Dental Caries
Conditions
Interventions
Prefabricated stainless steel crowns will be placed on primary mandibular second molars with multiple carious surfaces or loss of proximal contact after standard tooth preparation and cementation proc
Stainless Steel Crown (SSC) Restoration Group in Primary Mandibular Second Molars with Multi-surface Caries or Loss of Proximal Contact,Prefabricated zirconia crowns Restoration Group in Primary Mandi
Sponsors
Ataturk University
Eligibility
Sex/Gender
All
Age
5 Years to 8 Years
Inclusion criteria
Inclusion criteria: 1.Age between 5 and 8 years 2.Good general health status ASA I 3.Children eligible for full coverage restoration with multiple carious surfaces or proximal caries in 4.mandibular first primary molars requiring full coverage restoration 5.Presence of a sound contralateral primary molar for each crown type 6.Teeth with non pulp involved limited dentin caries ICDAS 3 to 5 7.No antibiotic use within the last two months 8.Willingness to attend all study visits including baseline 1st day 7th day and 45th day follow up examinations 9.Written informed consent obtained from parents or legal guardians 10.Child willingness to participate and verbal assent appropriate for age
Exclusion criteria
Exclusion criteria: 1.Systemic disease or ASA II and above status 2.Periodontal disease presence 3.Long term antimicrobial therapy use in children 4.Advanced carious lesion in primary second molars ICDAS 6 5.Severe mouth breathing excessive salivation or clinical conditions preventing isolation 6.Lack of cooperation Frankl behavior scale negative or definitely negative behavior 7.Inability to attend regular follow up visits 8.No written informed consent from parents or refusal of child participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical periodontal outcomes of different crown types in primary mandibular second molars Baseline (before crown preparation) Plaque Index PI and Gingival Index GI will be recorded using Silness and Loe criteria. DMFT and CAST indices will be assessed through clinical oral examination using WHO diagnostic criteria | — |
Secondary
| Measure | Time frame |
|---|---|
| Inflammatory and immunological biomarker levels in gingival crevicular fluid after crown placement Baseline, 1 day, 7 days, and 45 days after crown placement Gingival crevicular fluid samples will be collected from study and control teeth at time points and analyzed for RANKL OPG TNF alpha IL 1 beta IL 6 PGE2 and TGF beta using ELISA | — |
Countries
Turkey
Contacts
Public ContactPeris Celikel
Ataturk University
Outcome results
None listed