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Title Stainless Steel Crowns vs Amalgam In Pediatric Patients
Clinical Question In pediatric patients with class II carious lesions, do stainless steel crowns have better success rates than class II amalgam restorations?
Clinical Bottom Line Stainless steel crowns exhibit superior longevity and reduced need for retreatment than class II amalgam restorations in pediatric patients. (See Comments on the CAT below)
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) 17004572Mata/2006pediatric dental patientsReview
Key resultsStainless steel crowns demonstrate greater longevity and reduced need for retreatment, compared to multi-surface amalgam restorations.
#2) 12412965Seale/2002pediatric dental patientsReview
Key resultsStainless steel crowns have superior lifespans and durability than Class II amalgams. Children having a high risk for caries with anterior tooth decay and/or molar caries benefit from stainless steel crowns. Patients under age 6, or needing the restoration to last greater than 2 years, benefit from the longevity of stainless steel crowns over amalgam.
Evidence Search Search "Dentition, Primary"[Mesh]Search "Dental Amalgam"[Mesh]Search "Stainless Steel"[Mesh]
Comments on
The Evidence
The reviews used in this search cited other articles to substantiate their claims, and as such, the methods of study of the cited articles could not be assessed for validity. However, over 83 articles were used as a basis for the reviews, most of which directing their evidence toward the superiority of stainless steel crowns over class II amalgam restorations in pediatric patients.
Applicability The use of stainless steel crowns over class II amalgams is cost effective because of reduced risk of retreatment, and exhibit greater longevity for patients. Children with less access to care also benefit from the longevity of stainless steel crowns over amalgam. Young children (under age 6) also benefit from the reduced need for retreatment.
Specialty/Discipline (General Dentistry) (Pediatric Dentistry)
Keywords stainless steel crowns, primary dentition, childhood caries
ID# 620
Date of submission: 03/30/2010spacer
E-mail mohammady@livemail.uthscsa.edu
Author Yusif Mohammad
Co-author(s) e-mail
Faculty mentor/Co-author Maria Mendez Cervantes, DDS
Faculty mentor/Co-author e-mail CervantesMen@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?)
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None available
Comments and Evidence-Based Updates on the CAT
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by Diana Pham (San Antonio, TX) on 04/16/2012
I conducted a PubMed search on this topic April 16, 2012, and found an additional review (PMID: 16158813) that also agrees with the results of this CAT. This publication reviewed dental literature of “1971 up to July 2003 for longitudinal, controlled clinical studies, and retrospective cross-sectional studies”.

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