Objective: The goal of this manuscript was to review the existing literature in regards to esthetic options to restore pulpotomized primary molars.
Study Design: A pubmed literature search has been performed and all relevant studies were assessed.
Results: Two laboratory, 3 restrospective and 4 prospective clinical studies were found, reviewed and analyzed.
Conclusions: Based on the limited information available, we concluded that tooth colored and bonded restorations showed promising results as alternative materials to replace stainless steel crowns after pulpotomies in primary molars. Hybrid composites tend to perform better than compomers. Resin modified glass ionomer cements demonstrated excellent marginal seal and retention. More long-term follow up studies are necessary until more definitive recommendations can be made.
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3D printed endocrowns versus prefabricated zirconia crowns for pulpotomized primary molars: A randomized controlled trial.
J Dent
February 2025
The Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Ain Shams university, Organization of African Unity St. Abbasia - Cairo, Post No. 11566, Egypt. Electronic address:
Objectives: This study aims to compare the clinical performance of 3D printed endocrowns (ECs) and prefabricated zirconia crowns (PZRCs) in restoring pulpotomized primary molars, over 3, 6, and 12 months.
Methods: Thirty pulpotomized mandibular primary molars in 16 children aged 4-8 years were randomized with a 1:1 allocation ratio into two groups: group (A), PZRCs, and group (B), 3D-printed ECs. All restorations were evaluated for esthetic, functional, and biological properties using FDI criteria at 3-, 6-, and 12-month intervals.
Optimizing restorative procedure and material selection for pulpotomized primary molars: Mechanical characterization by 3D finite element analysis.
Heliyon
August 2024
Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, PR China.
Purpose: This study aimed to assess the stress distribution in pulpotomized primary molars with different types of restorative materials using 3D-finite element analysis (FEA), and provide valuable insights into the selection and application of restorative materials, with the ultimate goal of reducing the risk of pulpotomy failure and protecting residual dental tissue.
Methods: Four 3D models of pulpotomized primary molars with different restorative materials according to the material and its elastic modulus were analysed: resin composite, stainless steel crowns (SSCs), prefabricated zirconia crowns and endocrowns. The food layer was also designed before vertical and bucco-lingual forces were applied to simulate physiological masticatory conditions.
Qualitative surface roughness of lithium disilicate endo-crown for pulpotomized primary molars.
Sci Rep
August 2024
Pediatric Dentistry, Preventive Dentistry, and Dental Public Health Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt.
Rehabilitation of pulpotomized primary molars with an appropriate restoration is essential for recovering function and safeguarding the durability of the treatment. This study aimed to assess and compare the surface roughness of stainless steel (ST) crowns, zirconia (ZR) crowns, fiberglass (FG) crowns, and lithium disilicate (LD) endo-crowns as a restoration for pulpotomized primary molars also, evaluating the surface roughness of their antagonists. Sixty pulpotomized primary mandibular first molars were used for qualitative surface roughness evaluation and divided into four groups (n = 15/group) according to the crown type (group-ST, group-ZR, group-FG, group-LD).
View Article and Find Full Text PDFThe fracture resistance of pulpotomized primary molars restored with zirconia crowns, lithium disilicate or resin based ceramic endocrowns.
BMC Oral Health
May 2024
Department of Pediatric Dentistry, Preventive Dentistry and Dental Public Health, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt.
Background: Endocrown in pediatric dentistry was rooted in the fundamental principles of preserving healthy dental tissues, leveraging contemporary adhesive methodologies.
Aim: This research aimed on assessing and comparing the fracture resistance of pulpotomized primary molars when rehabilitated with zirconia crowns and two distinct types of endocrowns, namely E-Max and Brilliant Crios.
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Hard tissue formation in pulpotomized primary teeth in dogs with nanomaterials MCM-48 and MCM-48/hydroxyapatite: an in vivo animal study.
BMC Oral Health
March 2024
MacDiarmid Institute for Advanced Materials and Nanotechnology, Victoria University of Wellington, Wellington, New Zealand.
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Methods: This in vivo animal study on dogs evaluated 48 primary premolar teeth of 4 mongrel female dogs the age of 6-8 weeks, randomly divided into four groups (n = 12).
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