch in Google Scholar
  • 31 Sun T, Zhou S, Lai R. et al. Load-bearing capacity and the recommended thickness of dental monolithic zirconia single crowns. J Mech Behav Biomed Mater 2014; 35: 93-101
    CrossrefPubMedSearch in Google Scholar
  • 32 Hirata R, Kaihara Y, Suzuki J, Kozai K. Management of intruded primary teeth after traumatic injuries. Pediatr Dent J 2011; 21 (02) 94-100
    CrossrefSearch in Google Scholar