Çocuk Hastalarda Kullanılan Kuron Restorasyonlar

Çocuklarda ağız hijyeni ilk diş sürmeye başladığı andan itibaren önemlidir. Ağız hijyeninin sağlanması için gerekli özen gösterilmediğinde çürük görülme riski artmaktadır. Çocuklarda koruyucu tedavilerden başlanarak kuron restorasyonlarına kadar uzanan geniş yelpazede bir tedavi çeşitliliği bulunmaktadır. Kuron restorasyonları, aşırı madde kaybı bulunan dişlerin kaybını önlemek için yapılan en önemli tedavi yöntemlerinden biridir. Çocuk hastalarda estetik ihtiyaca, dişin durumuna ve maddi duruma göre endikasyon koyulduktan sonra seçilecek tedavi yöntemine uygun olarak değişik kuron restorasyonları (paslanmaz çelik kuronlar ve zirkonyum kuronlar v.b) bulunmaktadır. Çocuk hastalarda süt dişinin ağızda kalma süresinin yetişkin hastalarla kıyaslandığında çok daha kısa olması, süt dişi tedavilerinde kuron restorasyonlarının tercih edilme sıklığının az olmasına neden olmaktadır. Ancak günümüzde çocuklar ve ebeveynlerin fonksiyon ve estetik açıdan süt dişlerinin önemini kavramaları bu gibi tedavilerin uygulama oranlarını arttırmıştır. Bu derlemede, çocuk hastalarda uygulanan kuron restorasyonlarının endikasyonları ve kullanım alanları anlatılmıştır.

Crown Restorations Used in Pediatric Patients

Oral hygiene is important from the very first tooth eruption in children. The risk of caries increases when the necessary care is not taken to ensure oral hygiene. There is a wide range of treatments in children, ranging from preventive treatments to crown restorations. Crown restorations are one of the most important treatment methods to prevent the loss of teeth with excessive material loss. There are different crown restorations (stainless steel crowns and zirconium crowns etc.) in pediatric patients according to the aesthetic need, the condition of the tooth and the treatment method to be selected after the indication is placed. Due to the short life of the primary teeth in pediatric patients, the frequency of this treatment is less than in adult patients. Nowadays, children’s and parents' understanding of the importance of primary teeth in terms of function and aesthetics has increased the application rates of such treatments. In this review, the indications and usage areas of crown restorations applied in pediatric patients are explained.

___

  • 1. Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: The who approach. Community Dent Oral Epidemiol 2004;32(5):319-21.
  • 2. Margolis HC, Moreno EC. Composition and Cariogenic Potential of Dental Plaque Fluid. Crit Rev Oral Biol Med 1994;5:1-25.
  • 3. Goldberg M. Deciduous tooth and dental caries. Annals Pediatr Child Health 2017;5(1):1120-25.
  • 4. Mulder R, Medhat R, Mohamed N. In vitro analysis of the marginal adaptation and discrepancy of stainless steel crowns. Acta Biomater Odontol Scand 2018;4(1):20- 9.
  • 5. American Academy of Pediatric Dentistry. Guideline on Restorative Dentistry. The Ref Manual Pediatr Dent 2016;38(6):250-8.
  • 6. Srinath S, Kanthaswamy A. Different crown used for restoring anterior primary teeth: A review. J Pharma Sci Res 2017;9(2):190-3.
  • 7. Waggoner WF. Restorative Dentistry for the Primary Dentition. In: Pediatric Dentistry: Infancy Through Adolescence. Eds: Pinkham JR, Casamassimo PS, Fields Jr HW, McTigue DJ, Nowak AJ. St. Louis: Saunders. 4th Edition, 2005.p. 341-74.
  • 8. Srinath S, Kanthaswamy A. Different crown used for restoring anterior primary teeth: A review. J Pharma Sci Res 2017;9(2):190-3.
  • 9. Available from: URL:http://www.kinderkrowns. com/about-us/history/ (Erişilme tarihi: 30 Mart 2020)
  • 10. Fellagh HF. Evaluation of full coronal esthetic restorations in primary incisors: clinical success, Parental satisfaction, In vitro fracture resistance and Bacterial adhesion. Yeditepe University, Institute of Health Sciences, Department of Pediatric Dentistry. Istanbul, 2016 p.1-224.
  • 11. Veerakumar R, Pavithra J, Sekar K. Esthetic crown in paediatric dentistry: A review. IJIDS 2017;2(2):44-62.
  • 12. Humphrey WP. Use of chrome steel in children’s dentistry. Dental Survey 1950;26: 145-9.
  • 13. Einwag J, Dunninger P. Stainless steel crown versus multisurface amalgam restorations: An 8-year longitudinal clinical study. Quint Inter 1996;27(5):321-3.
  • 14. Seale NS. The use of stainless steel crowns. Pediatr Dent 2002;24(5): 501-5.
  • 15. Alaçam T, Uzel İ, Alaçam A. Fazla madde kayıplı süt dişlerinde tedavi seçenekleri. In: Endodonti. Barış Yayınları. Ankara. 2000.s: 571-609.
  • 16. Atieh M. Stainless steel crown versus modified open-sandwich restorations for primary molars: A 2-year randomized clinical trial. Int J Paediatr Dent 2008;18(5): 325-32.
  • 17. Webber DL. Gingival health following placement of stainless steel crowns. ASDC J Dent Child 1974;41(3):186-9.
  • 18. Sharaf AA, Farsi NM. A clinical and radiographic evaluation of stainless steel crowns for primary molars. J Dent 2004;32(1):27-33.
  • 19. Papathanasiou AG, Curzon ME, Fairpo CG. The influence of restorative material on the survival rate of restorations in primary molars. Pediatr Dent 1994;16(4):282-8.
  • 20. Kindelan S, Day P, Nichol R, Willmott N, Fayle S. UK national clinical guidelines in paediatric dentistry: Stainless steel preformed crowns for primary molars. Int J Pediatr Dent 2008;18(1):20-8.
  • 21. Wiedenfeld KR, Draughn RA, Welford JB. An esthetic technique for veneering anterior stainless steel crowns with composite resin. ASDC J Dent Child 1994;61(5-6):321-6.
  • 22. Nagarathna C, Thimmegowda U, Basavarajendrappa R, Bhat P. The utility of openfaced anterior stainless steel crown restoration among pediatric dentists as a lucrative esthetic option in primary incisors. J Pharma Sci 2016;5(12):156-7.
  • 23. Wiedenfeld KR, Draughn RA, Goltra SE. Chairside veneering of composite resin to anterior stainless steel crowns: Another look. ASDC J Dent Child 1995;62(4):270-3.
  • 24. Waggoner WF, Cohen H. Failure strength of four veneered primary stainless steel crowns. Pediatr Dent 1995;17(1):36-40.
  • 25. Roberts C, Lee JY, Wright JT. Clinical evaluation of and parental satisfaction with resin-faced stainless steel crowns. Pediatr Dent 2001;23(1):28-31.
  • 26. Fuks AB, Ram D, Eidelman E. Clinical performance of esthetic posterior crowns in primary molars: A pilot study. Pediatr Dent 1999;21(7):445-8.
  • 27. Shah PV, Lee JY, Wright JT. Clinical success and parental satisfaction with anterior preveneered primary stainless steel crowns. Pediatr Dent 2004;26(5):391-5.
  • 28. Stewart RE, Luke LS, Pike AR. Preformed polycarbonate crowns for the restoration of anterior teeth. JADA1974;88(1):103-7.
  • 29. Venkataraghavan K, Chan J, Karthik S. Polycarbonate crowns for primary teeth revisited: Restorative options, technique and case reports. J Indian Soc Pedod Prev Dent 2014;32(2):156-9.
  • 30. Nitkin DA, Rosenberg HM, Yaari AM. An improved technique for the retention of polycarbonate crowns. ASDC J Dent Child 1977;44(2):108-10.
  • 31. Waggoner WF. Restoring primary anterior teeth. Pediatr Dent 2002;24(5):511- 6.
  • 32. Citron CI. Esthetics in Pediatric Dentistry. NYS Dental Journal 1995;61(2):30-3.
  • 33. Kupietzky A. Bonded resin composite strip crowns for primary incisors: Clinical tips for a successful outcome. Pediatr Dent 2002;24(2):145-8.
  • 34. Tate AR, Ng MW, Needleman HL, Acs G. Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent 2002;24(1):69-71
  • 35. Ram D, Peretz B. Composite crown-form crowns for severely decayed primary molars: A technique for restoring function and esthetics. J Clin Pediatr Dent 2000;24(4):257- 60.
  • 36. Daniels L, Sim M, Simon J. Plastics in pedodontics. Dent Clin North Am 1996;17:85-92.
  • 37. Mete A. Süt azı dişlerinde CAD/CAM yöntemiyle hazırlanan kuronların in vitro şartlarda karşılaştırılması. Doktora Tezi. Erzurum: Atatürk Üniversitesi; 2014 s.3-134
  • 38. Liu PR. A panorama of dental CAD/CAM restorative systems. Compend Contin Educ Dent 2005;26:507-8.
  • 39. Tsitrou EA, Van Noort R. Minimal preparation designs for single posterior indirect prostheses with the use of the Cerec system. Int J Comput Dent 2008;11(3- 4):227-40.
  • 40. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomater 1999;20(1):1-25.
  • 41. Babaji P. Different crowns used in pediatric dentistry. In: Babaji P. Crowns in Pediatric Dentistry. 1th ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2015.p:23-5.
  • 42. Denry I, Holloway JA. Ceramics for dental applications: a review. J Dent Mater 2010;3:351- 68.
  • 43. Tote JV, Godhane A, Das G, Soni S, Jaiswal K, Vidhale G. Posterior esthetic crowns in pediatric dentistry. IJDMR 2015;1(6):197-201.
  • 44. Holsinger DM, Wells MH, Scarbecz M, Donaldson M. Clinical Evaluation and Parental Satisfaction with Pediatric Zirconia Anterior Crowns. Pediatr Dent 2016;38(3):192-7.
  • 45. Lopez Cazaux S, Hyon I, Prud’homme T, Trutaud SD. Twenty-nine-month follow-up of a paediatric zirconia dental crown. BMJ Case Rep 2017:bcr2017219891.