Comparison of the clinical success of pediatric zirconia crowns applied with different luting cements: a clinical trial
Journal of Clinical Pediatric Dentistry, cilt.49, sa.4, ss.79-89, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 49 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.22514/jocpd.2025.078
- Dergi Adı: Journal of Clinical Pediatric Dentistry
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL
- Sayfa Sayıları: ss.79-89
- Anahtar Kelimeler: Luting cements, Periodontal health, Preformed zirconia crowns, Primary molars
- Süleyman Demirel Üniversitesi Adresli: Evet
Özet
Background: The effect of luting cement type on the clinical success of pediatric zirconia crowns (PZCs) is still not proven. This study aims to assess and compare the clinical effectiveness and effect on gingival health, of PZCs (NuSmile, ZR Zirconia Primary, TX, USA) cemented with different luting cements. Methods: A total of 60 PZCs were applied to the primary molars of 53 children. Four groups were formed based on the type of luting cement. (Group BC (n = 15): Resin modified glass-ionomer cement (RMGIC) with calcium and phosphate release (BioCem™, Nusmile, TX, USA), Group GC (n = 15): Dual-cure adhesive resin cement (G-CEM LinkForce™, GC, USA), Group F1 (n = 15): Glass-ionomer cement (GIC) (Fuji 1™, GC, USA), Group F2 (n = 15): RMGIC (FujiCEM™ 2, GC, USA). Groups were compared for retention durability, plaque index (PI), gingival index (GI), probing depth (PD), and periapical pathology. Assessments were conducted at 1st, 3rd, 6th and 12th months. Results: Retention loss was observed in seven PZCs, and there was no significant difference among the groups. Eight of the teeth showed periapical pathology. Group F2 showed the highest success in terms of pulpal survival. Across all groups, an observed increase in patients’ PI, GI and PD scores was noted (p > 0.05). PI values obtained from the teeth treated with PZCs were significantly lower than the patients’ total oral PI values (p = 0.001). Conclusions: The absence of a difference among the groups indicates that an ideal cement for luting the zirconia crowns cannot be conclusively recommended. The luting cement can be preferred according to the patient, considering the technical sensitivity of application steps and cooperation. Clinical Trial Registration: (Identifier: NCT06558747).