484 - Analysis of Restorations After Pulpal Therapy in Primary First Molars

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.