354 - Success Rate of Anterior Strip Crowns vs. Class III Restorations Placed on Primary Anterior Teeth in the Operating Room

Abstract:

Purpose: The aim of this study is to determine the most successful esthetic treatment option and method for placing composites in primary anterior teeth under a general anesthesia. The success rates of class III composites and strip crowns will be compared to help improve treatment planning and esthetically restoring anterior primary decay.

The most durable treatment option, stainless steel crowns, is far from esthetic. Providers often opt to do resin strip crowns or class III restorations to restore anterior teeth. However, resins have a higher failure rate due to it being more technique sensitive, less wear-resistant and its success being more home-care dependent. Patients who require treatment on primary anterior teeth are often treated under sedation due to age and cooperation. Retreating these patients can be difficult. Restorations optimized for success will decrease the likelihood of the pediatric patient having to undergo sedation again.




Method: Strip crowns or class III resins placed in the operating room while the patient is under GA will be evaluated at recall visits over a two year period to evaluate the radiographic and/or clinical success of the restoration. Success will be defined as no need for retreatment of the tooth (no abscess requiring extraction, no fracture or recurrent decay requiring a redo of the restoration). If the success of a resin restoration is highly dependent on the retention, then strip crowns should have a higher success rate compared to class III restorations due to the increased surface area bonding.

Final Data Pending

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