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Assessment of Interleukin-6 Levels and Counts in Pediatric Stainless Steel and Zirconia Crowns: A Comparative Study. | LitMetric

AI Article Synopsis

  • Pediatric dental crowns are important for maintaining the function and longevity of affected teeth, but they can also harbor bacteria, leading to plaque buildup and potential dental issues.
  • A study involving 26 children assessed the effects of zirconia crowns versus stainless steel crowns on dental health, looking at plaque and gingival indexes, as well as interleukin-6 levels over 45 days.
  • Results showed that zirconia crowns had better clinical and immune responses, with significantly lower microbial counts compared to stainless steel crowns, suggesting they may be a more aesthetically pleasing and healthier option for pediatric dental care.

Article Abstract

Background: Pediatric dental crowns play an integral role as they maintain the form and function and prolong the life of the affected tooth. However, placing a crown in the oral cavity creates a new niche for the adhesion of microorganisms that can lead to plaque accumulation, gingival inflammation, and the development of secondary caries, which in the long term might determine the clinical success of the restored tooth. The present study allowed us to assess the changes caused by the full coverage restorations at a clinical, immunological, and microbiological level using enzyme-linked immunosorbent assay (ELISA) and microbial analysis.

Materials And Methods: The analysis consisted of a total of 26 children aged 3-10 years. They were divided into two groups, group I ( = 13) children receiving preformed zirconia crowns and group II receiving stainless steel crowns (SSCs). Plaque index (PI) scores, gingival index (GI) scores, and interleukin-6 (IL-6) levels were assessed at baseline and at 45 days of follow-up. The part of the study consisted of 13 preformed zirconia crowns and 13 SSCs which were immersed in artificial saliva containing strains of which were then processed for their microbial analysis.

Results: On mean comparison, preformed zirconia crowns performed superiorly both clinically and immunologically compared to SSCs. Microbial analysis using independent -test revealed that the colony-forming units (CFU) per milliliter was statistically significantly higher for the SSCs, and the mean difference among the groups was statistically significant ( < 0.01).

Conclusion: Preformed zirconia crowns can be a relative replacement for SSCs in primary teeth with the advantage of esthetics and superior periodontal health.

How To Cite This Article: Saharia NP, Malik M, Jhingan P, Assessment of Interleukin-6 Levels and Counts in Pediatric Stainless Steel and Zirconia Crowns: A Comparative Study. Int J Clin Pediatr Dent 2024;17(4):395-403.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320827PMC
http://dx.doi.org/10.5005/jp-journals-10005-2813DOI Listing

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