Restorative
Karina Serrano, DDS
Pediatric Dental Resident
NYU Lutheran Dental Medicine, Brooklyn, NY
NYU Langone Hospitals - Advanced Education in Pediatric Dentistry, United States
Andrea Lochan, DMD
Associate Program Director
NYU Langone Dental Medicine, Princess Anne, MD
Princess Anne, Maryland, United States
Purpose: The purpose of this study was to evaluate the treatment outcomes of stainless-steel crowns versus composite restorations in primary second molars with pulpal intervention through a retrospective study.
Methods: Records were obtained using EHR of children 3 to 10 years old, with at least 1 pulpal therapy in a vital tooth. The history of that tooth was then followed until exfoliation or extraction.
Results: A total of 120 primary second molars were evaluated, of which 114 received a stainless steel crown and 6 received a composite restoration. A total of 10 teeth were extracted, of which 3 teeth were deemed failures because they were prior to the 12 month mark. Of the 110 molars that resulted in natural exfoliation, 104 were restored with a stainless-steel crown and 6 were restored with a composite restoration. Overall analysis showed no significance in survival probability when restoring a primary second molar with a stainless-steel crown versus a composite restoration (P=.75).
Conclusion: Primary second molars that received pulpal therapy and were restored with stainless steel crowns were not shown to have a higher survival probability versus composite restorations. More research is indicated on the topic with a larger data set to draw more statistical conclusions.