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Clinical Performance of Pedo Jacket Crowns in Maxillary Anterior Primary Teeth

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Purposes: To assess the clinical performance of Pedo Jacket crowns for restoration of carious primary anterior teeth.

Methods: A total of 129 carious primary incisors and canines of 48 children younger than 71 months of age- were restored with Pedo Jacket crowns and resin-modified glass ionomer cementation. They were assessed for: ease of use; presence of recurrent decay; wear; partial or complete loss of the crown; color stability; gingival health; and overall clinical success over a 12-month follow-up. The patient's behavior at the restorative appointment during crown placement was also assessed.

Results: An overall clinical success of 89.5 percent of the teeth in 87.3 percent of the children was seen one year later. The crowns were easy to use, even in uncooperative children. The color stability, wear, plaque accumulation, and gingival health were acceptable. Discoloration, wear, or complete loss of the crown were found in 13.1 percent, 5.4 percent, and 7.6 percent of children, respectively. Although not statistically significant, failures were associated with poor patient cooperation at the time of crown placement, poor oral hygiene, or operator error.

Conclusion: Pedo Jacket crowns are a viable treatment alternative for carious maxillary primary anterior teeth.
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Keywords: CROWNS; EARLY CHILDHOOD CARIES; PRE-COOPERATIVE CHILDREN; RESTORATIVE TREATMENT

Document Type: Research Article

Affiliations: 1: Private practice, Calgary, Alberta, Canada. 2: Associate professor, Department of Pediatric Dentistry, Beirut Arab University, Beirut, Lebanon, Cairo University, Giza City, Giza, Egypt. 3: Associate professor, Department of Restorative Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada 4: Associate professor, Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada:, Email: g.kulkarni@utoronto.ca

Publication date: 2016-09-01

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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