Comparison of periodontal health in children with restored primary teeth using different restorative materials

TL;DR

This study compares how different dental fillings affect gum health in children and finds that stainless steel crowns cause more gum issues than other materials.

Contribution

The study provides new comparative evidence on the periodontal impact of different restorative materials in children's primary teeth.

Findings

Stainless steel crowns caused significantly more gum inflammation and plaque accumulation compared to other materials.

Glass ionomer cement and composite resin showed similar periodontal outcomes.

Periodontal parameters were measured across 240 children aged 4-9 with restored primary molars.

Abstract

The quality of the restorative material used can have a significant impact on periodontal well-being in initial dentition though the
comparative information is scarce. In this cross sectional study periodontal status of 240 children between 4-9 years of age fitted with
restored primary molars with glass ionomer cement (GIC), composite resin, amalgam and stainless steel crowns (SSC) were compared and
evaluated. Periodontal parameters such as gingivial index, plaque index, probing depth and gingivial recession were measured. It was
proved that SSC caused much more inflammation and accumulation in gums than other materials (p<0.001) and GIC and composite resin did
not differ in terms of periodontal outcome.