RT  - Journal of Clinical Pediatric Dentistry
ID  - 10.17796/1053-4628-42.3.1
T1  - Survival Rates of Stainless Steel Crowns and Multi-Surface Composite Restorations Placed by Dental Students in a Pediatric Clinic
A1  - Badia A Zahdan
A1  - Aniko Szabo
A1  - Cesar D Gonzalez
A1  - Elaye M Okunseri
A1  - Christopher E
Okunseri
K1  - Children
K1  - stainless steel crowns
K1  - survival rates and composite restoration
YR  - 2018
SP  - 167
AB  - <p><strong>Purpose:</strong> This study examined survival rates of multi-surface composite restorations and stainless steel crowns (SSCs) placed by students in a pediatric dental clinic as well as the length of time it takes for restorations to be replaced with stainless steel crowns. <strong>Study design:</strong> Data from electronic dental records for all children with at least one 2-surface composite restorations or SSCs on a primary first or second molar from January 1, 2007 to September 30, 2015 were analyzed. The primary outcome was the time to a new restoration or SSC on the same tooth, with time to a crown as a secondary outcome. Descriptive statistics were obtained and the cumulative incidence of the event of interest was estimated using 95% confidence intervals and compared between groups using Fine-Gray regression. <strong>Results</strong>: A total of 6,288 teeth from 2,044 children were analyzed. Three years after the initial procedure, 1.5% of SSCs and 21% of 2 and 3 surface composite restorations failed and needed a replacement (Hazard Ratio [HR]= 14; 95% Confidence interval [CI] 9–22, p&lt;0.001). Also, 6.8% of composite restorations needed replacement with SSCs' (HR=4; 95% CI: 3–7). <strong>Conclusions</strong>: The study demonstrates that stainless steel crowns had a higher survival rate than multi-surface composite resins placed by students at a pediatric dental clinic in primary molars of children.</p>