Long-term Photographic and Radiographic Assessment of Bonded Resin Composite Strip Crowns for Primary Incisors: Results After 3 Years

Resident: Roberts

Date: 12/8/10

Article title: Long-term Photographic and Radiographic Assessment of Bonded Resin Composite Strip Crowns for Primary Incisors: Results After 3 Years

Author: Kupietzky, Ari

Journal: Pediatric Dentistry

Volume: 27: 3

Year: 2005

Purpose

The aim of this study was to examine the photographic and radiographic success of the treatment fo maxillary anterior primary incisors with composite resin strip crowns placed in a private-practice setting after a minimum of 18 months.

Methods and Results: 145 restorations, placed in 52 children, were evaluated by two independent pediatric dentist. Radiographs and photographs were used to evaluate the results. The average time of evaluation was 31.3 months after initial placement of the resin crown. None of the restorations were totally lost. 20% of the restoration showed some form of lost resin material, resulting in an overall 80% retention rate. 92% of teeth indicated healthy pulps, 6% had signs of change but did not require immediate attention( changes noted included: prematrure resorption, calcific metamorphosis and internal resorption) Only 2 teeth showed signs of radiographic evidence of pulpal pathology that required immediate treatment.

Conclusion:

Strip crowns are an excellent choice for teeth that present with multisurface caries. The long term prognosis has a high degree of predictibility and esthetics are unparallelled by other similar restorations. With these results, clinicians should be more apt to choose strip crowns over some of the other more expensive and less esthetic options.