Castro Aimee, Badr Sherine B Y, El-Badrawy Wafa, Kulkarni Gajanan
Private practice, Calgary, Alberta, Canada.
Department of Pediatric Dentistry, Beirut Arab University, Beirut, Lebanon, Cairo University, Giza City, Giza, Egypt.
J Dent Child (Chic). 2016 Sep 15;83(3):125-131.
To assess the clinical performance of Pedo Jacket crowns for restoration of carious primary anterior teeth.
A total of 129 carious primary incisors and canines of 48 children younger than 71 months of age- were restored with Pedo Jacket crowns and resin-modified glass ionomer cementation. They were assessed for: ease of use; presence of recurrent decay; wear; partial or complete loss of the crown; color stability; gingival health; and overall clinical success over a 12-month follow-up. The patient's behavior at the restorative appointment during crown placement was also assessed.
An overall clinical success of 89.5 percent of the teeth in 87.3 percent of the children was seen one year later. The crowns were easy to use, even in uncooperative children. The color stability, wear, plaque accumulation, and gingival health were acceptable. Discoloration, wear, or complete loss of the crown were found in 13.1 percent, 5.4 percent, and 7.6 percent of children, respectively. Although not statistically significant, failures were associated with poor patient cooperation at the time of crown placement, poor oral hygiene, or operator error.
Pedo Jacket crowns are a viable treatment alternative for carious maxillary primary anterior teeth.
评估儿童夹克冠修复乳牙龋坏上前牙的临床性能。
对48名年龄小于71个月儿童的129颗龋坏乳切牙和乳尖牙用儿童夹克冠和树脂改性玻璃离子水门汀进行修复。对其进行以下评估：使用便利性；继发龋的存在情况；磨损情况；冠的部分或完全脱落；颜色稳定性；牙龈健康状况；以及在12个月的随访期内的总体临床成功率。还评估了在冠修复过程中患儿在修复就诊时的行为表现。
一年后，87.3%的儿童中89.5%的牙齿总体临床成功。这些冠易于使用，即使在不合作的儿童中也是如此。颜色稳定性、磨损情况、菌斑积聚和牙龈健康状况均可接受。分别有13.1%、5.4%和7.6%的儿童出现冠变色、磨损或完全脱落。虽然无统计学意义，但失败与冠修复时患儿合作不佳、口腔卫生不良或操作者失误有关。
儿童夹克冠是治疗上颌乳牙龋坏上前牙的一种可行替代方法。
