Abstract
Abstract
Purpose
A systematic review was conducted into paediatric crown decontamination practices using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.
Method
After database retrieval using predefined search terms, two reviewers independently applied the selection criteria, extracted the data, and assessed for risk of bias. From 92 potentially eligible studies, 10 were included for analysis.
Results
Steam sterilisation (autoclaving) was used as the gold standard for reducing biological contaminants on paediatric crowns across in vivo studies. However, autoclaving was associated with microstructural changes such as crazing and contour alterations. Furthermore, several tooth coloured crowns were liable to undergo colour changes from steam sterilisation.
Conclusion
Ambiguous manufacturer guidelines on protocols for reprocessing and reuse after biological exposure raises concerns regarding cross contamination and leaves practitioners open to potential litigation. A better understanding of the compatibility of paediatric crowns and decontamination practices is needed. More research into alternative chairside technologies that use low temperature, such as hydrogen peroxide gas plasma sterilisation, is warranted.
Funder
The University of Queensland
Publisher
Springer Science and Business Media LLC
Subject
Dentistry (miscellaneous),Pediatrics, Perinatology and Child Health
Reference40 articles.
1. Abukabbos H, Tomar S, Guelmann M. Cost estimates for bioactive cement pulpotomies and crowns in primary molars. Pediatr Dent. 2018;40(1):51–5.
2. Aiem E, Smaïl-Faugeron V, Muller-Bolla M. Aesthetic preformed paediatric crowns: systematic review. Int J Pediatr Dent. 2017;27(4):273–82. https://doi.org/10.1111/ipd.12260.
3. Australian Institute of Health and Welfare. Health and Welfare: Oral health and dental care in Australia. Canberra: Australian Government. 2021. https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia. Accessed 4 September 2021
4. Baker L, Moon P, Mourino A. Retention of esthetic veneers on primary stainless steel crowns. ASDC J Dent Child. 1996;63(3):185–9.
5. Bensel T, Bock JJ, Zumpe L, Mansour S, Blümel N, Seeliger J, Boeckler AF. Effect of disinfectants on elastic modulus, flexural strength and color stability of denture base resins. Open J Stomatol. 2018;8(4):135–48. https://doi.org/10.4236/ojst.2018.84013.