Evaluation of Parental Perspectives on Prefabricated Zirconia Crowns Applied to Primary Molars

Abstract

Aim This study aimed to evaluate parental satisfaction regarding prefabricated zirconia crowns applied to primary molar teeth. Material and Methods The study included 53 children aged 5-11 years, who received prefabricated zirconia crowns on primary molars at the Department of Pediatric Dentistry, Faculty of Dentistry, Akdeniz University, along with their parents. Parental satisfaction was assessed using a 5-point Likert scale across five parameters: appearance, color, shape, size, and durability. Additionally, the impact of the child's gender on parental satisfaction was examined, and the data were statistically analyzed. The data were analyzed using the SPSS software; in addition to descriptive statistics, Kruskal-Wallis, Mann-Whitney U, and chi-square (χ²) tests were applied (P < 0.05). Results All parents rated the durability of prefabricated zirconia crowns as “very satisfied.” Furthermore, 92% were very satisfied with the appearance, 91% with the color, 94.3% with the shape, and 92.4% with the size of the crowns. No statistically significant effect of the child’s gender on parental satisfaction was found (P > 0.05). Conclusion Prefabricated zirconia crowns stand out as an aesthetic and durable restorative option that is highly accepted by parents. Consistent with the literature, prefabricated zirconia crowns were found to be highly accepted both aesthetically and functionally. This study demonstrates not only the clinical success of these crowns but also their high level of psychosocial acceptance.

Keywords

• parental satisfaction
• pedodontics
• primary tooth
• zirconia crown

Süt Azı Dişlerine Uygulanan Hazır Zirkonyum Kuronlara Yönelik Ebeveyn Görüşlerinin Değerlendirilmesi

Öz

Amaç Bu çalışmada, süt azı dişlerine uygulanan hazır zirkonyum kuronlara yönelik ebeveyn memnuniyetinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler Çalışmaya, Akdeniz Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı’nda tedavi gören ve süt azı dişlerine hazır zirkonyum kuron uygulanan 5-11 yaş aralığındaki 53 çocuk hasta ve ebeveynleri dahil edilmiştir. Ebeveynlerin hazır zirkonyum kuronlara ilişkin memnuniyet düzeyi; görünüm, renk, şekil, boyut ve dayanıklılık başlıkları altında 5’li likert ölçeği kullanılarak değerlendirilmiştir. Ayrıca çocukların cinsiyetinin memnuniyet üzerine etkisi incelenmiştir. Veriler SPSS programı ile analiz edilmiş; tanımlayıcı istatistiklerin yanı sıra Kruskal-Wallis, Mann-Whitney U ve ki kare (χ²) testleri uygulanmıştır (P < 0.05). Bulgular Ebeveynlerin tamamı hazır zirkonyum kuronların dayanıklılığını “çok memnun” düzeyinde değerlendirmiştir. Görünüm açısından %92’si, renk açısından %91’i, şekil açısından %94,3’ü ve boyut açısından %92,4’ü “çok memnun” olduğunu belirtmiştir. Çocukların cinsiyetinin ebeveyn memnuniyeti üzerinde istatistiksel olarak anlamlı bir etkisi saptanmamıştır (P > 0.05). Sonuç Hazır zirkonyum kronlar, ebeveynler tarafından yüksek oranda kabul gören, estetik ve dayanıklı bir restoratif seçenek olarak öne çıkmaktadır. Literatürle tutarlı şekilde, hazır zirkonyum kuronların hem estetik hem de fonksiyonel olarak yüksek kabul gördüğü belirlenmiştir. Bu çalışma, hazır zirkonyum kuronların klinik başarılarının yanı sıra psikososyal kabul düzeyinin de oldukça yüksek olduğunu göstermektedir.

Anahtar Kelimeler

• ebeveyn memnuniyeti
• süt dişi
• zirkonyum kuron
• pedodonti

Kaynakça

1. 1. Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Community Dent Oral Epidemiol. 2004;32(5):319–21.
2. 2. Usha M, Deepak V, Venkat S, Gargi M. Treatment of severely mutilated incisors: a challenge to the pedodontist. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2007;25(Supplement):S34–6.
3. 3. Mortada A, King N. A simplified technique for the restoration of severely mutilated primary anterior teeth. Journal of Clinical Pediatric Dentistry. 2004;28(3):187–92. 4. Ramires-Romito ACD, Wanderley MT, Oliveira MDM, Imparato JCP, Corréa MSNP. Biologic restoration of primary anterior teeth. Quintessence Int (Berl). 2000;31(6).
4. 5. Roberts C, Lee JY, Wright JT. Clinical evaluation of and parental satisfaction with resin-faced stainless steel crowns. Pediatr Dent. 2001;23(1):28–31.
5. 6. Serra Rabêlo RT, Caldo-Teixeira AS, Puppin-Rontani RM. An alternative aesthetic restoration for extensive coronal destruction in primary molars: indirect restorative technique with composite resin. Journal of Clinical Pediatric Dentistry. 2005;29(4):277–81.
6. 7. Mittal GK, Verma A, Pahuja H, Agarwal S, Tomar H. Esthetic crowns in pediatric dentistry: A review. Int J Contemp Med Res. 2016;3:1280–2.
7. 8. Mathew MG, Roopa KB, Soni AJ, Khan MM, Kauser A. Evaluation of clinical success, parental and child satisfaction of stainless steel crowns and zirconia crowns in primary molars. J Family Med Prim Care. 2020;9(3):1418–23.
8. 9. Srinath S, Kanthaswamy AC. Different crown used for restoring anterior primary teeth: A review. Journal of Pharmaceutical Sciences and Research. 2017;9(2):190.

9. 10. Holsinger DM, Wells MH, Scarbecz M, Donaldson M. Clinical evaluation and parental satisfaction with pediatric zirconia anterior crowns. Pediatr Dent. 2016;38(3):192–7.
10. 11. Hamrah MH, Mokhtari S, Hosseini Z, Khosrozadeh M, Hosseini S, Ghafary ES, et al. Evaluation of the clinical, child, and parental satisfaction with zirconia crowns in maxillary primary incisors: a systematic review. Int J Dent. 2021;2021(1):7877728.
11. 12. Alrashdi M, Ardoin J, Liu JA. Zirconia crowns for children: A systematic review. Int J Paediatr Dent. 2022;32(1):66–81.
12. 13. Ajayakumar LP, Chowdhary N, Reddy VR, Chowdhary R. Use of restorative full crowns made with zirconia in children: a systematic review. Int J Clin Pediatr Dent. 2020;13(5):551.
13. 14. Walia T, Salami AA, Bashiri R, Hamoodi OM, Rashid F. A randomised controlled trial of three aesthetic full-coronal restorations in primary maxillary teeth. Eur J Paediatr Dent. 2014;15(2):113–8.
14. 15. Rahate I, Fulzele P, Thosar N. Comparative evaluation of clinical performance, child and parental satisfaction of Bioflx, zirconia and stainless steel crowns in pediatric patients. F1000Res. 2023;12:756.
15. 16. Salami A, Walia T, Bashiri R. Comparison of parental satisfaction with three tooth-colored full-coronal restorations in primary maxillary incisors. Journal of Clinical Pediatric Dentistry. 2015;39(5):423–8.
16. 17. Bhatt R, Shah D, Patel M, Khurana S. Clinical Evaluation and Parental and Child Satisfaction with Restoration of Primary Teeth using Zirconia and Stainless Steel Crowns: A Randomised Clinical Study. Advances in Human Biology. 2023;13(1):61–7.
17. 18. Salama AA. Zirconia crowns versus pre-veneered stainless steel crowns in primary anterior teeth A retrospective study of clinical performance and parental satisfaction. Egypt Dent J. 2018;64(4-October (Orthodontics, Pediatric & Preventive Dentistry)):3075–84.