Volume 7, Issue 3 (7-2022)                   J Res Dent Maxillofac Sci 2022, 7(3): 168-174 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bakhtiary P, Aref P. Zirconia Crowns with Porcelain Veneers for Optimal Esthetics in Children Using CAD/CAM Technology: A Case Report. J Res Dent Maxillofac Sci 2022; 7 (3) :168-174
URL: http://jrdms.dentaliau.ac.ir/article-1-358-en.html
1- Department of Pediatric Dentistry, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- Department of Pediatric Dentistry, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , parissa234@yahoo.com
Abstract:   (972 Views)
Background and Aim: Stainless steel crowns (SSCs) are the gold standard for restoration of severely damaged primary teeth.
However, the unesthetic appearance of SSCs is responsible for their lower acceptance by clinicians and patients. Zirconia crowns are another option for reconstruction of severely damaged teeth, which also provide optimal esthetics.  

Case Presentation: Our patient was a 5-year-old child with a carious primary mandibular first molar. A prefabricated zirconia crown was considered for the tooth because the parents disapproved the color of SSC. The computer-aided design/computer-aided manufacturing (CAD/CAM) technology was used to fabricate a zirconia crown with porcelain veneering since the size of prefabricated crowns did not match the size of the respective tooth.
Conclusion: At the 1-year follow-up, the crown fabricated with this technique showed optimal esthetics, function, and durability. Although these crowns have shortcomings such as the risk of porcelain chipping, and require greater tooth preparation than SSCs, they can serve as a suitable alternative for reconstruction of severely damaged primary teeth when esthetics is an important parameter to consider.
Full-Text [PDF 684 kb]   (681 Downloads) |   |   Full-Text (HTML)  (482 Views)  
Type of Study: Case report | Subject: Radiology

References
1. Lee JH. Guided tooth preparation for a pediatric zirconia crown. J Am Dent Assoc. 2018 Mar;149(3):202-8.e2. [DOI:10.1016/j.adaj.2017.08.048] [PMID]
2. Lopez Cazaux S, Hyon I, Prud'homme T, Dajean Trutaud S. Twenty-nine-month follow-up of a paediatric zirconia dental crown. BMJ Case Rep. 2017 Jun 14;2017:bcr2017219891. [DOI:10.1136/bcr-2017-219891] [PMID] [PMCID]
3. Planells del Pozo P, Fuks AB. Zirconia crowns--an esthetic and resistant restorative alternative for ECC affected primary teeth. J Clin Pediatr Dent. 2014 Spring;38(3):193-5. [DOI:10.17796/jcpd.38.3.0255q84jt2851311] [PMID]
4. Ha S-R, Kim S-H, Lee J-B, Han J-S, Yeo I-S, Yoo S-H. Effects of coping designs on stress distributions in zirconia crowns: Finite element analysis. Ceram Int. 2016 Mar ;42(4):4932-40. [DOI:10.1016/j.ceramint.2015.12.007]
5. Ioannidis A, Bindl A. Clinical prospective evaluation of zirconia-based three-unit posterior fixed dental prostheses: Up-to ten-year results. J Dent. 2016 Apr;47:80-5. [DOI:10.1016/j.jdent.2016.01.014] [PMID]
6. Mourouzis P, Arhakis A, Tolidis K. Computer-aided Design and Manufacturing Crown on Primary Molars: An Innovative Case Report. Int J Clin Pediatr Dent. 2019 Jan-Feb;12(1):76-9. [DOI:10.5005/jp-journals-10005-1591] [PMID] [PMCID]
7. Santos GC Jr, Santos MJ Jr, Rizkalla AS, Madani DA, El-Mowafy O. Overview of CEREC CAD/CAM chairside system. Gen Dent. 2013 Jan-Feb;61(1):36-40.
8. Cho H, Won H, Choe H, Son M. Fracture characteristics of dental ceramic crown according to zirconia coping design. procedia Eng. 2011 Jun;10:1561-6. [DOI:10.1016/j.proeng.2011.04.261]
9. Winter R. Posterior Full-contour Zirconia Crowns: Preparation Design. Available from: https://www. Speareducation.com/spear-review/2012/10/posterior-full-contour-zirconia-crowns-preparation-design.
10. Paek J, Noh K, Pae A, Lee H, Kim HS. Fabrication of a CAD/CAM monolithic zirconia crown to fit an existing partial removable dental prosthesis. J Adv Prosthodont. 2016 Aug; 8 (4):329-32. [DOI:10.4047/jap.2016.8.4.329] [PMID] [PMCID]
11. Yue X, Hou X, Gao J, Bao P, Shen J. Effects of MDP-based primers on shear bond strength between resin cement and zirconia. Exp Ther Med. 2019 May;17(5):3564-72. [DOI:10.3892/etm.2019.7382]
12. Jivanescu A, Miglionico A, Barua S, Hategan SI. Alternative prosthodontic-based treatment of a patient with hypocalcified type Amelogenesis Imperfecta. Clin Case Rep. 2017 May 23;5(7):1093-7. [DOI:10.1002/ccr3.1005] [PMID] [PMCID]
13. Abdulhadi B, Abdullah M, Alaki S, Alamoudi N, Attar M. Clinical evaluation between zirconia crowns and stainless steel crowns in primary molars teeth. J Pediatr Dent. 2017 Jan;5(1):21-7. [DOI:10.4103/jpd.jpd_21_17]
14. Daou EE. The zirconia ceramic: strengths and weaknesses. Open Dent J. 2014 Apr 18;8:33-42. [DOI:10.2174/1874210601408010033] [PMID] [PMCID]
15. Clark L, Wells MH, Harris EF, Lou J. Comparison of Amount of Primary Tooth Reduction Required for Anterior and Posterior Zirconia and Stainless Steel Crowns. Pediatr Dent. 2016 Jan-Feb;38(1):42-6.
16. Amiri Daneshvar F, Alhavaz Ah, Ahmadizenouz G, Bijani A. Effect of three veneering techniques on fracture resistance and marginal adaptation of zirconia -based crowns. Caspian J Dent Res 2020; 9:16 -25.
17. Larsson C, Wennerberg A. The clinical success of zirconia-based crowns: a systematic review. Int J Prosthodont. 2014 Jan-Feb;27(1):33-43. [DOI:10.11607/ijp.3647] [PMID]
18. Taran PK, Kaya MS. A Comparison of Periodontal Health in Primary Molars Restored with Prefabricated Stainless Steel and Zirconia Crowns. Pediatr Dent. 2018 Sep 15;40(5): 334-9.
19. Cantner F, Cacaci C, Mücke T, Randelzhofer P, Hajtó J, Beuer F. Clinical performance of tooth- or implant-supported veneered zirconia single crowns: 42-month results. Clin Oral Investig. 2019 Dec;23(12):4301-9. [DOI:10.1007/s00784-019-02878-0] [PMID]
20. Lim MJ, Yu MK, Lee KW. The effect of continuous application of MDP-containing primer and luting resin cement on bond strength to tribochemical silica-coated Y-TZP. Restor Dent Endod. 2018 Apr 3;43(2):e19. [DOI:10.5395/rde.2018.43.e19] [PMID] [PMCID]
21. Ahn JS, Yi YA, Lee Y, Seo DG. Shear Bond Strength of MDP-Containing Self-Adhesive Resin Cement and Y-TZP Ceramics: Effect of Phosphate Monomer-Containing Primers. Biomed Res Int. 2015;2015:389234. [DOI:10.1155/2015/389234] [PMID] [PMCID]
22. Chen L, Yang J, Wang JR, Suh BI. Physical and biological properties of a newly developed calcium silicate-based self-adhesive cement. Am J Dent. 2018 Apr;31(2):86-90.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research in Dental and Maxillofacial Sciences

Designed & Developed by: Yektaweb