Pulp Therapy
Akshay Kolluri, DDS
Resident
NYU Langone
NYU Langone
Marriottsville, Maryland, 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 first 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 95 primary first molars were evaluated, of which 92 received a stainless steel crown and 3 received a composite restoration. Of the 88 molars that resulted in natural exfoliation, 86 were restored with a stainless-steel crown and 2 were restored with a composite restoration. Of the 7 teeth extracted, 6 were restored with a stainless-steel crown and 1 were restored with a composite restoration. Overall analysis showed no significance in survival probability when restoring a primary first molar with a stainless-steel crown versus a composite restoration (P=.531).
Conclusion: Pulp therapy with stainless steel crowns were not shown to have a higher survival probability versus restorations. More research is indicated on the topic with a larger data set to draw more statistical conclusions.