Stainless steel crown versus modified open-sandwich restorations for primary molars: a 2-year randomized clinical trial.

Abstract:

OBJECTIVE:The aim of this study was to investigate the clinical performance and survival of stainless steel crown (SSC) restoration and modified open-sandwich technique using resin-modified glass ionomer cement. DESIGN:Randomized clinical trial. SETTING:General dental practice. MATERIALS AND METHODS:A total of 87 children aged 4-7 years at baseline with one or more primary molars that have undergone pulp therapy were randomly assigned to receive either SSC or modified open-sandwich restoration. One hundred and sixty restorations were placed and evaluated after 6, 12, 18, and 24 months using the Ryge criteria. RESULTS:Comparable survival rates were observed for both SSC and modified open-sandwich restoration. With only four SSCs and six modified open-sandwich restorations failing over 24 months, the survival rates were high for both materials (2-year survival rate: 95.0% for SSCs and 92.5% for modified open-sandwich restorations). Significantly better gingival health (P < 0.05) was observed for the modified open-sandwich restorations compared with SSCs, as only one modified open-sandwich restoration was rated Charlie compared to 13 SSCs. No significant differences were observed between the two materials for marginal integrity, proximal contact, occlusion, or recurrent caries. CONCLUSION:The 2-year results indicated that the modified open-sandwich restoration is an appropriate alternative to SSC in extensive restorations, particularly where aesthetic considerations are important.

journal_name

Int J Paediatr Dent

authors

Atieh M

doi

10.1111/j.1365-263X.2007.00900.x

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

325-32

issue

5

eissn

0960-7439

issn

1365-263X

pii

IPD900

journal_volume

18

pub_type

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