Vatankhah Pooya, Hashemi Fatemeh, Sarraf Shirazi Alireza
Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Dept. of Pediatric Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
J Dent (Shiraz). 2025 Mar 1;26(1):8-16. doi: 10.30476/dentjods.2024.101475.2301. eCollection 2025 Mar.
Stainless steel crowns (SSCs) are the preferred choice for restoring primary molars with extensive caries. However, they may be indicated for permanent molars in certain cases as well. While limited research assessed different aspects of this treatment separately, this review aims to consolidate the existing literature and provide a multi-dimensional analysis of preformed metal crown restoration for permanent molars. A comprehensive search of electronic databases including PubMed, Scopus, Web of Science, Embase, and Cochrane was conducted, and relevant studies were categorized based on specific aspects of this treatment including indications, survival rates, periodontal and radiographic findings, utilization frequency, and alternative options. The review highlights the wide range of indications for SSCs on permanent molars of children, adolescents, and even adults, along with their remarkable success rates. However, noticeable underutilization, despite their proven efficacy, was observed. Periodontal defects and marginal discrepancies were found to be the most common causes of failures.
不锈钢冠（SSCs）是修复有广泛龋坏的乳牙的首选。然而，在某些情况下，它们也可能适用于恒牙。虽然有限的研究分别评估了这种治疗的不同方面，但本综述旨在整合现有文献，并对恒牙的预成金属冠修复进行多维度分析。我们对包括PubMed、Scopus、科学网、Embase和Cochrane在内的电子数据库进行了全面检索，并根据该治疗的特定方面对相关研究进行了分类，包括适应症、生存率、牙周和影像学检查结果、使用频率以及替代方案。该综述强调了SSCs在儿童、青少年甚至成人恒牙上的广泛适应症，以及它们显著的成功率。然而，尽管其疗效已得到证实，但仍观察到明显的使用不足。牙周缺损和边缘差异被发现是失败的最常见原因。
