International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE S3 ( November, 2023 ) > List of Articles

ORIGINAL RESEARCH

Clinical Evaluation of Maneuverability and Durability of Titanium Nitride-coated Preformed Crown on Primary Molar Teeth: A Randomized Controlled Trial

Vundela Rajashekar Reddy, Balamurugan Suba Ranjana, Mahesh K Karuppaiah, Thirumagalanuraaga Annadurai

Keywords : Child–patient satisfaction, Durability, Maneuverability, Stainlesssteel crowns, Titanium nitride crowns

Citation Information :

DOI: 10.5005/jp-journals-10005-2676

License: CC BY-NC 4.0

Published Online: 11-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: The management of multisurface carious primary molar is challenging. Currently, the ideal choice for the management of extensive multi-surface carious primary molar is the placement of a preformed stainlesssteel crown (SSC)/preformed zirconia crown. Unfortunately, conventional preformed SSCs are frequently refused by parents for esthetic reasons, while the preformed zirconia crown has its own disadvantages like high cost and excessive tooth preparation. Aim: To evaluate the maneuverability and durability of titanium nitride-coated crowns on primary molar teeth and to assess the child–parent satisfaction of titanium nitride-coated gold-colored preformed crowns over metal-colored preformed SSC on primary molar teeth. Materials and methods: Randomized controlled trial conducted on children between the age-groups of 6- and 9-year-old children. Group I for titanium nitride-coated preformed crown and group II for preformed SSC (control group) were allotted with a simple random technique. The maneuverability of the titanium nitride-coated crowns was evaluated in comparison with preformed SSC in terms of the level of difficulty while trimming, contouring, crimping, and wearing out of titanium nitride coating while manipulating. Participants of group I were recalled for follow-up in the 1st, 6th, and 12th months to evaluate the durability of the titanium nitride coating on the preformed crowns. Results: There were no failures at the 12-month follow-up in terms of the durability of the titanium nitride coating, and there was no significant difference seen in terms of the maneuverability of both crowns. Overall, child–parent satisfaction was good with gold-colored titanium nitride-coated crowns. Conclusion: The study concluded that titanium nitride-coated gold crowns could be a boon to pediatric dentistry and serve as an alternative to metal-colored SSCs.


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  1. Pitts NB, Zero DT, Marsh PD, et al. Dental caries. Nat Rev Dis Primers 2017;3(1):1–6. DOI: 10.1038/nrdp.2017.30
  2. Agrawal H. Stainless steel crown- a review article. Indian J Foren Med Toxicol 2020;14(4):9129–9132. DOI: 10.37506/ijfmt.v14i4.13169
  3. O'Connell AC, Kratunova E, Leith R. Posterior preveneered stainless steel crowns: clinical performance after three years. Pediatr Dent 2014;36(3):254–258.
  4. Taran PK, Kaya MS. A comparison of periodontal health in primary molars restored with prefabricated stainless steel and zirconia crowns. Pediatr Dent 2018;40(5):334–339.
  5. Murali G, Mungara J, Venumbaka NR, et al. Parental satisfaction with paediatric posterior preformed zirconia and stainless steel crowns-a comparative study. J Indian Dent Assoc Madras 2020;7(2):44–49.
  6. Suguna S, Gurunathan D. Comparison of parental satisfaction of stainless steel crowns vs. zirconia crowns in primary mandibular molars. Ann Med Health Sci Res 2021;11(S2):360–364.
  7. Lopez-Cazaux S, Aiem E, Velly AM, et al. Preformed pediatric zirconia crown versus preformed pediatric metal crown: study protocol for a randomized clinical trial. Trials 2019;20(1):530. DOI: 10.1186/s13063-019-3559-1
  8. Hamrah MH, Mokhtari S, Hosseini Z, et al. Evaluation of the clinical, child, and parental satisfaction with zirconia crowns in maxillary primary incisors: a systematic review. Int J Dent 2021;2021:7877728. DOI: 10.1155/2021/7877728
  9. Kim H, Lim S, Kim J. Evaluation of titanium-nitride coated crown: Surface hardness, corrosion resistance and color sustainability. J Korean Acad Pediatr Dent 2021;48(3):344–350. DOI: 10.5933/JKAPD.2021.48.3.344
  10. Zimmerman JA, Feigal RJ, Till MJ, et al. Parental attitudes on restorative materials as factors influencing current use in pediatric dentistry. Pediatr Dent 2009;31(1):63–70.
  11. Fishman R, Guelmann M, Bimstein E. Children's selection of posterior restorative materials. J Clin Pediatr Dent 2006;31(1):1–4. DOI: 10.17796/jcpd.31.1.ng7122836mp04vj5
  12. Mathew MG, Roopa KB, Soni AJ, et al. Evaluation of clinical success, parental and child satisfaction of stainless steel crowns and zirconia crowns in primary molars. J Family Med Prim Care 2020;9(3): 1418–1423. DOI: 10.4103/jfmpc.jfmpc_1006_19
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