Is zirconium or stainless steel the most suitable crown material for less dentin stress in endodontically treated teeth?

BACKGROUND: Stainless steel crowns (SSCs), which have been used frequently in the treatment of first permanent molars in children until now, has become less applicable due to its poor aesthetic appearance. Zirconia crowns (ZCs) have become more popular due to their aesthetic advantage. However, stress transmission of ZCs to dental tissues under occlusal forces in endodontically treated teeth has not been described. OBJECTIVE: The aim of this study was to compare the stress distribution of different crown materials (ZCS, SSCs) and adhesive materials on dentin in endodontically treated permanent teeth and to specify the crown-adhesive model with lower stress. METHODS: Finite element analysis (FEA) was used to apply a force of 300 N from the inner part of the buccal tubercles (vertical loading) and a lingo-buccal at an angle of 30 degrees (oblique loading) of the first permanent molars (FPM) with different crown (ZCS, SSCs) and adhesive (Glass ionomer cement, Resin modified glass ionomer cement, Resin cement) materials in twelve separate models. The von Mises values obtained from the models were compared and the optimal stress values were determined by FEA. RESULTS: The lowest stress values of dentin were found in zirconia crown model with glass ionomer cement (GIC) adhesive under vertical loading (26,793 Mpa). In the zircon crown and GIC adhesive model, less von Mises stress occurred on the dentin under all conditions. CONCLUSIONS: ZCs and GIC adhesive may be recommended for teeth with a high probability of dentin fracture.

Traumatic Dental Injuries Occurred in Primary Teeth and their Sequel Effects on the Developmental Permanent Successors: A Controlled Study

ABSTRACT Objective: To examine the types of traumatic dental injuries of the primary teeth (TDI-p) and the long-term sequelae on permanent dentition (LSP) comparing with a control group (CG). In addition, a questionnaire that measures parents' knowledge and awareness was used. Material and Methods: The trauma group (TG) consisted of permanent teeth following TDI-p exposed teeth, while the CG consisted of permanent teeth following unexposed teeth with TDI-p of the same patients. In total, 141 teeth were evaluated in 27 patients. Data concerning such as teeth, when TDI-p occurred, types of treatments and types of LSP were collected. Chi-square test was used for intergroup comparison for gender, type of trauma, LSP, age of trauma and parameters in the parental information questionnaire. Significance level was p<0.05. Results: A statistically significant difference was found in the analysis between TG and CG (p<0.001). The prevalence of LSP due to TDI-p was 29.6% and the prevalence of sequelae in CG was 7.4%. The most common LSP was enamel hypoplasia (14.8%). Parents were aware of the importance of TDI-p, and they had insufficient knowledge about its management. Conclusion: TDI-p can be considered a high-risk factor in the development of LSP. Also, the lack of knowledge in parents should be supported by software-based application systems to be developed.

Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma.

PURPOSE: Traumatic dental injuries are among the commonly observed problems in the primary and permanent teeth. The rate of prevalence of dental trauma varies globally. In this study, we investigated the type of dental trauma, related factors, and treatment procedures in children. SUBJECTS AND METHODS: During a 5-year period (January 2011-January 2016), 416 children aged in the range of 1-15 years were admitted to our clinic with dental trauma. The cause and type of the dental trauma in the primary and permanent teeth and their relation with gender and age were evaluated using the chi-square test, and their distribution by age was evaluated using regression analysis. RESULTS: Overall, girls and boys comprised 37% and 63% of the study population, respectively. The mean age was 8.5 years. Falls (61.1%) were the most common cause of traumatic dental injuries, and enamel-dentin fracture (26%) was the most common dental trauma type. CONCLUSION: Traumatic dental injuries in children are common. A large proportion of patients without any clinical symptoms (15.8%) did not seek any treatment after the trauma. Teachers, parents, and children should be informed about the action to be taken when dental trauma occurs and about the importance of immediately taking the child to a dentist after the trauma to ensure an accurate diagnosis, an optimal treatment plan, and positive outcome.