International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 15 , ISSUE 2 ( March-April, 2022 ) > List of Articles


Comparative Microleakage Evaluation through the Interfaces between the Tooth and Cement after Stainless Steel Crown Cementation in Primary Molars: An In Vitro Study

Manjari S Gundewar, Sonali Saha, Kavita Dhinsa, Sakshi Tiwari, Abhay M Tripathi

Keywords : Luting cement, Microleakage, Stainless steel crown

Citation Information : Gundewar MS, Saha S, Dhinsa K, Tiwari S, Tripathi AM. Comparative Microleakage Evaluation through the Interfaces between the Tooth and Cement after Stainless Steel Crown Cementation in Primary Molars: An In Vitro Study. Int J Clin Pediatr Dent 2022; 15 (2):159-163.

DOI: 10.5005/jp-journals-10005-2359

License: CC BY-NC 4.0

Published Online: 01-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Introduction: The longevity of stainless steel crowns is related to perfect adaptation and long-term union between restoration and teeth. In this respect, evaluation of marginal leakage of luting cement is essential. Aim and objective: To compare and evaluate the ability of new adhesive cement to prevent microleakage under stainless steel crowns on primary teeth. Materials and methods: Forty-five specimens were embedded, standardized preparations were made onto selected extracted primary molars, and stainless steel crowns were adapted. Samples were assigned randomly to cement groups: Glass ionomer (GI), resin-modified glass-ionomer (RMGI), and Adhesive resin (AR) cement, followed by storage in water, artificially aging, staining, sectioning, and the linear dye penetration and proportion of microleakage evaluation. Results: AR showed the lowest microleakage, followed in increasing order by RMGIC and GIC showed the greatest microleakage (p-value < 0.0001). Clinical significance: There are many kinds of luting agents that vary considerably from the viewpoint of solubility, strength, and ability to adhere to the tooth structure. Lack of adhesion of the luting cement to the tooth structure is one of the reasons for microleakage related to different types of crowns. Cement breakdown may result in the entrance of fluids and microorganisms along with the tooth restoration interface. In this study, attempts were made to simulate standard clinical procedures, although this is not a substitute for the complex oral environment, the results provide useful information to choosing the best cement materials. Conclusion: Adhesive resin cement can be recommended for cementation of Stainless Steel Crowns because of added advantages over others.

  1. Mulder R, Medhat R, Mohamed N. In vitro analysis of the marginal adaptation and discrepancy of stainless steel crowns. Acta Biomater Odontol Scand 2018;4(1):20–29. DOI: 10.1080/23337931.2018.1444995
  2. Waggoner WF. Restoring primary anterior teeth. Pediatr Dent 2002;24(5):511–516. PMID: 12412967.
  3. Garg V, Panda A, Shah J, et al. Crowns in pediatric dentistry: a review. J Adv Med Dent Scie Res 2016;4(2):41–46.
  4. Lad PP, Kamath M, Tarale K, et al. Practical clinical considerations of luting cements: a review. J Int Oral Health 2014;6(1):116–120. PMID: 24653615.
  5. Shah R, Shah D. An evaluation of microleakage under crowns cemented with different luting agents. J Adv Oral Res 2012:3(3):29–34. DOI: 10.1177/2229411220120305
  6. Memarpour M, Mesbahi M, Rezvani G, et al. Microleakage of adhesive and nonadhesive luting cements for stainless steel crowns. Pediatr Dent 2011;33(7):501–504. PMID: 22353410.
  7. Trubman A, Silberman SL, Meydrech EF. Dental caries assessment of Mississippi Head Start children. J Public Health Dent 1989;49(3): 167–169. DOI: 10.1111/j.1752-7325.1989.tb02055.x
  8. Allison PJ, Schwartz S. Interproximal contact points and proximal caries in posterior primary teeth. Pediatr Dent 2003;25(4):334–340. PMID: 13678098.
  9. Full CA, Walker JD, Pinkham JR. Stainless steel crowns for deciduous molars. JADA 1974;89(2):360–364. DOI: 10.14219/jada.archive.1974.0409
  10. Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent 2002;24(5):489–500. PMID: 12412964.
  11. Tanumiharja M, Burrow MF, Tyas MJ. Microtensile bond strengths of seven dentin adhesive systems. Dent Mater 2000;16(3):180–187. DOI: 10.1016/s0109-5641(00)00007-5
  12. Mirkarimi M, Bargrizan M, Estiri M. The microleakage of polycarboxylate, glass ionomer and zinc phosphate cements for stainless steel crowns of pulpotomized primary molars. Zahedan J Res Med Sci 2013:15(1);6–9.
  13. Schmid-Schwap M, Graf A, Preinerstorfer A, et al. Microleakage after thermocycling of cemented crowns- a meta-analysis. Dent Mater 2011;27(9):855–869. DOI: 10.1016/
  14. Shiflett K, White SN. Microleakage of cements for stainless steel crowns. Pediatr Dent 1997;19(4):262–266. PMID: 9200198.
  15. Castro A, Feigal RF. Microleakage of a new improved glass ionomer restorative material in primary and permanent teeth. Pediatr Dent 2002;24(1):23–28. PMID: 1187054.
  16. Yilmaz Y, Dalmis A, Gurbuz T, et al. Retentive force and microleakage of stainless steel crowns cemented with three different luting agents. Dent Mater 2004;23(4):577–584. DOI: 10.4012/dmj.23.577
  17. Bhandari S, Aras M, Chitre V. An in vitro evaluation of the microleakage under complete metal crowns using three adhesive luting cements. J Indian Prosthodont Soc 2012;12(2):65–71. DOI: 10.1007/s13191-011-0109-2
  18. Lindquist TJ, Connolly J. In vitro microleakage of luting cements and crown foundation material. J Prosthet Dent 2001;85(3):292-298. DOI: 10.1067/mpr.2001.113705
  19. Pegoraro TA, da Silva NRFA, Carvalho RM. Cements for use in esthetic dentistry. Dent Clin North Am 2007;51(2):453–471. DOI: 10.1016/j.cden.2007.02.003
  20. Reddy KC. In vitro comparison of microleakage and tensile bond strength of self adhesive cement and conventional adhesive luting cements for cementation of stainless steel crowns in the primary molars. Research & Reviews: J Dent Sci 2017:5(1);76–83.
  21. Attar N, Tam LE, McComb D. Mechanical and physical properties of contemporary dental luting agents. J Prosthet Dent 2003;89(2):127–134. DOI: 10.1067/mpr.2003.20
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.