Stainless steel crown vs bulk fill composites for the restoration of primary molars post‐pulpectomy: 1‐year survival and acceptance results of a randomized clinical trial

Olegario, Isabel Cristina, Rampazzo Bresolin, Carmela, Passaro, Ana Laura, Pinheiro de Araujo, Mariana, Hesse, Daniela, Medeiros Mendes, Fausto and Raggio, Daniela ORCID: https://orcid.org/0000-0002-0048-2068 2022. Stainless steel crown vs bulk fill composites for the restoration of primary molars post‐pulpectomy: 1‐year survival and acceptance results of a randomized clinical trial. International Journal of Paediatric Dentistry 32 (1) , pp. 11-21. 10.1111/ipd.12785

PDF - Published Version Available under License Creative Commons Attribution Non-commercial. Download (489kB)

Abstract

Background A key factor for the success and longevity of the endodontic treatment is sealing of the cavity after restorative treatment. Aim The aim of this randomised clinical trial was to evaluate the 1-year survival of endodontic treatment in primary molars restored with stainless steel crowns (SSCs) and bulk fill composite resin (BF). As a secondary outcome, the acceptance of both children and parents was evaluated. Design Ninety-one 3- to 8-year-old children with at least one primary molar requiring endodontic treatment were selected. Participants were randomized to SSC or BF and evaluated after 1, 3, 6, and 12 months. An acceptance questionnaire was completed immediately after the treatment. The primary outcome was the endodontic treatment success, evaluated in the intention-to-treat (ITT) population using the Kaplan-Meier and non-inferiority Cox regression analyses, with a non-inferiority limit of 15%. Sensitivity analysis between the success rates after 1 year was performed using Miettinen-Nurminen's method. The Mann-Whitney test was used to compare the treatment acceptance (α = 5%). Results The survival rate after 1 year was BF = 75% and SSC = 88% (HR = 1.41; 90% CI 0.57-3.43). ITT analysis showed a success rate of BF = 86.7% and SSC = 82.6% (RR = 0.95; 0.78-1.16). The non-inferiority hypothesis between the survival of endodontic treatment could not be proved in both analyses (P > .05). The overall acceptance scores did not differ between the restorative groups (P > .05). Conclusion This study failed to show non-inferiority of BF compared with the SSC. The materials were well accepted by both children and their parents.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Additional Information:	This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Publisher:	British Society of Paediatric Dentistry (BSPD)
ISSN:	0960-7439
Date of First Compliant Deposit:	28 March 2022
Last Modified:	02 May 2023 14:47
URI:	https://orca.cardiff.ac.uk/id/eprint/148886

Citation Data

Cited 7 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item