Abstract
Aim
This aim was to evaluate preformed metal crowns (PMC) placed under general anaesthesia using an occlusal template in comparison to crowns placed without the use of a template.
Methodology
CONSORT protocols were followed in the design of the study. A total of 60 children between 4–7 years requiring pulpotomy and PMC for all primary molars met the inclusion criteria for this study. The control group comprised patients for whom the PMC were placed without the use of an occlusal template, while in the test group crowns were placed using a polyvinyl siloxane occlusal template. Patients were followed up at 24 h, 7 days, 3 and 6 months. The time taken for the placement of crowns, instances of post-operative discomfort, success or failure of the pulp therapy and loss of any crowns were compared between the groups.
Results
The mean time taken for completion of the procedure in the control group was significantly greater than the template group (t = 2.566, p = 0.013). Significantly fewer patients in the template group reported symptoms of discomfort or high points at the 24-h recall; however, these differences were not significant at the 1-week, 3- or 6-month recall.
Conclusion
The use of an occlusal template for the placement of multiple PMC under general anaesthesia reduces the time taken for their placement and reduces the incidence of immediate post-operative discomfort.
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References
Al-Eheideb AA, Herman NG. Outcomes of dental procedures performed on children under general anesthesia. J Clin Pediatr Dent. 2003;27(2):181–3.
Attari N, Roberts JF. Restoration of primary teeth with crowns: a systematic review of the literature. Eur Arch Paediatr Dent. 2006;7(2):58–62.
Chai J, Tan E, Pang IC. A study of the surface hardness and dimensional stability of several intermaxillary registration materials. Int J Prosthodont. 1994;7(6):538–42.
Dias C, Closs LQ, Fontanella V, de Araujo FB. Vertical alveolar growth in subjects with infraoccluded mandibular deciduous molars. Am J Orthod Dentofac Orthop. 2012;141(1):81–6.
Dimashkieh M, Pani SC. A novel technique to check the occlusion during the placement of stainless steel crowns under general anesthesia. Saudi J Oral Sci. 2015;2(1):49.
Drummond BK, Davidson LE, Williams SM, Moffat SM, Ayers KM. Outcomes two, three and four years after comprehensive care under general anaesthesia. N Z Dent J. 2004;100(2):32–7.
Eshghi A, Samani MJ, Najafi NF, Hajiahmadi M. Evaluation of efficacy of restorative dental treatment provided under general anesthesia at hospitalized pediatric dental patients of Isfahan. Dent Res J (Isfahan). 2012;9(4):478–82.
Gallagher S, O’Connell BC, O’Connell AC. Assessment of occlusion after placement of stainless steel crowns in children—a pilot study. J Oral Rehabil. 2014;41(10):730–6.
Kolisa Y, Ayo-Yusuf OA, Makobe DC. Paedodontic general anaesthesia and compliance with follow-up visits at a tertiary oral and dental hospital, South Africa. SADJ. 2013;68(5):206, 208–212.
Loudon ME, Nguyen TV. The development and benefits of vertical dimension primary molar buildup crowns. Int J Orthod Milwaukee. 2014;25(4):33–7.
Luthardt RG, Walter MH, Weber A, Koch R, Rudolph H. Clinical parameters influencing the accuracy of 1- and 2-stage impressions: a randomized controlled trial. Int J Prosthodont. 2008;21(4):322–7.
Needleman HL, Harpavat S, Wu S, Allred EN, Berde C. Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia. Pediatr Dent. 2008;30(2):111–21.
Schuler IM, Hiller M, Roloff T, Kuhnisch J, Heinrich-Weltzien R. Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: an observational follow up study. J Dent. 2014;42(11):1396–403.
Seale NS. The use of stainless steel crowns. Pediatr Dent. 2002;24(5):501–5.
Shillingburg HT, Sather DA, Stone SE. Fundamentals of fixed prosthodontics. Illinois: Quintessence Pub; 2012.
Tate AR, Ng MW, Needleman HL, Acs G. Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent. 2002;24(1):69–71.
Tejo SK, Kumar AG, Kattimani VS, et al. A comparative evaluation of dimensional stability of three types of interocclusal recording materials-an in-vitro multi-centre study. Head Face Med. 2012;8:27.
Thilander B. Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod. 2009;31(2):109–20.
van der Zee V, van Amerongen WE. Short communication: influence of preformed metal crowns (Hall technique) on the occlusal vertical dimension in the primary dentition. Eur Arch Paediatr Dent. 2010;11(5):225–7.
Vinckier F, Gizani S, Declerck D. Comprehensive dental care for children with rampant caries under general anaesthesia. Int J Paediatr Dent. 2001;11(1):25–32.
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Pani, S.C., Dimashkieh, M., Mojaleed, F. et al. The role of an occlusal template during the placement of preformed metal crowns in children under general anaesthesia: a randomised control trial. Eur Arch Paediatr Dent 16, 461–466 (2015). https://doi.org/10.1007/s40368-015-0199-3
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DOI: https://doi.org/10.1007/s40368-015-0199-3