3D-printed Ceromer Crowns Versus Stainless Steel in Posterior Primary Molars

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-9
SponsorUniversidad Autonoma de Baja California

About this trial

The aim of the study is to compare preformed metal crowns and 3D-printed ceromer crowns in primary molars of 4-9 years old children. The main questions it aims to answer are:

* How does 3D-printed ceromer crowns compare clincally to stainless steel crowns when restoring posterior molars? * What is the level of satisfaction of the patient with both materials? * What is the level of parental satisfaction with both materials?

Study methodology:

This study is a split-mouth clinical trial where participants will receive at least one of each materials in different quadrants of the mouth.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children aged 4 to 9 years with at least 2 primary molars affected by deep occlusoproximal caries.

Teeth may require pulp therapy (pulpotomy or pulpectomy) and be suitable for full-coverage restoration.

Teeth must have an antagonist and be located in opposing hemiarches.

The affected primary molars must be expected to remain in the mouth for at least 12 months.

Disqualifiers

Children with systemic diseases or medical conditions affecting oral health.

Uncooperative behavior (Frankl scale 3 or 4).

Temporomandibular joint disorders or parafunctional habits (e.g., bruxism).

Absence of antagonist or adjacent teeth in the selected quadrants.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Personalized 3D-printed pediatric ceromer crown

    Procedure/Surgery

    After primary molar crown preparation, digital impression using intraoral scanner (i700, Medit, Seoul, South Korea), crown will be designed with CAD software (CliniCAD, medit, South Korea) and fabricated using a 3D printer, (Sonic mini 4k, Phrozen, Taipei, Taiwan). Crown will be cemented by passive seating using a self-adhesive dual cure cement (Beauticem, shofu, San Marcos, CA, USA)

  • Prefabricated stainless steel crown group

    Device

    Stainless steel crown application: After preparation of the tooth, the crown will be filled and cemented with type-1 glass ionomer cement (Ketac Cem easymix, 3M ESPE, Minnesota, USA)

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: 3D-printed ceromer crownExperimental treatment 1 intervention
Group B: Stainless steel crownActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Plaque index (PI) (Silness and Loe, 1964)

0- No plaque in the area adjacent to the gingiva 1. There is a thin film on the edge of the gingival margin. (detected with the help of a probe) 2. There is presence of plaque in the gingival pocket and gingival margin at a level that can be determined by eye. There is no plaque in the proximal area. 3. A large amount of plaque layer is observed in the gingival pocket and gingival margin. Interdental area is filled with plaque.

Time frame
12 months
2

Gingival Index (GI) (Loe & Silness, 1963)

0- Healthy gingiva, no inflammation 1. Mild inflammation, discoloration and mild edema of the gums, no bleeding on probing. 2. Moderate inflammation, redness and edema in gums, bleeding on probing. 3. Advanced inflammation, redness, edema in gums, spontaneous bleeding is observed.

Time frame
12 months
3

International Dental Federation (FDI) criteria used for clinical evaluation of indirect restorations

Functional, Biological and Esthetic properties, scored from 1-5 (higher score meaning worse result.

Time frame
12 months

Secondary outcomes

1

Patient satisfaction

A 5 question satisfaction questionnaire with 5 point lykert scale questions

Time frame
6 months
2

Parental satisfaction

A 5 question satisfaction questionnaire with 5 point lykert scale questions

Time frame
6 months

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: