International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE S1 ( Supplement Issue, 2020 ) > List of Articles

Original Article

Clinical Evaluation of Restoration of Grossly Carious Primary Teeth Using Biological Approach

Preeti Singh

Keywords : Biological restorations, Marginal integrity, Occlusal wear, Primary teeth

Citation Information : Singh P. Clinical Evaluation of Restoration of Grossly Carious Primary Teeth Using Biological Approach. Int J Clin Pediatr Dent 2020; 13 (S1):S55-S63.

DOI: 10.5005/jp-journals-10005-1870

License: CC BY-NC 4.0

Published Online: 01-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Background: To widen the treatment option of primary teeth with mutilated crown tooth structure but having more than two-thirds of root structure were restored by using natural tooth crowns with the help of adhesive materials. Aim and objective: To restore the grossly decayed primary molars with biological crowns and to evaluate them for longevity, change in color, occlusal wear, marginal integrity, and patient/parent acceptance. Materials and methods: Twenty primary molars from 6 to 10 years old children were restored with biological crowns (extracted/exfoliated tooth crowns) and follow-up was done till 12 months. Data tabulated and results were statistically analyzed using Kaplan–Meier survival analysis. The statistical software SPSS 19.0 was used. Results: 89.47% of biological restorations survived successfully till 12 months follow-up period. No occlusal wear was found in any of the samples, a breach in marginal integrity was seen only in 16.6% of cases, and only 5.5% of biological crowns showed discoloration (darker) at 12 months intervals. 65.00% of patients well accepted the treatment and showed satisfaction while 20.0% of patients remained neutral. Only 15% of patients experienced dissatisfaction at the end of the study. Conclusion: Biological restorations proved to be a viable alternative for the restoration of grossly mutilated primary molars.

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