COMPARISON OF CLINICAL OUTCOMES AND PARENTAL SATISFACTION BETWEEN ZIRCONIA AND COMPOSITE STRIP CROWNS IN CHILDREN WITH DECAYED PRIMARY INCISORS: A SYSTEMATIC REVIEW AND META-ANALYSIS.
Mawada Abdelmagied, Susan Parekh, Paul Ashley
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In 30 seconds
This systematic review and meta-analysis compared zirconia and composite strip crowns for restoring decayed primary incisors in children. The study included eight randomized controlled trials and one non-randomized prospective study. Zirconia crowns showed significantly better gingival health, lower restoration failure rates, and higher crown retention, with an odds ratio of 7.549 for retention compared to composite crowns.
Key findings
- Zirconia crowns had significantly higher odds of crown retention (OR 7.549) compared to composite strip crowns.
- Restoration failure was significantly lower for zirconia crowns (OR 0.158).
- Zirconia crowns demonstrated better gingival health and lower plaque accumulation.
- Parental satisfaction tended to favor zirconia crowns, though results were uncertain.
Why it matters
Understanding the comparative effectiveness of zirconia versus composite strip crowns is crucial for pediatric dentists in making informed decisions about restorative options for primary incisors, impacting both clinical outcomes and parental satisfaction.