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| Title |
Stainless steel Crowns Are an Effective and Reliable Interim Restoration |
| Clinical Question |
For a pediatric patient in need of an interim restoration on a permanent tooth, is an SSC a viable/effective option compared to other restoration options? |
| Clinical Bottom Line |
Stainless steel crowns (SSC) are an effective and reliable interim restoration. This review showed 88% overall success rate for SSC. The average length of service in this study was just over 45 months. SSC can be used with confidence as an interim restoration until a definitive restoration can be placed. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 27474894 | Discepolo/2017 | 155 SSC evaluated over 8-year span | Retrospective chart review | | Key results | This chart review study evaluated 155 SSC over an 8-year period. 137 of 155 SSC were considered successful as an interim restoration. Total failures were 18. The 18 failures consisted of a mixture including periodontal defects, impaction of adjacent tooth, defective SSCs, de-bonded SSCs, and periapical pathology. The success rate for the study group was observed to be 88% with an average service period of just over 45 months. | |
| Evidence Search |
MeSH terms: adolescent, crowns, dental restoration failure, dental restoration temporary, retrospective studies, stainless steel
|
Comments on
The Evidence |
Validity:
This retrospective chart review study clearly addressed the validity of the question for primary teeth in need of an interim restoration, and success rates of stainless-steel crowns for permanent dentition. The authors gathered data over an 8-year span for this study.
Perspective: The limitations of this retrospective study includes lack of clinical information and treatment planning. Factors that are important to treatment planning, including medical history, dental hygiene, caries risk, and established dental home, were not considered in this study. With these limitations and the average service of the SSC in this study of about 45 months, a longitudinal or prospective study is not realistic. By not discriminating these factors, this only strengthens the argument of the viability of the SSC as an interim restoration.
|
| Applicability |
This chart review applies to the pediatric/young adult population with permanent teeth in need for an interim restoration. Although the chart review found a good success rate (88%), it does not compare SSCs side by side with other restorative material. |
| Specialty/Discipline |
(General Dentistry) (Pediatric Dentistry) (Restorative Dentistry) |
| Keywords |
Dental treatment; Preformed metal crowns, stainless steel crowns
|
| ID# |
3397 |
| Date of submission: |
11/21/2019 |
| E-mail |
hoikkam@livemail.uthscsa.edu |
| Author |
Mark Hoikka, DDS |
| Co-author(s) |
Kirsten Fox, DDS |
| Co-author(s) e-mail |
FoxKC@livemail.uthscsa.edu |
| Faculty mentor/Co-author |
Claudia Contreras, D.D.S. Assistant Clinical Professor Pediatric Dentistry/Pre-Doctoral Director of Pediatric Dentistry |
| Faculty mentor/Co-author e-mail |
contrerasc2@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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