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塑造笑容:儿童牙科中牙冠进展的叙述性综述

Shaping Smiles: A Narrative Review of Crown Advancements in Pediatric Dentistry.

作者信息

Almajed Omar S

机构信息

Pediatric Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Dental Public Health, King's College London, London, GBR.

出版信息

Cureus. 2024 Jan 26;16(1):e52997. doi: 10.7759/cureus.52997. eCollection 2024 Jan.

Abstract

This review examines the evolution of dental crowns in pediatric dentistry, highlighting the transition from traditional materials such as stainless steel to aesthetic and biocompatible alternatives like zirconia, resin-based composites, and Bioflex crowns. It focuses on their importance in repairing decayed or damaged teeth and improving children's oral health and psychological well-being. The methodology involved a comprehensive literature search over the past two decades, utilizing databases including PubMed, Google Scholar, and Chat.Consensus.App, with keywords related to pediatric dental crowns. The findings indicate that stainless steel crowns (SSCs) are valued for durability and cost-effectiveness, but they may cause hypersensitivity. Zirconia crowns are favored for biocompatibility, resistance, and aesthetics, although they are costlier and require more tooth reduction. Resin-based composite strip crowns offer a balance of aesthetics and function but have challenges in long-term stability. The review also touches on Bioflex crowns, noting their flexibility, but the limited research on their effectiveness. In summary, the review underscores the vital role of various dental crown materials in pediatric dentistry, stressing the importance of ongoing research to enhance clinical outcomes and pediatric patient quality of life. The selection of crown materials should consider efficacy, aesthetics, and the psychosocial effects on young patients.

摘要

本综述探讨了儿童牙科中牙冠的演变,着重介绍了从不锈钢等传统材料向氧化锆、树脂基复合材料和Bioflex牙冠等美观且生物相容性良好的替代材料的转变。它聚焦于这些材料在修复龋坏或受损牙齿以及改善儿童口腔健康和心理健康方面的重要性。研究方法包括在过去二十年进行全面的文献检索,利用包括PubMed、谷歌学术和Chat.Consensus.App在内的数据库,使用与儿童牙科牙冠相关的关键词。研究结果表明,不锈钢牙冠(SSCs)因其耐用性和成本效益而受到重视,但可能会引起过敏反应。氧化锆牙冠因其生物相容性、抗磨损性和美观性而受到青睐,尽管其成本较高且需要更多的牙齿预备。树脂基复合带环牙冠在美观和功能之间取得了平衡,但在长期稳定性方面存在挑战。综述还提及了Bioflex牙冠,指出其具有柔韧性,但关于其有效性的研究有限。总之,该综述强调了各种牙冠材料在儿童牙科中的重要作用,强调了持续研究以改善临床效果和提高儿童患者生活质量的重要性。牙冠材料的选择应考虑疗效、美观性以及对年轻患者的心理社会影响。

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