strasburg final
1
Do crowns in primary teeth influence Do crowns in primary teeth influence periodontal health? periodontal health? A SYSTEMATIC REVIEW A SYSTEMATIC REVIEW A.Koleventi A.Koleventi, D.Tsiantou, A.Arhakis, K.Arapostathis, N.Kotsanos Department of Pediatric Dentistry Aristotle University of Thessaloniki Searching………………… • Electronic Electronic Medline, Embase, Scopus, Cochrane , Web of knowledge,ProQuest,TrialsCentral, Clinical Trial, metaRegister • Hand-searching Hand-searching Excluded In vitro studies, papers in other language except English, non healthy human studies , histological studies, reviews , case reports. 424 60 potentially relevant 12 retrieved for full report evaluation Materials and methods Results • Only one RCT with high level of evidence indicates that teeth restored with SSC have poorer periodontal health in compa • researchers didn’t use the same criteria in order to evaluate periodontal health the most common risk factor Discussion citations were found authors authors evidence evidence n n age age duratio duratio n n criteria criteria results results Momen et al 2008 RCT I 160 4-7y 14mnth USPHC Spontaneous bleeding while probing in SSC significant Leith & O’Connel 2001 Pros II 48 5y 12mths PI, MGI, PC, MA, XR Similar clinical results. Fuks et al 1999 Pros II 22 6- 9y 6mnth PI, GI,XR, MA Teeth with Esthetic crowns had significant poorer perio health Ram et al 2005 Retro III 200 4- 5y 14mnth XR, MA Periodontal ligament healthy Sharat & Farsi 2004 Retro III 254 3- 12y 38mnth PI *, GI*, XR, MA, PC Significant bone resorption when margins were non satisfactory Einwag et al 1984 Retro III 118 2-12y 36mnth PI, SDI , XR Higher SBI values in crowned teeth but not significant Checchio et al 1983 Retro III 50 6-11y - DI, GI, P, MA In non ideal crowns fluid flow was increased Durr et al 1982 Retro III 101 4-12y 18mnth PI, GI, PC, MA (Myers) Positive correlations : non ideal crowns & gingivitis Dawson et al 1981 Retro III 100 5,5y - PI, GI, PC, MA (Myers) Gingival status& plaque accumulation didn’t differ ideal-non ideal Kupietsky et al 2005 Retro IV 145 - 35,6mnth USPHC 99% neither gingival inflammation nor marginal gingivitis Shah et al 2004 Retro IV 46 4- 8y 12mnth PI, GI, XR, MA 24% showed inflammatrion, 15% spontanuous bleeding Kupietsiky et al Pros 112 - USPHC No significant changes associated with longevity Introduction (1970 – 2011) Key words • Primary teeth Primary teeth • Decidious teeth Decidious teeth • Gingivitis Gingivitis • Gingival index Gingival index • Gingival fluid Gingival fluid • Periodontal health Periodontal health •Stainless steel crowns •Preformed crowns •Prefabricated crowns •(a)Esthetic crowns •Nickel chrome crowns •Nickel ion crowns •Metal crowns Aim Concerns have aroused for the periodontal health of the teeth restored. Crowns in primary teeth are the gold standard in restorations. Backround To seek evidence about the effect of crowns in primary teeth in periodontal health. PI *:Green Vermillion GI* :Gingival Index, Dental Clinic North America XR : x-rays PI: Loe Plaque Index GI: Loe Gingival Index PS :Proximal Contact evaluation DI : Debris Index SBI : Sulcus Bleeding Index USPHC : United States Public Health Criteria Papers in other languages. Irrelevant subjects. In vitro studies Histological Studies, permanent teeth United states Department of Health and Human Services I Randomized Control Trial II Prospective studies III Petrospective Studies with control group IV retrospective studies without control group Comprehensive perio examination AAPD Evaluate : •the topography of the gingiva health of the subgingival area with measures such as •bleeding on probing •proximal contact relationships, •the status of dental restorations and •prosthetic appliances •Occlusal examination •satisfactory updated diagnostic quality periapical radiographs MGI : Modified Gingival Index MA : Marginal Adaptation P: Periotron: Gingival Fluid Meter Conclusion In view of the association between non-ideal crowns and gingivitis the operator must be meticulous in the placement of crowns. Errors in adaptation should be avoided in order to minimize irritating factors and to preserve the periodontal health
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Transcript of strasburg final
Do crowns in primary teeth influence periodontal health?Do crowns in primary teeth influence periodontal health? A SYSTEMATIC REVIEWA SYSTEMATIC REVIEW
A.KoleventiA.Koleventi, D.Tsiantou, A.Arhakis, K.Arapostathis, N.Kotsanos Department of Pediatric Dentistry Aristotle University of Thessaloniki
Searching…………………• Electronic Electronic Medline, Embase, Scopus, Cochrane , Web of knowledge,ProQuest,TrialsCentral,
Clinical Trial, metaRegister • Hand-searchingHand-searching Excluded
In vitro studies, papers in other language except English, non healthy human studies , histological studies, reviews , case reports.
424 60
potentially relevant
12
retrieved for full report evaluation
Materials and methods
Results
• Only one RCT with high level of evidence indicates that teeth restored with SSC have poorer periodontal health in comparison with conventional restorations .• Although researchers didn’t use the same criteria in order to evaluate periodontal health the most common risk factor for periodontal implications is non ideal marginal adaptation .
Discussion
citations were found
authors authors evidenceevidence nn ageage durationduration criteriacriteria resultsresultsMomen et al 2008 RCT I 160 4-7y 14mnth USPHC Spontaneous bleeding while probing in SSC significantLeith & O’Connel 2001
Pros II 48 5y 12mths PI, MGI, PC, MA, XR Similar clinical results.
Fuks et al 1999
Pros II 22 6-9y 6mnth PI, GI,XR, MA Teeth with Esthetic crowns had significant poorer perio health
Ram et al 2005 Retro III 200 4-5y 14mnth XR, MA Periodontal ligament healthySharat & Farsi 2004 Retro III 254 3-12y 38mnth PI *, GI*, XR, MA, PC Significant bone resorption when margins were non satisfactoryEinwag et al 1984
Retro III 118 2-12y 36mnth PI, SDI , XR Higher SBI values in crowned teeth but not significant
Checchio et al 1983
Retro III 50 6-11y - DI, GI, P, MA In non ideal crowns fluid flow was increased
Durr et al 1982 Retro III 101 4-12y 18mnth PI, GI, PC, MA (Myers) Positive correlations : non ideal crowns & gingivitisDawson et al 1981
Retro III 100 5,5y - PI, GI, PC, MA (Myers) Gingival status& plaque accumulation didn’t differ ideal-non ideal
Kupietsky et al 2005
Retro IV 145 - 35,6mnth USPHC 99% neither gingival inflammation nor marginal gingivitis
Shah et al 2004
Retro IV 46 4-8y 12mnth PI, GI, XR, MA 24% showed inflammatrion, 15% spontanuous bleeding
Kupietsiky et al 2003
Pros IV 112 - 18mnth USPHC No significant changes associated with longevity
Introduction
(1970 – 2011)Key words
•Primary teethPrimary teeth•Decidious teethDecidious teeth•GingivitisGingivitis
•Gingival indexGingival index•Gingival fluidGingival fluid•Periodontal healthPeriodontal health
•Stainless steel crowns•Preformed crowns•Prefabricated crowns•(a)Esthetic crowns
•Nickel chrome crowns•Nickel ion crowns•Metal crowns
Aim
Concerns have aroused for the periodontal health of the teeth restored.
Crowns in primary teeth are the gold standard in restorations.
BackroundTo seek evidence about the effect of crowns in primary teeth in periodontal health.
PI *:Green VermillionGI* :Gingival Index, Dental Clinic North AmericaXR : x-rays
PI: Loe Plaque Index GI: Loe Gingival IndexPS :Proximal Contact evaluation
DI : Debris Index SBI : Sulcus Bleeding Index USPHC : United States Public Health Criteria
Papers in other languages.
Irrelevant subjects.In vitro studies
Histological Studies,
permanent teeth
United states Department of Health and Human Services
I Randomized Control Trial
II Prospective studies
III Petrospective Studies with control group
IV retrospective studies without control group
Comprehensive perio examination AAPD
Evaluate:•the topography of the gingivahealth of the subgingival area with measures such as •bleeding on probing
•proximal contact relationships, •the status of dental restorations and
•prosthetic appliances •Occlusal examination •satisfactory updated
diagnostic quality periapical radiographs
MGI : Modified Gingival IndexMA : Marginal Adaptation
P: Periotron: Gingival Fluid Meter
ConclusionIn view of the association between non-ideal crowns and gingivitis the operator must be meticulous in the placement of crowns. Errors in adaptation should be avoided in order to minimize irritating factors and to preserve the periodontal health
