Introduction: Prosthetic treatment with fixed constructions is an effective method for recovering severely destroyed teeth. The purpose of this study is to track the changes in the gingival tissues around teeth, which are prosthetically treated with different aesthetic crowns.
Materials and Methods: Eighty-two teeth were studied with 46 of them being restored with CAD/CAM composite crowns and 36 with ready-made zirconia crowns. The assessment of the condition of the surrounding soft tissues was performed using the modified gingival index (MGI).
Results: Slight gingival inflammation of the severely destroyed natural teeth (MGI - 1,25 ÷ 2,13) was reported, whereas after their restoration with crown constructions, healing processes and decreasing of the gingival index during the follow-up period occurred. The MGI, one year after placing the constructions, was 0 ÷ 1.44.
Conclusion: CAD/CAM and ready-made zirconia crowns have excellent compatibility with surrounding soft tissues and do not disturb gingival health.
Norbert K, Lohbauer U, Frankenberger R. Restorative materials in the primary dentition of poli-caries patients. Eur Arc Paediatr Dent. 2007; 8(1): 29-35.
Rodd H, Waterhouse P, Fuks A, Fayle S, Moffat M. Pulp therapy for primary molars. Int J Paediatr Dent. 2006; 16(1):15-23.
Subramaniam P, Kondae S, Gupta KK. Retentive strength of lutting cements for stainless steel crowns: an in vitro study. Int J Clin Pediatr Dent. 2010; 34(4):309-12.
Tote J, Gadhane A, Das G, Soni S, Jaiswal K, Vidhale G. Posterior Esthetic Crowns in Paediatric Dentistry. Int J Dent Med Res. 2015; 1(6):197-201.
O`Connell A, Kratunova E. Prefabricated Crowns for primary molars. How to achieve full coronal coverage in primary molar restorations. Scottish Dental. 2016.
Stines SM. Pediatric CAD-CAM applications for the general practicioner. Part 1. Dent Today. 2008; 27(130):2-3.
Vulicevic Z, Beloica M, Kosanovic D, Radovic I, Juloski J, Ivanovic D. Prosthetics in paediatric dentistry. Balk J Dent Med. 2017; 21:78-82.
Myers DR. A clinical study of the response of the gingival tissue surrounding stainless steel crowns. ASDC J Dent Child. 1975; 42:281-4.
Subramaniam P, Girish Babu KL, Gona H. Clinical outcome and parental satisfaction of maxillary anterior teeth treated with NuSmile preveneered crowns and Kinder Krowns. Saudi J Oral Sci. 2017; 4(2): 106-11.
Walia T, Salami A, Hamoodi O, Rashid F. A randomized controlled trial of three aesthetic full-coronal restorations in primary maxillary teeth. Eur J Paediatr Dent. 2014; 15(2): 113-8.
Lobene RR, Weatherford T, Ross NM, Lamm RA, Menaker L. A modified gingival index for use in clinical trials. Clin Prev Dent. 1986; 8(1): 3-6.
Lee JK. Restoration of primary anterior teeth: a review of literature. Pediatr Dent. 2002; 24(5):506-11.
Newcomb GM. The relationship between the gingiva and the margin of restorations. J Clin Periodontol. 1974; 45(3):151-4.
Garg V, Panda A, Shah J, Panchal P. Crowns in peadiatric dentistry: a review. J Adv Med Dent Sci Res. 2016; 4(2): 41-6.
Haskins DR. Pediatric dental rehabilitation procedures in the OR. AORN J. 1996; 64(4): 573-9.
Bhola M, Jindal G. Revolution in pediatric restorative dentistry – zirconia crowns. J Stomatognathic Sci. 2016; 6(1): 22-6.
Cazaux L, Hyon I, Prud`homme T, Trutaud D. Twenty-nine-month follow up of a paediatric zirconia dental crown. BMJ Case Rep. 2017; 2017-219891
Maclean JK, Champagne CE, Waggoner WF, Ditmyer MM, Casamassimo M. Clinical outcomes for primary anterior teeth treated with preveneered stainless steel crowns. Pediatr Dent. 2007; 29(6):377-81.
Schmitt J, Holst S, Wichmann M, Reich S, Gollner M, Hamel J. Zirconia posterior fixed dentures: A prospective clinical 3-year follow-up. Int J Prosthodont. 2009; 22(6): 597-603.