Clinical Performance of Pedo Jacket Crowns in Maxillary Anterior Primary Teeth.
OBJECTIVE
To assess the clinical performance of Pedo Jacket crowns for restoration of carious primary anterior teeth.


METHODS
A total of 129 carious primary incisors and canines of 48 children younger than 71 months of age- were restored with Pedo Jacket crowns and resin-modified glass ionomer cementation. They were assessed for: ease of use; presence of recurrent decay; wear; partial or complete loss of the crown; color stability; gingival health; and overall clinical success over a 12-month follow-up. The patient's behavior at the restorative appointment during crown placement was also assessed.


RESULTS
An overall clinical success of 89.5 percent of the teeth in 87.3 percent of the children was seen one year later. The crowns were easy to use, even in uncooperative children. The color stability, wear, plaque accumulation, and gingival health were acceptable. Discoloration, wear, or complete loss of the crown were found in 13.1 percent, 5.4 percent, and 7.6 percent of children, respectively. Although not statistically significant, failures were associated with poor patient cooperation at the time of crown placement, poor oral hygiene, or operator error.


CONCLUSIONS
Pedo Jacket crowns are a viable treatment alternative for carious maxillary primary anterior teeth.
Private practice, Calgary, Alberta, Canada.
Aimee
A
Castro
Department of Pediatric Dentistry, Beirut Arab University, Beirut, Lebanon, Cairo University, Giza City, Giza, Egypt.
Sherine B Y
SB
Badr
Department of Restorative Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Wafa
W
El-Badrawy
Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. g.kulkarni@utoronto.ca.
Gajanan
G
Kulkarni
D002170:Canada; D002675:Child, Preschool; D003188:Composite Resins; D003442:Crowns; D001840:Dental Bonding; D019140:Dental Care for Children / Q000379:methods*; D003731:Dental Caries / Q000628:therapy*; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000627:therapeutic use; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging; D007223:Infant; D008297:Male; D008437:Maxilla; D011861:Radiography, Dental; D014075:Tooth Discoloration / Q000209:etiology; D014094:Tooth, Deciduous / Q000000981:diagnostic imaging; D016896:Treatment Outcome
D003188:Composite Resins; D005899:Glass Ionomer Cements