Kanareli Christina, Balazuc-Armbruster Marine, Tsolakis Ioannis A, Kanarelis Takis, Tsolakis Apostolos I
Department of Dentistry, School of Dentistry, University of Reims Champagne-Ardenne, 51100 Reims, France.
Department of Orthodontics, School of Dentistry, University of Paris V and VII, 75000 Paris, France.
Children (Basel). 2023 Mar 2;10(3):488. doi: 10.3390/children10030488.
Pediatric dentists should always strive for cosmetic and functional rehabilitation when treating decaying or injured primary teeth. The most popular restoration technique for such teeth is "strip crowns" made of composite materials, but more recently, zirconia and preveneered stainless steel crowns have gained popularity. Moreover, zirconia crowns are usually preferred over stainless steel crowns for aesthetic reasons. The aim of this case report is to present a 4-year-old patient with a high caries risk who underwent a full-mouth pediatric zirconia crown treatment. The operation was performed under general anesthesia. This article describes the restoration of all primary teeth and the follow-up 6 months after the parents' request to improve the aesthetics. The gingival health and the adaptation of the zirconia crown were evaluated both clinically and radiologically. In this case, the preformed pediatric zirconia crowns provided functional and durable restoration while restoring the natural appearance of the teeth. However, primary dental prevention, including education on oral hygiene and dietary habits, remains the cornerstone in preventing early childhood caries and promoting oral health in pediatric patients. It is important to note that dental intervention under general anesthesia should only be considered as a last resort after all other options have been exhausted, due to the potential risks associated with the use of general anesthesia.
儿科牙医在治疗龋坏或受伤的乳牙时，应始终致力于牙齿的美观和功能修复。对于此类牙齿，最常用的修复技术是复合材料制成的“条冠”，但最近，氧化锆和预成不锈钢冠越来越受欢迎。此外，出于美观原因，氧化锆冠通常比不锈钢冠更受青睐。本病例报告的目的是介绍一名4岁高龋风险患者接受全口儿科氧化锆冠治疗的情况。手术在全身麻醉下进行。本文描述了所有乳牙的修复情况以及应家长要求改善美观后6个月的随访情况。从临床和放射学角度评估了牙龈健康状况和氧化锆冠的贴合情况。在本病例中，预成儿科氧化锆冠在恢复牙齿自然外观的同时，提供了功能性和耐用的修复。然而，包括口腔卫生和饮食习惯教育在内的乳牙预防，仍然是预防幼儿龋齿和促进儿科患者口腔健康的基石。需要注意的是，由于全身麻醉存在潜在风险，只有在所有其他选择都用尽后，才应将全身麻醉下的牙科干预视为最后手段。
