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Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia

Author

Listed:
  • Marie-Laure Munoz-Sanchez

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Natacha Linas

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Nicolas Decerle

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Valérie Collado

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Denise Faulks

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Emmanuel Nicolas

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Martine Hennequin

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

  • Pierre-Yves Cousson

    (CROC, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, F-63003 Clermont-Ferrand, France)

Abstract

Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: (i) marginal adaptation; (ii) interdental proximal contact; (iii) the presence of glass ionomer cement overflow; and (iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.

Suggested Citation

  • Marie-Laure Munoz-Sanchez & Natacha Linas & Nicolas Decerle & Valérie Collado & Denise Faulks & Emmanuel Nicolas & Martine Hennequin & Pierre-Yves Cousson, 2021. "Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2509-:d:509769
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    References listed on IDEAS

    as
    1. Caroline Gondlach & Céline Catteau & Martine Hennequin & Denise Faulks, 2019. "Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability," IJERPH, MDPI, vol. 16(15), pages 1-9, August.
    2. Marie-Laure Munoz-Sanchez & Natacha Linas & Nicolas Decerle & Emmanuel Nicolas & Martine Hennequin & Pierre-Yves Cousson, 2020. "A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    3. Nicolas Decerle & Pierre-Yves Cousson & Emmanuel Nicolas & Martine Hennequin, 2020. "A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
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